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Harm
Reduction is the First Positive Reform For Victims of Drug Abuse. It
is a Band-Aid Solution because it Does Not Prevent Abuse, It Responds to
It. Many See This as a Catalyst to A Climate That Desperately Needs
to Change.
HR
Can Be Applied to Every Substance and to Situations in Life Beyond Drugs
and Alcohol.
Taken directly from the European model, harm
reduction is a social reform strategy that applies to a situation
after it has occurred. Harm reduction was designed for multiple
application objectives. First, and foremost, harm reduction is a philosophy
of public
health, intended to be a progressive
alternative to the prohibition of certain lifestyle
choices. The central idea of harm reduction is the recognition that some
people always have and always will engage in behaviors which carry risks,
such as casual
sex, prostitution,
and drug use.
Harm reduction initiatives range from
widely accepted designated
driver campaigns, to more controversial initiatives like the provision
of condoms
in schools, needle exchange programs, safe injection rooms (see safer
injection sites below), drug legalization, and heroin
maintenance programs.
Thus, the primary purpose and main
objective of harm reduction is to
mitigate the potential dangers and health risks associated with the
behaviors themselves.
2) Another objective of harm reduction is to
reduce harm associated with, or caused by the legal circumstances under
which the behaviors are carried out (such as the prohibition of a
substance or act, which causes people to take certain behaviors
"underground" into an environment where the risk of harm or
exploitation is increased).
Harm reductionists contend that no one
should be denied services, such as healthcare
and social
security, merely because they take certain risks or exhibit certain
behaviors that are generally disapproved of by society as a whole, or its
laws . Further, harm reduction seeks to take a social justice stance in
response to behaviors such as the use of illicit drugs or prostitution,
as opposed to criminalizing and prosecuting these behaviors. Often, harm
reduction advocates view the prohibition of drugs
as discriminatory, ineffective and counter-productive. Among other
arguments, they point out that the burden placed on the public health
system and society as a whole from cannabis use and other illegal drugs
are relatively low. They also contend that the substances are still widely
used, despite extremely expensive attempts to enforce laws criminalizing
them, and that the prohibition has the effect of criminalizing and
marginalizing otherwise law-abiding drug users.
Critics of harm reduction contend that it
appears to condone and even facilitate behaviors that are dangerous,
socially destabilizing or considered immoral. For these reasons, harm
reduction has been very controversial in the United
States, where it has met more resistance than in Europe,
Canada, Australia
and New
Zealand. In the United States, debate about harm reduction is very
polarized. Advocates are often characterized as "pro-drug".
Opponents of harm reduction are often criticised for ignoring the
realities and circumstances of addictions, disregarding scientific
evidence, marginalizing the basic human rights of affected persons, and
responding from a position of "moral
panic". It's rather poignant
that harm reduction opposition comes from those involved
with the manufacture of illicit drugs, physicians, and healthcare staff
who are threatened by any progressive action. In countries where
drug abuse is a major industry -- such as the US -- a thriving black
market simply offers greater control over the population in a very
sadistic sense. Harm Reduction threatens to eradicate that
control by empowering drug users / abusers which will ultimately lead to
the discovery that it's not the drug that is causing chaos and upheaval
but rather the healthcare system, drug counselors and politicians which
use zero tolerance as a means to discriminate and displace members of
society. If they could, many opponents of harm reduction would strip
away everything that a drug user / abuser has and bind their bodies to
billboards as an advertisement to the public much the same way the Romans
did with crucifixion. Instead, the only showcase these critics get is
limited to the courtroom which hardly is satisfactory to them. The
idea is to hide their own guilt.
There is a separate group of harm
reductionists that advocate an approach which is sometimes referred to as
gradualism. Gradualism advocates are of the opinion that harm reduction
programs are sometimes rooted in pessimism about the ability of addicts to
stop their illegal addictive behaviors and represent the "soft
bigotry of low expectations."[citation
needed] They are unlikely to categorize interventions
as "good" or "bad". Rather, they tend to be more
concerned that programs should urge clients toward abstinence
when windows of opportunity open. Thus, the common approach to
gradualism is is work back to zero tolerance. If a drug user/abuser
cuts their dosage in half and then in half again... and again... and
again... until they asymptotically reach zero to within a grain or two of
the drug for the period of a month, gradualism would work, but it
doesn't. It's simply a more expensive method of adopting zero
tolerance and it is not the direction we want to be heading having already
gone the first route. For some, gradualism might work, but for the
majority, particularly for those who are comfortable with their lifestyle,
gradualism is just delaying reality longer at the cost of taxpayer
dollars.
Ardis Moe, MD from the UCLA Health Care
Center provides her own definition
of gradualism as "zero tolerance with about three weeks to a month of
reducing down to zero." It is frightful to think that these are
the physicians that we depend on to provide patient care. Yuck! |
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