Addicts might take their fix of heroin in a clinic, but not social users of recreational drugs. Few people would want to enter a high-street clinic to take an ecstasy tablet – this is something used in clubs. Similarly, few people would want to snort a line of cocaine in clinical and antiseptic conditions. Neither would people want to smoke cannabis in a clinic. They would shun the medical conditions envisaged for supervised use. The cafes in the Netherlands in which cannabis use is tolerated are rather more social and relaxed than medical clinics.
The policy that could succeed would be to medicalise hard drugs, and to legalise the production and sale of recreational drugs such as ecstasy, cocaine and cannabis. They would no more be without controls than alcohol and tobacco are without controls, but no longer criminal.
The street price would collapse without the need for illegal supply. Quality could be controlled and subject to regulation and labelling. Advice could be given on packages warning of associated dangers, and alerting users to the early signs of adverse health effects.
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