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Agency of Fear
Opiates and Political Power in America
By Edward Jay Epstein
Chapter 23 - Private Knowledge


While the Nixon administration was operating on the public front to inject
fear-provoking stereotypes of incurable addicts into primetime television, to
disseminate authoritative-sounding statistics suggesting that there was an
uncontrollable heroin epidemic sweeping the nation-,-and to inform
journalists about the $18-billion crime wave being conducted in America by
new hordes of addicts, on the private front it was receiving information from
its own agencies which did not fit the picture of imminent national peril,
and this information was kept private. As early as December, 1970, an
interagency committee on narcotics and drug abuse composed of representatives
from the Department of Defense, the Bureau of Narcotics and Dangerous Drugs,
the Department of Labor, the Department of Housing and Urban Development, the
Office of Economic Opportunity, the Veterans Administration. and the National
Institute of Mental Health reported to the Domestic Council that "in terms of
the size of the problem. for example compared to the problems of alcoholism,
mental illness. automobile injuries and fatalities, the problem of drug abuse
is relatively small." It further cautioned:

Hasty and ill-considered policies may not only be ineffective, but they may
generate different types of casualties and adverse consequences of the
medical, social, and legal nature, such as loss of respect for the law,
extensive arrest records [for youthful violations] ... and accidental death
and levels of dependence hitherto unknown as a result, of leaks in widely
dispersed or poorly conceived methadone maintenance programs.

Since there were then more than 9 million alcoholics compared to fewer than
100,000 known narcotics addicts, the White House strategists agreed that the
problem could not be presented simply in terms of a menace to public health.
A Domestic Council staff report on national drug programs was prepared in
December, 1970, with the assistance of the National Institute of Mental
Health and other government agencies involved in drug-abuse evaluation. It
noted:
Alcoholism, though a much greater public health and safety problem than other
forms of drug abuse, is not perceived in the public and political minds as a
great social and moral evil.... If the misuse of all drugs-illicit drugs as
well as alcohol and tobacco-was discussed in only medical and public health
terms, the problem of drug abuse would not take on inflated importance
requiring an undeserved federal response for political purposes.

This report further observed, "If the misuse of drugs is viewed with proper
perspective, it is not in actuality a paramount national problem.... However,
because of the political significance of the Problem, visible, hard-hitting
programs must be highlighted to preclude irrational criticism." In this
private report the agencies of government dealing with drug abuse admitted
not only that narcotics was not a paramount national problem but also that
"the dimension of the drug-using population is not known with any degree of
accuracy; we don't even know how many users are being treated. . . ." In the
spring of 197 1, the Domestic Council found that there were no "hard"
estimates in any agency of the government of the number of addicts, the
amount they spent on narcotics each year, the amount of theft they committed,
or the effectiveness of law enforcement on reducing addiction or theft.
According to Egli Krogh's recollection, the president himself closely
questioned John Ingersoll, asking him such questions as "Are there less
narcotics on the street [now]? ... Are there fewer addicts? Is there less
crime related to the use of narcotics? Can you show me that the problem
itself is being corrected by these operational indices of success? Ingersoll
bluntly told the President that that the government had not yet approached
answering these questions, and the president, according to Krogh, "just shook
his head in disbelief."

Since the data of other government agencies were equally elusive when it came
to answering these central questions about addiction posed by the president,
Krogh ordered the Office of Science and Technology, in August, 1971,
immediately to commission a complete analysis of all available data on
narcotics addiction and crime. He subsequently explained to me that because
of the president's "sense of discomfort over ... the statistical work" of the
government agencies directly engaged in drug programs, "we wanted an
independent unit under the Office of Science and Technology who were
professionals at data collection and analysis to tell us whether or not the
assumptions on which our programs have been based were in fact sound." The
Office of Science and Technology (which is a part of the executive office of
the president) contracted out the special presidential assignment to the
Institute for Defense Analysis (IDA), a think tank established by the Joint
Chiefs of' Stall' to analyze, independently, military strategies and
problems. IDA was given complete access to all the data on drug abuse that
the government possessed.

Unlike previous groups that had studied the problems of drug abuse in
America, IDA had no bureaucratic or financial interest in the outcome of its
study. The systems analysts at IDA began examining the assumption that
addicts steal billions of dollars' worth of property to pay for their habit.
They quickly found that "expenditures for heroin and the value of addict
property crime is not known to within a factor of four or five," which meant,
in effect, that the government estimates had no claim to being even a rough
measure of reality. The IDA analysts then went on to test the truism,
accepted for more than half a century by government agencies and private
treatment centers, that addiction was a major cause of crime in America. Even
though it was generally known that a "majority of heroin addicts have a
history of criminality preceding their abuse of the drug," as John Ingersoll
noted in a November 3, 1970, memorandum to Egli Krogh, and therefore were not
innocent persons compelled to commit crimes, it was assumed that the cost of
maintaining their heroin habit forced them to commit more crimes than they
otherwise would have undertaken. To determine whether this time-worn
assumption was valid, the IDA team focused on the summer of 1972, when a
shipping strike temporarily interrupted the supply of heroin in Eastern
cities and quintupled the street price of the drug when it was available at
all. If heroin addicts had to finance their habit through theft, and
psychologically and physiologically had no choice over the amount of the drug
required to avoid physical illness and mental pain (which was the definition
of "addiction"), then there should have been either a sharp increase in crime
in these Eastern cities or an increase in the number of addicts enrolling in
methadone-treatment programs (where they would receive a free substitute for
heroin). The analysts found, however, that this elegant hypothesis was, as
Lord Keynes put it on another occasion, "murdered by a gang of brutal facts."
The crime rates did not go up, even though prices increased, and addicts did
not enter treatment programs. The IDA report was thus forced to conclude:

The little evidence available suggests that during a time of severe heroin
shortage, addicts may not be willing or able to increase their crime
commensurately with the price increase, and therefore they compensate by
reducing their heroin consumption and/or substituting other drugs. Also the
data do not suggest that entering treatment is the preferred option [italics
in the original].

This conclusion undermined the entire theory of the heroin addict as it was
developed by Captain Hobson and his successors in American politics: if
heroin addicts could substitute other drugs, such as barbiturates and
amphetamines-which were manufactured domestically and inexpensively-for
heroin when it was unavailable, or even "mature out" of using it entirely in
these periods of time, then they were not actually addicted to heroin but had
simply chosen it when they could afford it. In this case, those addicts who
committed crimes could not be considered to be physically compelled by their
habit to commit crimes, but rather they purchased heroin as a consumer good
with the proceeds from criminal endeavors.

By examining the records of the jails in Washington, D.C., in the summer of
1972, IDA analysts found cogent evidence that criminal addicts could indeed
switch from heroin to amphetamines and barbiturates when heroin became more
expensive. All arrestees in the Washington jails were subject that year to
urinalysis, which would show if they were using opiates (heroin or
methadone), amphetamines, or barbiturates. During the East Coast dock strike
that summer, IDA researchers found that heroin use in the Washington jails
dropped from nearly 20 percent to 0, and commensurately that the use of
barbiturates and amphetamines among the arrestees rose from 3 or 4 percent to
nearly 20 percent. In other words, most criminal addicts simply replaced
heroin with these other drugs without showing any discernible signs of withdra
wal or physical discomfort. During this period in Washington, D.C.,
applicants for the methadone-treatment program actually decreased even though
there were no waiting lists or other barriers to obtaining free methadone.
(Apparently, illicit drugs, which could be taken intravenously, still had
great appeal because of the "rush," or euphoric pleasure, they could
provide.) Just as a cigarette smoker is not addicted to a single brand, but
can switch to other brands if his preferred choice is unavailable, the data
suggested that the criminal addict had great flexibility as to what drug, if
any, he would buy at a given time and could adjust consumption to fit his
current income. One evaluator of the IDA report commented, "There seems to be
very definitely a significant number of addicts who have a choice of which
drug they will use or not use, and if they have a choice about it, most of
the projections we have been making about heroin epidemics and crime don't
really work."

The IDA findings also provided at least some explanation for vexing data
coming in from methadone-treatment centers in different cities. This data
showed that even when addicts were given a free supply- of the heroin
substitute methadone, they did not reduce their theft activity, at least as
it was measured by criminal charges filed against them. For example, 416
addicts enrolled in a New York methadone program sponsored by the Addiction
and Research Treatment Corporation (ARTC) were evaluated by the Center for
Criminal Justice at Harvard University. Among the addicts younger than
thirty-one years of age. the only reductions in criminal arraignments one
year after they had begun methadone treatment (compared with their records
one year prior to treatment) occurred in three categories: drug offenses-by
far the largest component of the total reduction; forgery-, and prostitution.
In all other categories the rate of criminal charges filed against these
addicts actually increased, even though they were receiving daily dosages of
free methadone. Robbery charges quadrupled; assault charges were up by almost
50 percent; and even burglary and property-theft charges- increased after one
year of methadone treatment. If the full period of a patient's addiction was
taken as a measure, rather than merely his peak year, the level of criminal
charges was actually higher after he used methadone for one year than it was
during an average year on heroin. Since these addicts did not need to steal
to finance their habit (which the government financed for them), heroin
addiction could not be held to be the motivating force behind their continued
(and even criminal
behavior. Instead this evidence strongly suggested that heroin use as well as
the consumption of other illicit products was merely a byproduct of a life of
crime.

Finally, the data systematically collected by the Department of Defense in
Vietnam in 1972 shattered what remained of the theory that most heroin users
were inexorably dependent on heroin. In evaluating the effects of heroin on
soldiers, the Department of Defense provided the sort of laboratory
conditions that did not exist in civilian life: all soldiers were compelled
to submit to urinalysis to determine whether or not they were using heroin or
opiates. It turned out, it will be recalled, that several hundred thousand
soldiers stationed in Vietnam used heroin between 1970 and 1972, and about 14
percent of these users were classified as addicts, since they met the
standard criteria of both continuous heroin use and withdrawal symptoms
should they stop using heroin. Yet, when faced with the threat of Army
discipline (of not being allowed to leave Vietnam), 93 percent of those
classified as addicts (and virtually all the rest of the users) managed to
stop using heroin during their remaining months in the Army, where they were
subjected to daily urinalysis tests; and when tested one year after their
discharge, they were still abstaining from heroin. Dr. Richard Wilbur
concluded from this data that "addiction is not a meaningful concept in the
vast majority of the cases; most soldiers used heroin because of
psychological and peer group pressures, and because it was readily
available.... When it was no longer available, or when they faced detection
or penalty, they were able to simply give it up." From Vietnam the government
was finally able to obtain massive data about the behavior of hundreds of
thousands of heroin users, and virtually none of the findings supported the
hoary myth of the "drug slave," or the addict who physiologically had no
other choice than to do what was necessary to obtain a daily supply of heroin.

 Despite the IDA report (which was never made public) and the other evidence
that emerged from treatment centers the United States and Vietnam, the Nixon
administration continued to define heroin as "the root cause of crime in
America," as Myles Ambrose stated in speeches on drug abuse in 1972. After It
became Unmistakably clear to the White House strategists that reducing the
supply of heroin in the United States would not diminish crime (since, as the
IDA report suggested, criminal addicts would simply move on to another drug),
President Nixon continued to demand extraordinary powers to reorganize the
investigative agencies of the government so that they could continue the
crusade against crime and drugs. Between 1968 and 1974, the federal budget
for enforcing narcotics laws rose from $3 million to more than $224 million-a
seventyfold increase. And this in turn gave the president an opportunity to
create a series of highly unorthodox federal offices. The production of
threatening images of the vampire-addict which accompanied these executive
actions, and created the atmosphere of fear in which Congress passed without
consideration the necessary legislation and appropriations, could not be
undercut by the private knowledge that was emerging in the reports and
studies commissioned by the White House: far more was at stake.
-----
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