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echo: norml
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from: LP
date: 1997-02-08 23:18:00
subject: [12/15] Drug Testing

 >>> Part 12 of 15...
     of Democracy Won the Cold War,'' the copy read.  ``Can it
     Win the Drug War?''  To find out, readers were invited to
     attend a three-day conference featuring officials from the
     Pentagon, Congress and government agencies who would detail
     ``Industry Opportunities'' arising from the $10.6 billion
     anti-drug budget.  ``Can you afford to miss it?'' 
     Franklin's add asked.
     About 200 representatives of aerospace and computer
     companies decided they could not -- not even at the cost of
     $950 a person.
[11] MASSACHUSETTS LAW REVIEW, Spring 1990 pp 38-42, ``Search and
Seizure -- Drug Testing'' by David A. Grossbaum
[12] (*) ADDICTION 88, pp 163-166  1993; ``Hair analysis for
drugs: technological breakthrough or ethical quagmire?'' by  John
Strang, Joseph Black, Andrew Marsh, & Brian Smith
     ...
     While it may be politically attractive to concentrate on
     illicit drugs, it ignores the reality that it is the use of
     alcohol and nicotine and not illicit drugs which constitutes
     the greatest threat to safety and productivity in the work
     place.  The resources used in drug screening programmes
     might usefully be redirected towards education and
     rehabilitation based initiatives which address all the
     issues surrounding the use of drugs and alcohol in the work-
     force.  Directing resources towards the new and expensive
     technology of hair analysis is a retrograde step.
[13] (*) THE MILBANK QUARTERLY, Vol 69, No 3, 1991 pp 437-459
``Social Behavior, Public Policy, and Non-harmful Drug Use'' by
Charles Winick
     ...
     One conclusion of the literature on mood-modifying drugs
     like heroin and cocaine is that their regular nonmedical use
     will almost inevitably lead to bleak personal and social
     outcomes.  My article suggests that the conventional picture
     of uniformly negative consequences of regular drug use is
     not supported by the data.
     ...
     ... in a statewide study of all the narcotics addicts who
     could be located in Kentucky ... more than nine-tenths of
     the males receiving drugs legally were working effectively
     at established occupations.  An improvement in work pattern
     typically followed an addict's securing a stable drug
     source, suggesting that this facilitated or caused improved
     work situation.
     ...
     ... One ophthalmic surgeon noted: ``With Demerol, I can do
     three or four perfect operations a day.  It builds up my
     resistance and makes it easier for me to concentrate when I
     am working double shifts and just couldn't keep up with it. 
     The drug help a lot.''  A trumpeter said: ``With the heroin,
     I could feel and look cool and reach and hold the sound I
     wanted.''  A warehouse worker stated: ``It's a very slow and
     long day, taking plumbing parts out of bins.  Without the
     drugs, I couldn't make it.''  A television cameraman
     observed: ``I can't make a mistake on the job.  I work a lot
     of overtime and the drugs make it easier for me to
     concentrate.''  No doubt other factors in the lives of these
     study subjects contributed to the relatively prosaic
     character of their drug habit and enhanced their ability to
     work: licit occupations, structured schedules, and
     participation in conventional family and community
     activities.
     ...
     William S. Halstead, the father of modern surgery and a
     founder of Johns Hopkins Medical School, was cocaine
     dependent until the age of 34, when he turned to morphine,
     on which he probably remained continually dependent until
     his death at age 70.  He was professionally active and
     medically creative during his whole life.
     
     There are no reports demonstrating that addicted physicians
     are more likely to commit malpractice than others.  Indeed,
     the country's largest program for addicted medical
     professionals reports that a physician's professional
     activities represent the last aspect of his or her life to
     be affected by drug dependence.  Drug-using physicians
     typically have successful and active primary care practices
     ... some addicted physicians were described as ``the best
     doctor in town''
     ...
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