Reports - An Analysis of Marijuana Policy |
Drug Abuse
An Analysis of Marijuana Policy
National Research Council of the National Academy of Science, 1982
THE SUPPLY OF MARIJUANA: COMPARING PROHIBITED AND REGULATED MARKETS
Policy implementation does not occur in an ideal world. Prohibition of supply has not, in practice, meant that no one has had access to marijuana--though this may have been the intent of those who framed that law. Similarly, regulation of supply does not mean that everyone who uses marijuana will use it moderately, minimizing its harm. Prohibition of supply does make marijuana less accessible than it might otherwise be to a large number of Americans, and thus it almost certainly reduces the total amount of the drug used and the number of users. Such reduction is the purpose of a partial prohibition policy and to some extent it is accomplished. Arguments for a regulated, legal supply of marijuana are largely based on the social costs and incomplete effectiveness of prohibition of supply and on the belief that regulating rather than prohibiting the supply would not lead to an unacceptably large increase in use.
Under a regulatory policy, the cultivation, importation, manufacture, distribution, retailing, and, of course, use of marijuana would no longer be illegal per se. Within this broad category, specific policy options range from a virtual withdrawal of the government from marijuana control (allowing the drug to be freely produced, advertised, and sold, very much as coffee is today--but protecting the consumer against harmful adulterants), to a carefully controlled system of licensing, to a government monopoly on retail sales, wholesale distribution, or manufacture of marijuana. Thus, controls might be placed on such factors as quality, potency, amount purchased, time and place of sales, age of buyers, etc. If marijuana were regulated as is alcohol, restrictions would derive from federal, state, or local statutes, with the majority of them not at the federal level. Regulations might also include legally fixed prices--as in state-controlled alcohol beverage retailing or as a consequence of the levying of excise taxes.
The specific form and content of any proposed regulatory system are very important for those faced with the decision as to whether and under what conditions to remove penalties for the distribution of marijuana, but such details are beyond the scope of this report.
The advantages of a policy of regulation include the disappearance of most illegal market activity, the savings in economic and social costs of law enforcement directed against illegal supply systems, better controls over the quality and safety of the product, and, possibly, increased credibility for warnings about risks. The major disadvantages are a consequence of increased marijuana use--increases in harm to physical health and to individual development and behavior.
Costs of Prohibition of Supply
The number of arrests for violations related to supply is much lower than for those related to use. But enforcement of prohibition of supply is far more costly per arrest. Long undercover investigations, the purchase of expensive hardware, and the major consumption of trial and correctional resources are largely attributable to the prohibition of supply
The National Institute on Drug Abuse (1975) estimated that in 1974 costs for enforcement of marijuana laws totaled $600 million for state and local agencies. If we extrapolate from the California data (State Office of Narcotics and Drug Abuse, 1977), about three-fourths of the total is spent enforcing the law against marijuana supply. The total federal drug abuse law enforcement budget was more than $400 million in 1979, about half of which was the budget for the Drug Enforcement Administration. At the federal level, authorities do not break down their expenditures on enforcement between marijuana and other drugs; virtually all of the federal resources that are allocated to marijuana are spent in attempting to enforce the laws against supply.
The task of attempting to make the prohibition of supply effective is, of course, formidable. In 1969 Operation Intercept demonstrated the practical difficulty of sealing off the Mexican border. In the weeks the operation lasted, hundreds of thousands of vehicles and passengers were searched every day; ensuing traffic jams caused expenditures by U.S. tourists and commuters to Mexico to drop 50-70 percent below normal (Kaplan, 1971). The situation was intolerable and the program was halted. However, the federal government has continued efforts to improve border surveillance and to penetrate trafficking networks. The White House Strategy Council on Drug Abuse (1979) notes that more than 5.6 million pounds of marijuana was seized at the Mexican border over a 12-month period in 1977-1978; a large increase over the 1.5 million pounds seized during the previous 12 months, "but a fraction of marijuana entering the country." Recently, the Council has suggested strengthening border surveillance by cooperative efforts of the Drug Enforcement Administration, the Customs Service, the Coast Guard, and the Department of State and by the use of the detection capabilities of the armed forces as well.
In our view, the prospects for major success in these ventures are not great. Nor is there much likelihood that some recently suggested measures against marijuana production outside the U.S. would make future prohibition of supply more effective. For example, the White House Strategy Council on Drug Abuse has supported crop eradication programs, provided that the proposed method of eradication is evaluated for possible health and environmental consequences and that a readily distinguishable marker is added to any chemical herbicides that are used, but the political obstacles to this course would be significant. Entirely apart from the views of producer nations, which are likely to be quite negative, the public is unlikely to support the use of chemicals of unknown toxicity on an import product, legal or not, that may be used by large numbers of Americans. And irrespective of the degree of success of controlling imports) the problem of domestic production under a policy of partial prohibition remains. Although the illegal domestic industry is thought to account for only about 15 percent of American marijuana consumption, marijuana grows easily in many parts of the United States. The National Commission on Marijuana and Drug Abuse cited a Department of Agriculture estimate that in 1972 there were S million acres containing wild marijuana in the United States and an undetermined but obviously growing number of acres under cultivation.
Law enforcement costs are by no means the only costs of prohibition of supply. There are large amounts of money being made in marijuana--which, like any illegal business, carries with it the likelihood of corruption of public officials and the loss of tax dollars. Violence is also a cost of attempting to prohibit marijuana supply; this problem is not confined to illegal marijuana production abroad. There has been violence in marijuana-growing regions in the United States. The extent of such violence is not known with any precision, but there have been popular press reports of kidnappings, assaults, burglaries, and homicides known to be connected with the marijuana business in northern California and elsewhere.
Another major cost of attempts to prohibit the supply of marijuana is related to the fact that many illegal sellers of marijuana also sell other illegal drugs, e.g., PCP, amphetamine, and barbiturates (Blum, 1971). It is likely, therefore, that prohibition of the supply of marijuana increases access to and use of other illegal drugs through the creation of an illegal marketing system for all drugs. Little is known about the structures and activities of illicit drug markets. It is clear, however, that there are many small-scale marijuana dealers) that many sellers service only their friends and acquaintances, and that those who sell marijuana are thereby more likely to come into contact with users and sellers of more dangerous drugs, to use such drugs, and to make them available to their clientele (Blum, 1971).
Moreover, there is reason to believe that marijuana sellers may become socialized into other illegal activities.
TABLE 1 Lifetime Prevalence and Use in Past Month of Marijuana, 1971-1979, by Category of User (percentage)
Category of User 1971 1972 1974 1976 1977 1979
Youth: Ages 12-17
Ever used 14.0 14.0 23.0 22.4 28.0 30.9
Used in past month 6.0 7.0 12.0 12.3 16.6 16.7
Young Adults: Ages 18-25
Ever used 39.3 47.9 52.7 52.9 59.9 68.2
Used in past month 17.3 27.8 25.2 25.0 27.4 35.4
Older Adults: Ages 26+
Ever used 9.2 7.4 9.9 12.9 15.3 19.6
Used in past month 1.3 2.5 2.0 3.5 3.3 6.0
(Number) (3,186) (3,265) (4,022) (3,576) (4,594) (7,224)
0
Costs of Regulating Supply
The wide availability and use of marijuana are not only major factors in the cost of attempts to prohibit the supply of the drug, they also have implications for the likely magnitude of increases in use that could be expected under a regulatory policy. Greater use of marijuana under a regulatory policy is regarded as the most significant cost of such a policy. In an analysis of this potential cost, however, it is important to note that under the present policy of prohibition, prevalence and frequency of marijuana use are substantial and have increased in recent years.*
*The data indicating rates of use are based on self-reports; as such, their reliability and validity may be questioned. Nevertheless, as Radosevich et al. (1979) indicate, studies of questions on drug use have consistently demonstrated reliable responses within the same instrument and over time. Furthermore, there are indications that most drug surveys do not have serious validity problems (see Whitehead and Smart and Abelson and Atkinson, both cited in Radosevich et al., 1979; Johnston et al., 1982).
A National Institute on Drug Abuse general household survey (Fishburne et al., 1980) shows that 35.4 percent of the 18-25-year-olds in the United States report having used marijuana in the month preceding the survey. Yearly surveys show a steady increase from 1971 to 1979 in the percentage of people who report having ever used marijuana as well as in the percentage of people who report being current users (see Table 1). These survey results (Fishburne et al., 1980) also indicate that between 1976 and 1977, the percentage of current users among 12-17-year-olds increased from 12.3 to 16.6 percent; this trend had leveled off by 1979 and has since shown a decline. In an annual survey of national samples of some 17,000 high school seniors, Johnston et al. (1982) found that 7.0 percent of the class of 1981 reported daily marijuana use, compared with 6.0 percent in 1975 and 10.7 percent in 1978, the peak year (see Table 2). There has been a similar trend in initial use at younger ages.
TABLE 2 Trends in Prevalence of Marijuana Use by High School Seniors (percentage) Class
Prevalence 1975 1976 1977 1978 1979 1980 1981
Ever used 47.3 52.8 56.4 59.2 60.4 60.3 59.5
Used in last
12 months 40.0 44.5 47.6 50.2 50.8 48.8 46.1
Used in last
30 days 27.1 32.2 35.4 37.1 36.5 33.7 31.6
Used daily in
last 30 days 6.0 8.2 9.1 10.7 10.3 9.1 7.0
51)Daily use defined as using marijuana on 20 or more occasions in the last 30 days.
Although the present policy of prohibition of supply is not preventing the current levels of marijuana use, including use among the very young, it is probable that most strategies under a regulatory policy would result in an overall increase in use. Even more important than overall use rates, however, are likely changes in consumption patterns; such patterns are the most difficult changes to predict. The smallest increases in numbers of users can be expected to occur among those to whom marijuana is now most readily available--the young. Johnston et al. (1982) found that close to 90 percent of the high school seniors in their national sample survey report that marijuana is "fairly easy" or "very ea8y for them to get. This percentage remained relatively stable over the seven years, 1975-1981. At the same time, the reported availability of most other illegal drugs (except cocaine) declined considerably. For example, while 46.2 percent of the 1975 high school seniors said that LSD would be "fairly easy" or "very easy" to get, only 32.2 percent of the class of 1978 gave those responses. It would appear, therefore, that the reports of easy availability are not due to a tendency of adolescents to report any illegal drug as easy to get, but reflect their actual access to the drug. It might also be noted that only 13.9 percent of the class of 1978 reported having no friends who smoke marijuana; thus it is reasonable to expect that at least 86 percent have a factual basis for estimating the availability of the drug.
Other survey data corroborate these findings. Radosevich et al. (1979) report that a 1975 national survey by the Drug Abuse Council found that at least 70 percent of the high school students in their sample reported marijuana "easy to get, and O'Donnell et al. (1976) found similar results. There are no contrary reports for recent years. In sum, one can be reasonably confident that, at least with respect to older adolescents, the prohibition against supply does not succeed in suppressing access to marijuana. (The effect on price is discussed below.)
Regulation could be expected to provide the greatest increase in availability to those to whom the drug is now least available, i.e., older adults who are not in contact with marijuana sellers or a drug-using subculture and who are most likely to avoid illegal "connections."
It has been argued that a serious cost of the adoption of a regulatory policy for marijuana is the likelihood that such a change might delude many people into believing that the drug is safe. As noted above, there is no indication that the elimination of penalties for marijuana use has caused the drug to be regarded as any less dangerous. Moreover, alcohol and tobacco are almost universally regarded as involving risks to health, and these drugs are already made available under regulatory systems.
To the extent that marijuana use causes harm, one is necessarily concerned about policy changes that will lead to increases in use. As we have noted, however, it is a fact that marijuana is already widely available despite the legal prohibition of supply and that, despite the best efforts of government under any foreseeable set of conditions, it will continue to be. Though a regulatory policy would increase the availability of the drug, estimates of the size of these increases, and associated increases in harm, must be weighed against estimates of the costs and weaknesses of continuing prohibitions of supply. In pragmatic terms, the issue is whether more harm would be done, overall, by retaining the partly effective, costly prohibition of supply or by moving to a system of legalized regulated sales--wherein presumably more people would use more marijuana, but some of the costs imposed by prohibition of supply would be removed.
Regulatory Systems: Some Concrete Aspects
To this point, a policy of regulation has been discussed rather abstractly in contrast with the more concrete discussion of prohibition policies. Experimentation with varying systems of regulation followed by adjustment and readjustment based on experience would be necessary before those most appropriate for particular circumstances could be developed. This can be a complex matter. For instance, U.S. alcohol policy, developed with the repeal of Prohibition, consists of an umbrella of national policy and a wide variety of supporting state and local regulation. The national policy umbrella includes controls on importation, taxation) potency) packaging, labeling, advertising, use in federal jurisdictions (e.g., parks, military installations), and use in Systems regulated by the federal government (e.g., air transportation); it also provides funds and guidelines for the treatment of casualties of excessive use. Under the umbrella policy, states and local jurisdictions regulate taxes, retail sales, hours of availability, age limits, and the like, where supply is legal, or prohibit sales entirely. Some states have monopoly systems for package sales, others use licensed private stores. Historically, under this system, the strictness of controls has reflected local sentiment about the consumption of alcohol. Although few "dry" jurisdictions exist today, various degrees of local "dryness" were quite widespread until very recently (National Research Council, 1981).
Controlling Use
A regulated system of marijuana sale might attempt to moderate use by inhibiting the frequency of use and the amounts used as well as by prescribing conditions of purchase and use. However, it is likely that under a regulatory system consumption would in great part be controlled by informal social norms--as it is today.
Manipulating the price of the drug is an obvious means of inhibiting use. It has been argued that most adults would be willing to pay a higher price for legal marijuana than they currently pay for illegal supplies in return for not having to seek out "connections" and being relieved of the feeling that they may be supporting organized crime. A high price would be comparatively more restrictive for young people--precisely those whom one would most want to discourage from use--since, though they seem affluent compared with young people in previous times, their budgets are in fact more constrained than those of adults. The possibility of illegal markets selling to young people remains, but today's kind of illegal market for marijuana would probably shrink greatly under a regulatory system in the same way that illegal alcohol distribution systems have become so scarce. Young users would be much more likely to gain access to marijuana by diversion from the legal market--as they do today for alcohol--or from homegrown plants than from a wholly illegal chain of distributors. Such a development would make marijuana selling a. less profitable and status-producing occupation among the young.
It has been suggested that if legal limits were imposed on the potency of legally available marijuana, a substantial illegal market for high-potency forms of the drug, including hashish, would still exist. Since it is likely that there would continue to be some users who prefer high-potency forms of cannabis, this is a reasonable concern. But there is no compelling a priori reason to believe that a legal structure for retail marijuana sales, which includes limits on potency, would result in any increase in the availability and use of high-potency products.
Home Cultivation
Cultivation of marijuana by users is another issue that would have to be confronted in devising a regulatory system. Growing marijuana without payment of a tax might be treated as a revenue offense. Without criminal penalties or vigorous enforcement, however, deterrent effects would be minimal since marijuana can be grown indoors anywhere in the United States using artificial light--and at comparatively little expense. A recent British study of options for marijuana control (Logan, 1979) suggests that, from a law enforcement perspective, it is not feasible to attempt to control home cultivation. Whether users would take the trouble to grow their own marijuana would depend in part on the legal price. The relatively high prices that might be charged in order to discourage use and to increase revenues would also tend to encourage home cultivation. Whatever its disadvantages, however, the use of homegrown marijuana at least would not bring users into contact with those who illegally sell the drug. With respect to young people, moreover, marijuana under cultivation is much harder for children to hide from parents than is the purchased prepared drug, and cultivation by juveniles could remain illegal if age limits on use were imposed. Nonetheless, the treatment of home cultivation represents a major issue for the design of a regulatory system.
Public Education
Excessive use may be discouraged by policies aimed at public education and at the use of the media, including a ban on commercial advertising. Although information on how to use drugs, on drug hazards, and on the attributes of drugs is passed along most effectively through informal channels (see, e.g., Hanneman, 1972), media and education programs can make such information far more readily available.
Research on the communication of messages to the public has identified source credibility as a major factor contributing to the persuasive power of a message (McGuire, 1969). It appears that the public is now extremely wary of some government information programs that attempt to influence health behaviors. The credibility of the federal government may be especially suspect when it issues health warnings about an illegal substance that it is clearly trying to prohibit. Rosenthal (1979) asserts that distrust of the government and the medical establishment has grown because of past exaggerations and distortions of the effects of some mind-altering drugs.
Informal Social Controls
In an assessment of possibilities for governmental controls under a regulatory system, the operation of informal norms for controlling substance use practices must be taken into account (Maloff et al., 1980). National experience with alcohol use, for example, provides evidence that there are informal rituals and sanctions that generally encourage moderation in the use of recreational drugs. Moreover, moderation is encouraged when a drug is introduced gradually, that is, to a growing population of users, like marijuana in the 1960s and early 1970s. One might expect that when a new drug is introduced into a society, governmental control would be particularly important since no informal controls for teaching people appropriate rules for use would have developed. If a potent drug is made widely available precipitously and very cheaply to a novice population, severe societal disruptions may occur: for example, the gin epidemics of early eighteenth-century England (see Clark, 1976). Because in the past two decades informal norms for controlling marijuana use have spread in the United States under conditions of greatly increased availability of marijuana, there is reason to believe that widespread uncontrolled use would not occur under regulation. Indeed, regulation might facilitate patterns of controlled use by diminishing the "forbidden fruit" aspect of the
drug and perhaps increasing the likelihood that an adolescent would be introduced to the drug through families and friends who practice moderate use, rather than through their heaviest-using, most drug-involved peers.
Relations Among States
As has historically been the case with respect to alcohol, state governments differ in their approaches to marijuana. So long as present federal law continues to prohibit cultivation and distribution of marijuana, states cannot adopt a regulatory system, although they are legally free to reduce or eliminate their own penalties for sale and are not compelled to enforce federal laws. If federal law were changed, however, the institution of a regulatory system in one state would have reverberations in other states. Residents of states that continued to prohibit marijuana could be expected to cross state lines to purchase the drug in a state with a regulated system, thus further compromising the ability of states to enforce prohibition of supply among its residents. Furthermore, states that attempted to curtail consumption by raising prices might find their populations turning to lower-cost marijuana from neighboring states with lower prices. This is a familiar situation. Large numbers of both cigarettes and guns are smuggled illegally into New York from other states. Moreover, New Yorkers may travel to New Jersey to gamble in a casino, or Virginians to the District of Columbia to buy cheaper liquor. It is difficult to see how state prohibitions could remain effective if the number of states with regulatory systems grew very large unless the changes occurred in only one region of the country. However, there may be advantages in permitting a state-by-state approach. Conditions governing the costs and benefits both of partial prohibition and of regulation vary among the states. In this area of uncertainty, we may learn from experiment. If one regulatory system proved successful, other states would be more likely to adopt similar systems; similarly, if it worked poorly in one state, other states would be less inclined to adopt a regulatory policy.
Effects on Foreign Relations
The 1961 Single Convention on Narcotic Drugs, which now obligates the U.S. government to prevent the importation of marijuana and to prohibit the adoption of a licensing system by any state is a serious (although not an insurmountable) obstacle to the adoption of a federal regulatory policy and the development of state licensing. The treaty allows a signatory to terminate its adherence to the agreement at any time after two years from the date of the convention. Of course the general impact of any move to withdraw from the convention includes a broad foreign policy context, which is beyond the expertise of this Committee to judge.
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