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The family of Ephraim Escudero, a victim of extrajudicial killing in the Philippines, mourn during his burial at a cemetery in San Pedro city on September 30. President Rodrigo Duterte's war on drugs has killed more than 7,000 people since his election last summer, with polling showing most of the public believe the police have carried out extrajudicial killings. Photo: EPA-EFE

Asia’s violent anti-drug crackdowns are hurting people, not the drug trade

Ruth Dreifuss, Fernando Henrique Cardoso and Olusegun Obasanjo say that governments in Asia should look away from coercive means, like the death penalty and long prison sentences, and towards voluntary rehabilitation

Drugs
With regional and international heads of state gathering in Manila for the 31st Asean Summit from November 10-14, it seems appropriate to examine whether there are more effective drug policies for dealing with the harms caused by the presence of drugs in society.
As former heads of state from Africa, Europe and Latin America, we recognise the fear many communities feel, and the distress of policymakers in dealing with drugs. Sadly, however, this distress has too often resulted in punitive drug policies based on repression, with a view of completely ridding society of drugs.
The aim of a “drug-free society” has not always dominated the public and political landscape in Southeast Asia. In several countries, traditional uses of some drugs such as cannabis, opium or kratom were tolerated and accepted. Indeed, the current prohibitionist international drug control regime is largely a Western construct, based on the United Nations conventions and political declarations, advancing a “drug-free society” as an objective.
Smoke and flames billow from a destruction ceremony for seized narcotics on the outskirts of Yangon, Myanmar, in June. Authorities destroyed the drugs to mark the International Day against Drug Abuse and Illicit Trafficking. Photo: AP

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This objective has not been achieved. The vision for a “drug-free Asean by 2015” did not materialise for the most part because the aim was unrealistic, not because the level of repression was not high. More than five decades of prohibition have shown that harsh penalties are no more dissuasive in curbing drug use than more proportionate sentencing. Furthermore, harsh penalties for non-violent drug offences dehumanise people who use drugs and undermine the dignity not only of those convicted but also of those who have to apply such laws.

The Philippines offers a striking example of the costs of violent repression – in lives, increased violence, public expenditure, the impact on public health and the undermining of the rule of law. Yet despite these costs, there is no sign of any long-term disruption in trade, no long-lasting solution.
Tragically, we have serious reasons to fear contagion of this violent approach to other countries in the region. Indeed, Cambodia initiated a crackdown in January that has resulted in the arbitrary arrests of more than 8,000 people. The main noticeable impact has been increased prison overcrowding and a dramatic drop in drug users accessing the health care services they need.

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People allegedly involved in the illegal drug trade are lined up for interrogation by the Philippine Drug Enforcement Agency in Valenzuela City, north of Manila on Monday. Photo: EPA-EFE

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With the extrajudicial killings in the Philippines making worldwide headlines, the government is also seeking to reintroduce the death penalty for drug-related offences. This is a degrading, inhumane penalty which has proven ineffective in reducing the supply and demand of drugs in the member states of the Association of Southeast Asian Nations.
The vision for a ‘drug-free Asean by 2015’ did not materialise for the most part because the aim was unrealistic
Furthermore, it goes against national reforms taking place in the region. Vietnam removed the death penalty for drug possession and appropriation in 2016, and Malaysia recently suspended the mandatory application of the death penalty for drug traffickers. Even Singapore has provided limited discretion for judges. These are essential steps, as the death penalty is a gross violation of international human rights law: drug-related offences can in no way be equated with most serious crimes such as murder.
There is reason to hope for more people-centred reforms. Thailand is considering alternatives to punishment for low-level actors in the drug trade, shifting its policy paradigm towards a public health approach. Myanmar is also reviewing its drug law, removing lengthy prison sentences for people who use drugs and replacing them with prevention, treatment, rehabilitation and care.

It is, however, troubling to see that treatment remains compulsory in many Asean countries, though evidence shows that coercion does little to help a patient recover. To be successful, treatment, harm reduction and care must be based on a therapeutic contract between a patient and a doctor, built on trust and confidentiality. Undermining this relationship means undermining the right to health, to which every citizen is entitled.

Counselling services are provided to drug abusers who receive treatment at the Society for the Aid and Rehabilitation of Drug Abusers’ treatment and rehabilitation centre on the island of Shek Kwu Chau, Hong Kong. The facility houses approximately 200 recovering drug addicts, all of whom came to the island voluntarily. Photo: Nora Tam

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Addressing drugs and their potential harms is the responsibility of states and governments. The way they decide to approach drugs and the policies they put in place are nevertheless the concern of all citizens, their representatives and their civil society movements.

All parties should ask whether current drug policies support efforts to reduce poverty, achieve a healthy society with access to services for all, develop sustainable agriculture – rather than continue forced crop eradication with no viable alternatives to farmers – protect the most vulnerable populations, including women and children, reduce inequality, and allow for effective rule of law.

With this wider view of how drug policy affects sustainable development in a comprehensive manner, it becomes clear that a public health approach, respectful of people’s rights and dignity, is the only viable way forward.

Ruth Dreifuss is a former president of Switzerland; Fernando Henrique Cardoso, a former president of Brazil; and Olusegun Obasanjo, a former president of Nigeria. All are members of the Global Commission on Drug Policy

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