Wednesday, September 19, 2018

Pill testing and the limits of hedonism

OK, I have to admit, no matter the low regard in which I hold his work now:  my initial inclination was to agree with Tim Blair on the question of pill testing and the open drug taking culture of music festivals.

I see Bolt has done some editorial on it as well, but I don't know what position he eventually came to.

Meanwhile, of course, I've noted the vast swathe of Left leaning journalists and commentators who are appalled that conservatives don't want to just admit that the yoof will never stop dropping E and God knows what else at raves, and the war on drugs has never worked, and look at Europe where pill testing is working, etc etc.

Having surveyed a lot of pieces about this, I'm somewhat torn.   It will be too much work to link to everything, but here are my impressions:

* of course I sympathise with the conservative take that an open slather attitude to all drug taking encourages hedonistic indulgence which should not be endorsed.  (An explanation of the pragmatic conservative approach to wanting to chemically adjust mood follows).   [Update:  I also meant to mention that in the comments following a Guardian pro pill testing piece, there was a surprisingly high number of readers saying - just don't do drugs.  Given the non-conservative readership of that paper, it certainly indicates that even for Lefties, this issue is pushing the limits of toleration for demands to make hedonism safer.]

* on the other hand, harm minimisation is often an appropriate component of the response to public health issues, and I can see how it is not implausible that rigorous pill testing could save some lives in some circumstances;

*  however, the state of research on pill testing at festivals seems pretty limited and much of it seems pretty anecdotal in nature.  For example, you have people who watched the testing regime saying that some pills were dumped when the intended consumer were told that they had a dangerous ingredient.   But the research on how attendees view pill testing is often based on survey results which I am not sure are all that trustworthy, and the overall research on the effect in terms of long term reduction of deaths and hospitalisations seems pretty thin, really.   (It is, probably, a hard thing to research, given the variability of the illicit drug market from year to year.)

* drug legalisation proponents - like Alex Wodak - have always been so wildly pro harm reduction that I don't trust their advocacy at all.   It's like euthanasia - if you want to convince me, don't even think of bringing obsessive Phil Nietzsche into the debate.

* not all harm minimisation is the same, and you can draw pragmatic lines:  for example, I don't think it is hypocritical to support heroin safe injecting rooms and not endorse pill testing for other drugs.  The heroin addict has a real need to get the drug for avoidance of feeling awful and not being able to function; the party goer faces no similar down side of not taking their preferred temporary high.

* I do, once again, wish that those who think illicit drugs are simply inevitable in society would at least acknowledge that it's not impossible to imagine a functioning, rich, basically successful society where the drugs are limited to the old standbys of alcohol and tobacco - because in fact you do have a few, modern examples which are pretty much exactly like that - Japan, Singapore and (to a lesser extent - but crucial because of it being a Western society example) Sweden.   Young folk of those nations are not throwing themselves off tall buildings because life is not worth living if you can't go to a rave every second week and hug strangers under the influence of ecstasy.  Can you admit that, drug softies? 

* the practical advantage of societies with one crucial, good time, legal drug (hello, alcohol, and Japan) is that its medical effects both temporary and long term are very well known and understood.  You can target public health messaging accordingly, and set up treatment using well understood methods and drugs.   One of the unacknowledged things that drug legalisation advocates never talk about is that the state of research on the brain effects of  illicit pleasure is at a much, much less advanced stage, and it's kind of irritating that there even needs to be research on stuff that the cool kids are taking for purely hedonistic reasons and just because mere alcohol is not enough for them.


* I could fully endorse pill testing at festivals if it were done on some placebo sort of basis.   Just lie, testers ("oh wow, that's really bad - rat poison chemical in those"), or hand out substitute sugar pills pretending that they are from a stash that someone surrendered and, in an act of generosity, let the testers give out as a safe substitute.   Given what we know of placebo effect, half of the users will probably feel at least a bit high from them anyway...

No comments: