World
The Perils of Legalization
A cautionary story
Drug overdose deaths within the U.S. reached their highest level ever recorded final 12 months, with greater than 100,000 deaths over 12 months. Deaths are up practically 50 p.c because the begin of the Covid pandemic.
Each time I write about lethal overdoses, some readers ask: Why not legalize and regulate medicine? They argue that the federal government causes extra hurt by outlawing medicine and imposing these bans by policing and incarceration. They recommend that legalization and regulation may higher decrease the dangers concerned.
So at the moment I wish to clarify why that argument goes solely thus far — and why many specialists are skeptical.
“Drug warriors mentioned we should always have a drug-free nation, which was completely bogus,” Jonathan Caulkins, a drug coverage knowledgeable at Carnegie Mellon College, instructed me. “However it’s completely bogus on the opposite aspect to say we are able to legalize and all the issues will go away.”
In truth, we live by a disaster that reveals the dangers of legalization: the opioid epidemic.
The issue started with a authorized, regulated drug: prescription painkillers. Pharmaceutical corporations promised the medicine would assist handle ache, a significant public well being subject. However when the capsules had been made extensively out there within the Nineteen Nineties, their use skyrocketed — together with habit and overdoses. And as a substitute of fastidiously regulating the medicine, officers constantly gave in to profit-minded pharmaceutical corporations, which bought opioids to tens of millions of individuals.
The disaster has developed from its origins, with avenue medicine like heroin and fentanyl — and, more and more, stimulants like cocaine and meth — behind most overdose deaths. However as I beforehand wrote on this e-newsletter, opioid painkillers are on the root: Most of the folks now utilizing heroin or fentanyl started with painkillers. And drug cartels began to extra aggressively ship heroin and fentanyl to the U.S. as soon as they noticed a promising buyer base within the rising variety of painkiller customers.
As an alternative of constraining habit and overdoses, U.S. regulators enabled the present disaster.
Unhealthy regulation
America is poorly poised to legalize and regulate medicine, some specialists mentioned. It tends to withstand regulation and favor free-market options greater than different developed nations. It’s certainly one of two international locations to permit direct-to-consumer pharmaceutical advertisements. The First Modification protects some industrial speech, making drug advertising exhausting to control.
“The coverage has to match the tradition,” Caulkins mentioned. And “we’re not good at having bureaucracies that view their mission as defending the folks in opposition to the business.”
The painkiller saga illustrates this. Aggressive advertising and messaging from corporations like Purdue Pharma persuaded not simply docs but additionally regulators of the medicine’ security and effectiveness. That enabled the approval of Purdue’s OxyContin in 1995.
As we now know, these opioids weren’t as protected or as efficient as claimed.
However federal businesses constantly did not act as painkiller overdose deaths quadrupled, the drug coverage historian Kathleen Frydl argued:
-
After approving OxyContin with defective information, the Meals and Drug Administration didn’t explicitly prohibit its use till the 2010s.
-
The Drug Enforcement Administration units limits on what number of opioids might be produced, however it elevated these limits for years, till the mid-2010s. The quota for oxycodone was practically 13 instances greater at its peak in 2013 in contrast with 1998. With out greater quotas, “we wouldn’t have an opioid disaster,” Frydl instructed me.
-
The Facilities for Illness Management and Prevention didn’t publish pointers calling for stricter prescription of opioids till 2016, greater than twenty years after OxyContin was permitted.
A spokeswoman mentioned the F.D.A. is utilizing “a complete, science-based method” to restrict painkiller misuse and develop habit companies. An official mentioned the D.E.A. is altering its course of for setting quotas with advances in information and knowledge know-how. The C.D.C. didn’t reply to a request for remark.
However federal regulators have performed too little, Frydl mentioned: “None of those businesses have been requested to carry out any type of introspection and accountability course of such that we may very well be assured of their choice making going ahead.”
A coverage spectrum
Consultants extensively agree that the U.S. authorities did not correctly regulate opioids. However that doesn’t justify the prohibition and criminalization of medicine, argued Kassandra Frederique, the manager director of the Drug Coverage Alliance, an advocacy group. “That’s a false binary,” she instructed me.
Many choices exist between commercialized legalization and criminalized prohibition, specialists mentioned. Portugal decriminalized the private possession of all medicine in 2001, however not manufacturing and distribution. Canada prohibits medicine, however permits for amenities the place educated employees supervise drug customers and will even present substances to make use of.
Completely different medicine can even warrant completely different approaches. Marijuana is far safer than cocaine and heroin, and legal guidelines can mirror that.
And whereas the opioid disaster has proven the perils of legalization, it has additionally uncovered the dangers of prohibition. Individuals who die from a fentanyl overdose usually imagine they’re consuming heroin, cocaine or another drug, not understanding it’s truly fentanyl or contaminated with fentanyl. That may be a downside of unregulated provide.
The underside line
Nobody drug coverage is ideal, and all contain trade-offs. “We’ve received freedom, pleasure, well being, crime and public security,” the Stanford drug coverage knowledgeable Keith Humphreys has instructed me. “You possibly can push on one and two of these — possibly even three with completely different medicine — however you possibly can’t eliminate all of them. You need to pay the piper someplace.”
For extra
NEWS
Struggle in Ukraine
Different Huge Tales
FROM OPINION
The Sunday query: Ought to Finland and Sweden be part of NATO?
Each are sturdy democracies that may bolster the alliance’s army, Overseas Coverage’s Elisabeth Braw argues. Sara Bjerg Moller notes the risks, together with that NATO must defend Finland’s 800-mile border with Russia if Moscow responded aggressively.
MORNING READS
World
TikTok seeks to reassure U.S. employees ahead of Jan. 19 ban deadline
World
Trump's new Ukraine envoy issues warning to Iran, says 'maximum pressure must be reinstated'
President-elect Donald Trump’s incoming special envoy for Ukraine and Russia, Ret. Lt. Gen. Keith Kellogg, recently said the United States must return to the policy of “maximum pressure” and that the Iranian regime’s weakness has reopened what the future of Iran will look like.
“I believe this year should be considered a year of hope, it should be considered a year of action, and it should be considered a year of change,” Kellogg, who served in Trump’s first administration, said at an event sponsored by an Iranian opposition group, The National Council of Resistance of Iran, in Paris.
The retired lieutenant general said that Iran’s development and acquisition of a nuclear weapon would be the most destabilizing event for the Middle East. Kellogg reminded the opposition group that then-President Trump walked away from the Iran nuclear deal during his first term, even with opposition from those who served in the first administration.
IRAN REGIME UNDER ‘IMMENSE PRESSURE’ AMID INCOMING TRUMP ADMIN POLICIES, REGIONAL LOSSES, ECONOMIC WOES
“For the United States, a policy of maximum pressure must be reinstated, and it must be reinstated with the help of the rest of the globe, and that includes standing with the Iranian people and their aspirations for democracy,” Kellogg said.
Trump withdrew from the Joint Comprehensive Plan of Action, also known as the Iran nuclear deal, during his first term in 2018 and reapplied crippling economic sanctions. While some, including Israeli Prime Minister Benjamin Netanyahu, applauded the move, the leaders of the United Kingdom, France and Germany had urged the president to remain committed to the deal.
The remarks, made just days before Trump is set to take office for his second term, are yet another signal of how a second Trump administration will face the threat posed by Iran in a new environment with much of the Middle East embroiled in conflict since the Oct. 7 terrorist attack on Israel.
IRAN EXPANDS WEAPONIZATION CAPABILITIES CRITICAL FOR EMPLOYING NUCLEAR BOMB
“The beginning of the end of Iran’s primacy began, ironically, a year ago, on 7 October,” Kellogg said.
Kellogg noted that pressures applied to Iran would not only be kinetic or military force, but must include economic and diplomatic as well.
Maryam Rajavi, president-elect of the Iranian opposition group, the National Council of Resistance of Iran (NCRI), told the event that the fall of Syria’s longtime dictator, Bashar al-Assad, provided a unique opportunity for Iranians to remake their own future.
“Khamenei and his IRGC were unable to preserve the Syrian dictatorship, and they certainly cannot preserve their regime in the face of organized resistance and uprising. The regime will be overthrown,” Rajavi said.
ISRAEL EYES IRAN NUKE SITES AMID REPORTS TRUMP MULLS MOVES TO BLOCK TEHRAN ATOMIC PROGRAM
Rajavi said it was a decisive moment in the history of Iran. The National Council of Resistance of Iran, according to Rajavi, has a path forward for a democratic Iran, which includes a step-by-step process after the overthrow of the current regime. A transitional government would be formed for a maximum of six months, and its main task would be to hold free elections for a Constituent Assembly and transfer power to the people’s representatives.
“The overthrow of the mullahs’ regime is the only way to establish freedom in Iran and peace and tranquility in the region,” a hopeful Rajavi said.
Kellogg championed these ideas and said a “more friendly, stable, non-belligerent, and a non-nuclear Iran” must be the near term goal and that the United States needs to exploit Iran’s current weaknesses.
Iranian Foreign Ministry spokesperson Esmail Baqaei slammed France for hosting what the Iranian government called a “terrorist group” and accused the French government of violating its international legal obligations to prevent and fight terror.
World
South Korea’s President Yoon arrested: What happened and what’s next
Former South Korean President Yoon Suk-yeol has been arrested after a dramatic and drawn-out showdown with law enforcement officials.
Police and corruption officers on Wednesday scaled the walls of his residential compound, where he had been holed up for nearly two weeks, evading arrest, after his short-lived declaration of martial law on December 3. The officers broke through the barbed wire and barricades his security personnel had erected.
Hundreds of officers pushed past Yoon’s small army of personal security to take the leader into custody after a court issued a warrant for his detention.
The former president’s imposition of martial law had rattled the country, and he was swiftly impeached and removed from his duties.
Now Yoon faces numerous criminal investigations for insurrection. Here’s everything to know about his arrest:
Who is Yoon Suk-yeol?
Yoon is a storied former prosecutor who led the conservative People Power Party (PPP) to election victory in 2022 despite a lack of political experience.
Before taking the country’s top job, Yoon was called “Mr Clean” for prosecuting an array of prominent businessmen and politicians, analysts told Al Jazeera at the time of his election.
The former leader with affluent roots shot to national fame in 2016 when, as the chief investigator probing then-President Park Geun-hye for corruption, he was asked if he was out for revenge and responded that prosecutors were not gangsters.
While in office, the former president faced challenges in advancing his agenda in an opposition-controlled parliament and was dogged by personal scandals as well as rifts within his own party.
What’s the latest?
After more than 3,000 police officers were mobilised to break into Yoon’s compound, the leader was arrested and taken in for questioning.
“I decided to respond to the CIO’s investigation, despite it being an illegal investigation, to prevent unsavoury bloodshed,” Yoon said in a pre-recorded video statement released shortly after his arrest. He referred to the Corruption Investigation Office for High-ranking Officials, which is heading the criminal probe.
According to Al Jazeera’s Patrick Fok, reporting from Seoul, this was the second attempt by investigators to bring him in after they tried to arrest him a week ago.
Yoon faces the charge of insurrection, the only one that South Korean presidents are not immune from. His arrest marks the first one of a sitting South Korean president.
What’s the impact of his arrest?
Despite polls showing that a majority of South Koreans disapprove of Yoon’s martial law declaration and support his impeachment, the political standoff has given oxygen to his supporters, and his PPP party has seen a revival in recent weeks.
Support for the PPP stood at 40.8 percent in the latest Realmeter poll, released on Monday, while the main opposition Democratic Party’s support stood at 42.2 percent, a difference that is within the poll’s margin of error and down from a gap of 10.8 percentage points last week.
The narrowed margin suggests that a presidential election could be close if Yoon is formally removed from office by the Constitutional Court examining the legality of his impeachment. Previously, in the days after the brief martial law declaration, the Democratic Party’s leader, Lee Jae-myung, was widely viewed as the firm favourite.
Beyond the political effects, the weeks-long government turmoil has rattled Asia’s fourth largest economy.
Some of Yoon’s supporters have also drawn parallels between him and United States President-elect Donald Trump, echoing claims by Trump that the former and incoming American president has been the target of a witch-hunt by elites who have long controlled the levers of power. South Korea is one of Washington’s key security partners in East Asia.
Who is in charge in South Korea?
South Korea currently has an acting president, Finance Minister and Deputy Prime Minister Choi Sang-mok.
Choi has been in the role since December 27 when the legislature voted to impeach Yoon’s initial successor, Han Duck-soo, over his refusal to immediately fill three vacancies on the Constitutional Court.
Han had been acting president since Yoon was impeached on December 14 over his martial law declaration and his presidential powers were suspended.
After Yoon was arrested, Choi met with diplomats from the Group of Seven nations, including the US, Japan, Britain and Germany, as well as a representative of the European Union to reassure them that the government was stable.
How are South Koreans reacting?
As local broadcasters reported that Yoon’s detention was imminent, the president’s supporters descended upon his residence, chanting, “Stop the steal!” and “”Illegal warrant!” and waving glow sticks alongside South Korean and US flags.
The “stop the steal” slogans referred to Yoon’s unsubstantiated claims of election fraud in April’s parliamentary elections, which the opposition won – one of the reasons Yoon gave to justify his martial law declaration. It was also used by Trump and his supporters as he falsely claimed he won the 2020 presidential election in the US.
“Police estimate as many as 6,500 supporters of [the former president] turned out overnight, urging their leader to keep fighting on,” Fok said.
Some of his supporters also lay on the ground outside the residential compound’s main gate.
“It is very sad to see our country falling apart,” Kim Woo-sub, a 70-year-old retiree protesting Yoon’s arrest outside his residence, told the Reuters news agency.
“I still have high expectations for Trump to support our president. Election fraud is something they have in common, but also the US needs South Korea to fight China,” he said.
Minor scuffles broke out between pro-Yoon protesters and police near the residence, according to a witness at the scene quoted by Reuters.
Many other South Koreans are angry and believe Yoon has “avoided facing responsibility for his failed martial law”, Fok said.
“I think it’s wrong for the leader of a rebellion to not face any legal consequences, and even though an arrest warrant has been issued, [he has] continue[d] to resist that,” Cho Sun-ah, an anti-Yoon protester told Al Jazeera.
The Democratic Party, meanwhile, hailed Yoon’s detention with a top official calling it “the first step” to restoring constitutional and legal order.
The country’s parliament speaker echoed those sentiments.
“We should concentrate our efforts on stabilising state affairs and restoring people’s livelihoods,” Woo Won-shik said.
What’s next?
Authorities now have 48 hours to question Yoon, after which they must seek a warrant to detain him on the charge of attempting a rebellion or he will be released.
If Yoon is formally arrested, investigators may extend his detention to 20 days before transferring the case to public prosecutors for indictment.
According to a CIO official, however, Yoon is refusing to talk and has not agreed to have interviews with investigators recorded on video.
Yoon’s lawyers have said his initial arrest warrant is illegal because it was issued by a court in the wrong jurisdiction and the team set up to investigate him had no legal mandate to do so.
Presidential guards were stationed on the CIO floor where Yoon is being questioned, a CIO official said, but he will likely be held at the Seoul Detention Center, where other high-profile South Korean figures, including former President Park and Samsung Electronics Chairman Jay Y Lee, have also spent time.
Yoon faces the death penalty or life in prison if found guilty of insurrection.
In a parallel investigation, the Constitutional Court on Tuesday launched a trial to rule on parliament’s impeachment of Yoon.
If the court endorses the impeachment, Yoon would finally lose the presidency, and an election would have to be held within 60 days.
The opening session of the trial was adjourned on Tuesday after only a brief hearing as Yoon declined to attend, but proceedings could last for months.
-
Health1 week ago
Ozempic ‘microdosing’ is the new weight-loss trend: Should you try it?
-
Technology6 days ago
Meta is highlighting a splintering global approach to online speech
-
Science4 days ago
Metro will offer free rides in L.A. through Sunday due to fires
-
Technology1 week ago
Las Vegas police release ChatGPT logs from the suspect in the Cybertruck explosion
-
Movie Reviews1 week ago
‘How to Make Millions Before Grandma Dies’ Review: Thai Oscar Entry Is a Disarmingly Sentimental Tear-Jerker
-
Health1 week ago
Michael J. Fox honored with Presidential Medal of Freedom for Parkinson’s research efforts
-
Movie Reviews1 week ago
Movie Review: Millennials try to buy-in or opt-out of the “American Meltdown”
-
News1 week ago
Photos: Pacific Palisades Wildfire Engulfs Homes in an L.A. Neighborhood