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BMJ 2007;335:1060 (24 November), doi:10.1136/bmj.39402.477639.BE
| The first 150 words of the full text of this article appear below. |
Califano's objections to legal regulation of illicit drugs are based on misrepresentation of the reform position bolstered by irrelevant, cherry picked, or misleading facts.1 A similar piece appeared in the Financial Times2 and was systematically critiqued in the paper's economists' forum.3 While Califano's rhetoric has since been moderated, and facts fine tuned, the conceptual flaws remain.
The example of Zurich's "needle park" misrepresents legalisation as heroin was never legally supplied. As an experimental tolerance zone it was a failure. Yet, Califano fails to mention that the government responded by legalising heroin. It set up clinics for long term users, where legally prescribed heroin was used under supervision. The success of this approach on key social, health, and criminal justice indicators led to its replication by many countries including Canada, Australia, and much of mainland Europe. The UK is piloting a similar scheme.
Califano relates Italy's high heroin addiction rate to
Stephen A Rolles, information officer
Transform Drug Policy Foundation, Easton Business Centre, Bristol BS8 OHE
steve@tdpf.org.uk