Drug prohibition and the treatment system: Perfect together

The War on Drugs in the U.S. is consistent with the predominance of the abstinence model for treatment and helps legitimate compulsory treatment. Alternative public health approaches such as harm reduction are suspect and devalued. The mission of treatment risks becoming trivialized, primarily focusing on separating individuals from illicit psychoactive substances, in perfect accord with current drug policy. The current policy breeds disrespect for law and imposes enormous social and economic costs on society, without demonstrable effects on the availability or costs of illicit drugs. Maintaining the policy has become an end in itself, as shown in the disproportionate campaign against marijuana use, but there are signs that the policy is becoming vulnerable. Similarities to the situation at the time of the repeal of alcohol prohibition in 1933 are discussed.