This book explores the increasingly broad terrain of drugs in American society with an emphasis on politics. It begins with the War on Drugs initiated by President Richard Nixon in the early 1970s and extends to the current day with the vast power of the pharmaceutical industry (Big Pharma), expansion of global criminal syndicates, militarization of the drug war, and struggles between states and federal government over the legalization of marijuana. From the beginning, the drug war produced increasing authoritarian tendencies in American politics, visible not only in swollen national bureaucracies and burgeoning police functions, but in the rise of the largest prison-industrial complex in the world, a surveillance state, and the weakening of personal privacy and freedoms. At the same time, the legal drug system with some of the most profitable business operations anywhere has expanded to create a huge medical edifice, affecting the delivery of health care, development of modern psychology, evolution of the treatment industry, and many other areas of contemporary life, including the world of sports and recreation. Although prohibitionism remains very much alive, targeting a wide range of illicit drugs, today it is the hundreds of widely-marketed chemical substances sold by Big Pharma that result in some of the most serious health problems affecting society. This book explores the long historical trajectory of both the War on Drugs and the growth of Big Pharma, focusing on social outcomes and political consequences in the US and beyond.

Why have our drug wars failed and how might we turn things around? Ask the authors of this hardhitting exposè of U.S. efforts to fight drug trafficking and abuse. In a bold analysis of a century's worth of policy failure, Drug War Politics turns on its head many familiar bromides about drug politics. It demonstrates how, instead of learning from our failures, we duplicate and reinforce them in the same flawed policies. The authors examine the "politics of denial" that has led to this catastrophic predicament and propose a basis for a realistic and desperately needed solution. Domestic and foreign drug wars have consistently fallen short because they are based on a flawed model of force and punishment, the authors show. The failure of these misguided solutions has led to harsher get-tough policies, debilitating cycles of more force and punishment, and a drug problem that continues to escalate. On the foreign policy front, billions of dollars have been wasted, corruption has mushroomed, and human rights undermined in Latin America and across the globe. Yet cheap drugs still flow abundantly across our borders. At home, more money than ever is spent on law enforcement, and an unprecedented number of people—disproportionately minorities—are incarcerated. But drug abuse and addiction persist. The authors outline the political struggles that help create and sustain the current punitive approach. They probe the workings of Washington politics, demonstrating how presidential and congressional "out-toughing" tactics create a logic of escalation while the criticisms and alternatives of reformers are sidelined or silenced. Critical of both the punitive model and the legalization approach, Drug War Politics calls for a bold new public health approach, one that frames the drug problem as a public health—not a criminal—concern. The authors argue that only by situating drug issues in the context of our fundamental institutions—the family, neighborhoods, and schools—can we hope to provide viable treatment, prevention, and law enforcement. In its comprehensive investigation of our long, futile battle with drugs and its original argument for fundamental change, this book is essential for every concerned citizen.

Making an original contribution to debates on health policy, this accessible and engaging book critically examines the future of health care and public health policy from the perspective of users and citizens. Consumerism, partnerships with patients and user involvement are seen as key to future health care and healthy public policies. The book outlines how individuals as patients, healthy people and research subjects relate to health services and how the public, as citizens, influence health care and public policies at local, national and international levels.

U.S. Marines in Haiti. Pirates or drug traffickers penetrating the southern border of the United States. Special economic arrangements that foster growth for some and hardship for others. These headlines about the Caribbean's international relations and its impact on the United States could date from both the beginning and the end of the twentieth century. Troubled as it is, the Caribbean nonetheless features important accomplishments that will benefit the United States in the long term. This book examines the crucial and timeless impact Caribbean countries have on the United States and the world, and the methods they have been employing to consolidate their democracies, advance prosperity, and maintain the peace through international cooperation among themselves. Its primary aim is to discuss the dominant threat perceptions and security priorities of regional governments, the varied mechanisms in place to promote regional collective action, and the future agenda of U.S. foreign policy toward the Caribbean. Rooted in an historical analysis of continuity and change in the Caribbean's international subsystem, the book analyzes the Caribbean within a broader international pattern, marking a tension in world affairs between the global and the local. In addition, it explores the challenges to governments and peoples in the region posed by changes in its political economy.

Offers new and cutting-edge research on the role of drugs in Iranian society and government. This title is also available as Open Access on Cambridge Core.

Jorge I. Dominguez has brought together experts from Latin America, the Caribbean and the US to explore transnational aspects of crime, migration, trade, security, democracy, and international financial institutions in the Americas. They consider the effect of drug trafficking on government, the economy, and the rule of law, at both national and hemispheric levels. They look at the policy implications of migration and immigration trends, as well as trends in international trade. Assessing how to promote peace and democracy in the region, several essays examine regional issues and institutions. Others analyze the role of international financial institutions such as the IMF and the World Bank in promoting economic reforms. Commissioned by the Inter-American Dialogue, this collection contributes to the debate on the future direction of inter-American relations.

Global drug trafficking intersects with a vast array of international security issues ranging from war and terrorism to migration and state stability. More than just another item on the international security agenda, drug trafficking in fact exacerbates threats to national and international security. In this light, the book argues that global drug trafficking should not be treated as one international security issue among many. Rather, due to the unique nature of the trade, illegal drugs have made key threats to national and international security more complex, durable, and acute. Drug trafficking therefore makes traditional understandings of international security inadequate. Each chapter examines how drug trafficking affects a particular security issue, such as rogue nations, weak and failing states, protracted intrastate conflicts, terrorism, transnational crime, public health, and cyber security. While some texts see drug trafficking as an international threat in itself, others place it under the topic of transnational organized crime, arguing that the threats emanate from criminal groups. This book, on the other hand, provides a thorough understanding of how a vast array of threats to international security are exacerbated by drug trafficking.

Examining Latin American security in the post-Cold War era, policymakers and analysts from across the Americas assess the security threats and agendas of different sub-regions—such as the Caribbean Basin, the Andean nations, and the Southern Cone—and evaluate the potential for wider hemispheric cooperation.