The loudest voices in US drug policy debates call either for enforcing prohibition with ever-increasing ferocity or for giving up altogether by letting corporations legally sell the currently illicit drugs much as they do tobacco and alcohol. But as our colleagues and we detail this week in the Lancet, there is an alternative: adopting drug policies with scientific evidence of effectiveness. Regardless of what goals for drug policy emerge from the democratic process, everyone wants the policies implemented in the service of those goals to be effective.
Fifty years after signing the United Nations Single Convention on Narcotic Drugs and 40 years after the U.S. government declared a "war on drugs," many obstacles remain despite the partial successes of efforts to counter the problem. The Andean-United States Dialogue Forum, noted with concern how drug policy has monopolized the diplomatic and economic agenda between the Andean countries, contributing to tensions among the governments and impeding cooperation on other crucial priorities, such as safeguarding democratic processes from criminal networks.