Needle supplies at the Down East AIDS Network needle
exchange in Ellsworth, Maine, Thursday, October 29, 2009. (Photo: Craig Dilger
/ The New York Times)
When Congressional Republicans rammed through their
disastrous consolidated spending bill on Friday, subsidizing abstinence-only
education and granting $2 billion per week for the war in Afghanistan, they
also locked in a regressive funding cut that would endanger the lives of many
thousands of Americans. The bill reinstates a ban on federal funding for needle
exchange programs - a ban that was repealed just two years ago, due to overwhelming
evidence that the programs dramatically curb the spread of
blood-transmitted diseases like HIV and hepatitis C.
Incredibly, when the Republican-led House
Appropriations Committee announced the ban’s first incarnation in September, it
was listed under the heading “Protecting Life.” Conservatives have long framed needle
exchange as an incitement to drug use (naturally, if cheap, clean syringes are
readily available, hordes of previously uninterested Americans will be inspired
into heroin addiction) and a “dopey
idea” that deters recovery.
“I am very concerned that we would use federal tax
dollars to support the drug habits of people who desperately need help,” argued former Rep. Todd Tiahrt (R-Kansas), the
anti-needle-exchange warrior who rallied in favor of the ban each year until
his recent retirement.
However, in pushing, and eventually passing, this
tragic line item, Tiahrt and his cronies have conveniently ignored some glaring
facts about needle exchange. For example, it works: all large-scale scientific
studies have demonstrated the program’s effectiveness in decreasing the spread of hepatitis C
and HIV/AIDS. In fact, HIV rates among intravenous drug users in New York
City dropped 75 percent over 10 years after needle
exchange programs were implemented.
Nowadays, these programs are barely controversial.
The World Health Organization (WHO) handed
them a ringing endorsement in 2004, noting that they benefit
non-drug-users, protecting drug users’ sexual partners and children. Needle
exchange’s success is extolled regularly by shrinking-violet Democrats and even
the occasional right-winger - Ron Paul reversed his opposition last year, and
conservative columnist Steve Chapman wrote a few days ago, “Reviving the prohibition would have
a sure effect: killing people.”
Plus, though Republicans are chalking it up as a
budget cut, slashing funding for needle exchange is hardly cost-effective. In
fact, needle exchange programs cost 12 to 48 times less than providing
treatment for HIV-positive people, according
to the Centers for Disease Control and Prevention (CDC)
The resurgent war on drug addicts doesn’t stop at
needle exchange. In at least 36 states, Republicans have introduced legislation
requiring applicants to public assistance programs - including food stamps,
unemployment benefits and heating subsidies - to
pass a drug test before receiving help. They’re selling it as a route to
kill two societal ills with one budget-slashing stone. By erecting barriers to
aid for all (and denying it to needy people suffering from addiction), these
lawmakers claim they’ll ameliorate both drug problems and economic hardship.
In fact, according to Ohio state Sen. Tim Schaffer,
implementing a drug test mandate will “end the cycle of poverty by referring drug users to treatment
and providing safety for children.” He called the new restriction “the
compassionate thing to do.”
This nasty legislation now has a sibling at the
federal level, thanks to Rep. Jack Kingston (R-Georgia), whose Ensuring
the Quality of Unemployment Insurance Program (EQUIP) Act would mandate drug
testing for unemployment insurance applicants. Those who failed would not only
be denied benefits; they’d have to foot the bill for the test.
Aside from the fact that this wave of legislative
cruelty is both Machiavellian and nausea-inducing, it - like the
needle-exchange funding ban - is based on patently false pretenses.
Advocates of the testing argue that it will encourage
poor and unemployed people to say no to drugs. Kingston, for example, uses an
anecdotal tidbit to back up his proposal, saying: “I had an employer tell me of
an overwhelming response for job openings. There was just one problem: half the
people who applied could not even pass a drug test.”
However, it turns out that public aid applicants are
actually less likely to use drugs than most people. Ironically, this
statistic was gleaned from the implementation of a welfare-applicant
drug-testing law in Florida: only 2.5 percent of applicants for Temporary Assistance for
Needy Families tested positive, while about 6 percent of the general
population is estimated to engage in illegal drug use.
For the small percentage of welfare recipients who are
using, the new testing laws certainly wouldn’t “end the cycle of poverty.” It’s
pretty common knowledge that you can’t cure addiction by punishing addicts for
their problem. In fact, the laws could increase the likelihood of these
would-be aid recipients sinking into worsened addiction, homelessness,
hunger - and often, crime. It’s tough to recover from anything, let alone
severe addiction, when you can’t meet your basic needs.
Plus, by wedging in two potentially hefty barriers to
public aid (the drug test and the cash to pay for it), these laws make it
harder for poor and unemployed Americans to receive the benefits that
spur the economy and combat our lingering recession.
With a bogus rationale, a damaging agenda and the
facts united against it, why is the war on drug addicts gaining steam? Why didn’t
Democrats throw thunderous tantrums when needle exchange programs hit the
chopping block? Why are drug testing laws creeping insidiously across the
states - and even onto Capitol Hill?
Sadly, cuts that hurt the poorest and most vulnerable
Americans are often the easiest to adopt. Slashing needle exchange funding was
a throwaway measure, a sacrifice that slipped smoothly under the radar. One
reason is simple: many of the people who are harmed by this dangerous
legislation are partially or wholly disenfranchised. They’re not usually
financing campaigns or heading up re-election efforts, and often, thanks to
voter ID laws and felon disenfranchisement, they can’t even vote. So, though a
handful of progressives may raise an orderly ruckus when inhumane measures like
the needle exchange cuts are tacked onto a bill, those provisions are hardly
ever front and center in the national debate.
Policies that facilitate the spread of disease and
impede access to crucial public assistance - thwarting the most basic functions
of a conscionable society - shouldn’t be used as legislative bargaining chips.
It’s time for Washington to realize that the war on addicts is a war on us all.
Maya Schenwar is Truthout’s editor-in-chief and the
author of Locked Down, Locked Out: Why Prison Doesn’t Work and How We
Can Do Better. Follow her on Twitter @mayaschenwar.
Previously, she was a senior editor and reporter at
Truthout, writing on US defense policy, the criminal justice system, campaign
politics, and immigration reform. Prior to her work at Truthout, Maya was
contributing editor at Punk Planet magazine. She has also written for the Guardian,
In These Times, Ms. Magazine, AlterNet, Z Magazine, Bitch
Magazine, Common Dreams, the New Jersey Star-Ledger and others. She also
served as a publicity coordinator for Voices for Creative Nonviolence. Maya is
on the Board of Advisors at Waging Nonviolence.
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