Should Cities Fund Needle Exchange Programs?

Should Cities Fund Needle Exchange Programs?

Nearly one-in-five new HIV cases are the result of drug users sharing dirty needles, an extrodinarily high number. Some cities have attempted to combat the epidemic by giving free clean needles to addicts in exchange for used ones. These programs are highly controversial in the U.S., with many insisting such programs encourage drug use and increase crime. Should your community be funding needle exchange programs?

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  • Joey Tranchina
    Borrowing to invest in failure is no longer an option...jt

    "Drug War" does not properly deserve to be called a "failure." Failure implies some serious attempt at success. For the 40 years that I know about drug war , there has been no serious attempt at success or belief, except among a few fanatics, that the concept of repression through enforcement alone would have any chance of success. Even much maligned Richard Nixon, who is the progenitor of modern drug war, for the purely political reason that he saw his opponents as "pot smokers," proposed a budget that directed 50% of the drug-fighting funds to drug treatment.

    Beat-cops know this; so do prosecutors. They are on the merry-go-round, they see how it goes around & around and down & down. A few of them even read the research. Those cops and prosecutors know that heroin prescription programs in Switzerland resulted in an 85% reduction in drug-related crime . You run the numbers --- even apart from the economic savings, you tell me what that rate of reduction in crime would do for the safety and security of American communities. Then go back and understand the underlying fact that 85% of these crimes are driven by the desperation of addiction, which is built into our system to insure profits for mobsters. Please, tell he how that makes sense? Drug war is not a failure, it is not even only a fraud although millions cynically profit from it, but when the people, who prosecute it, openly say that it doesn't work, there is a problem taking the concept of "drug-war," as anything other than a social harm, seriously. Yet, we continue to invest billions of borrowed dollars into the obvious failure and fraud, that "drug war" has become. America's "drug-war" is a farce.

    Then we can talk about "They hate us for our freedom..." but don't get me started on what drug war has done to degrade the civil rights of citizens. As my father would have said: "It's a sin and a shame."

    Compared to making heroin available to addicts or communicating the evisceration of our civil liberties in the name of "drug-war" ideology, advocacy for needle exchange is a no-brainer. Needle Exchange works; not doing needle exchange abets the spread of a sexually transmitted disease that threatens our children 's lives while failure to fully implement this reasonable prevention effort accelerates the bankruptcy of our public health system.

    And the reason not to implement this successful intervention is... Quoi? ¿Que? What?

    - Joey TranchinaUS June 26, 2009 4:13PM

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    • sunshiner424
      Where the money comes from.

      I absolutely agree with supplying clean needles to addicts... through private organizations funded by voluntary donations.

      We don't have a public health system (yet) and we should never adopt one.

      - sunshiner424US October 5, 2009 11:45AM

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      • MrBook
        support?

        "I absolutely agree with supplying clean needles to addicts... through private organizations funded by voluntary donations."

        If needle programs are just enabling addicts to do drugs then why would you support any program?

        - MrBookUS October 6, 2009 7:03AM

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        • sunshiner424
          Same reason you do

          Reduce the occurrences of AIDS and the spread of HIV .

          - sunshiner424US October 6, 2009 12:40PM

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          • MrBook
            public health

            Then how doesn't that help the larger population?

            - MrBookUS October 6, 2009 7:33PM

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            • sunshiner424
              Because I don't overgeneralize.

              It helps some of the larger population. I still want to support some but I want it funded by some (voluntarily)

              - sunshiner424US October 7, 2009 11:03PM

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      • Joey Tranchina
        America has a public health system...jt


        "We don't have a public health system (yet) and we should never adopt one."

        What? You are a grad student in biomedical engineering and you don't know the difference between "public health care " and a "public health system?"

        America has one of the most extensive public health systems in the world. While it is not one of the most efficient or most effective the National Institute of Health (NIH) and the entire national public health network directed by the Surgeon General plays a role in public health in every state in the union. What we're talking about here is public health, the protection of the population from the spread of disease. By any political philosophical standard even the most conservative, protecting the public's health is a legitimate function of government .

        How can you comment on needle exchange if you don't understand that distinction?

        - Joey TranchinaUS January 11, 2010 1:28PM

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  • William Martin PhD
    William Martin (Ph.D, Harvard, 1969), is the Harry and Hazel Chavanne Emeritus Professor of Religion and Public Policy in the Department of Sociology at Rice.... More

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