On drugs and drug laws.

On drugs and drug laws.

Humans have been ingesting dimethyltryptamine, a potent psychedelic, for over a thousand years.  We’ve been using cocaine even longer.  Marijuana was used medicinally in China thousands of years ago; soon after, celebrants in India began to ingest it as a psychedelic to potentiate religious experience.  Mind-altering experiences were so prized in ancient Greece that prophets huffed narcotic vapors.

The Oracle of Delphi.

Our ancestors began intentionally brewing alcohol nearly 10,000 years ago.  We’ve been using opium as a sacrament – not just a painkiller – for perhaps 3,000 years.

Drugs are very important to our species. 

Not all drug use is good, obviously.  Narcotics like opium, heroin, oxycontin, et al., can latch onto a person’s mind and compel continued use at any cost.  Somebody told me recently, “I knew I was gonna get caught.  I’m on probation, they drug test me all the time.  I mean, I was thinking about it while I was cutting it up: if I do this, they’re gonna catch me.  I was thinking about it while I was loading the syringe: if I do this, they’re gonna catch me. I thought I’d only have to do a week, though, and that seemed okay. Which is insane! I know it’s insane, but that’s what I was thinking.  I guess I was wrong. I’ve been here three weeks and I still haven’t had my court date.”

Even fish, if they get hooked, will risk their lives for another dose.  When human parents are snared by addiction, they endanger their children. The man whom I quoted above? He’d managed to stay sober for almost seven months, but relapsed the night of his son’s second birthday. His wife had to break down the bathroom door. After the ER, they brought him straight to jail.

In class together, we read Josh Rathkamp’s “Single Father,” in which the narrator fears that his diabetes will cause him to fall out and be unable to help his daughter.  Several parents recognized their own dread. Then we read “Daddy Wake Up” by local poet Travis Combs. Combs loves his son, but, like a diabetic, a person suffering from opiate addiction might find himself paralyzed, “a mass of mess.”

DADDY WAKE UP

Travis Combs

I hear the sound of his little feet running

down the hall, I look to make sure the door

is locked, I pull the plunger back, I hear

his joy as he yells, I’m superman.

       I do the shot

                      thinking What if?

       What if I fall out, what if he finds

me here, what if his little fingers have to

press 911, something we all teach them to do.

The fear in his voice when he says Daddy

won’t get up.  The pain in his heart when

he shakes me, yelling daddy wake up, daddy

wake up.

              Then I do wake, the needle

still in my arm, I feel his tears on my chest

as he lays there hugging me, crying, daddy

wake up.

Psychedelic drugs are safer.  They tend to be non-addictive. Most are relatively non-toxic. And a single dose can initiate self-discovery that buoys a person’s spirits for six months or more.

But psychedelic drugs are tightly controlled.  Despite thousands of research findings to the contrary, they’re classified by the U.S. government as having no accepted medical treatment use.  Possession is a felony.

Perhaps this shouldn’t seem surprising.  Spiritual drug use has been prized by our ancestors for thousands of years, but most cultures closely regulated which people would be privileged with access to those sacraments.  Depending on the time and place, only wealthy people would be allowed to use drugs, or only people born to a certain caste, or only men.

In the United States, cocaine was rightfully recognized as a wonder drug for decades, but then a cadre of white supremacist politicians claimed that cocaine would turn black men into monsters.  Prohibition was mediated through racism.

It’s true that cocaine is dangerous – both psychologically and physiologically – if you’re ingesting the purified compound.  But coca tea is no more dangerous than earl grey.  Indeed, if you decided to purify caffeine from tea leaves and snort it, you might die.

Marijuana was also legal in the United States until the racist propaganda machine started spinning stories about what would happen when people from Mexico smoked it.

And even now, wealthy people throughout the Bay Area blithely use psychedelic drugs.  Authors like Ayelet Waldman and Michael Pollan openly publicize their experiences flaunting the law.

Yet when people in Denver supported a ballot initiative that reduces the legal risk of possessing psilocybin-containing mushrooms, Pollan wrote an editorial denouncing the initiative.  Yes, there is some nuance; Pollan states that

No one should ever be arrested or go to jail for the possession or cultivation of any kind of mushroom – it would be disingenuous for me to say otherwise, since I have possessed, used and grown psilocybin myself.

And he claims, oddly, that the ballot initiative would be merely symbolic, citing as evidence the fact that only 11 psilocybin cases have been prosecuted in the last three years, out of approximately 150 arrests.  I personally have never been prosecuted for a crime, nor even arrested, but I’ve been told that it’s a very traumatic experience.  I’ve heard this from very reliable sources, men who have been through all sorts of horrific trauma in addition to their arrests. 

For all the people subject to this trauma – not to mention everyone more deterred than Pollan himself by the current legal status of this medicine – the initiative would have very meaningful consequences.

Michael Pollan. Photograph by Sage Ross on Wikipedia.

Instead, Pollan centers his cautionary argument on the idea that psilocybin “is not for everyone.

That idea is true enough, as far as things go.  Some people probably shouldn’t use psilocybin.  Some people feel traumatized by the bad experiences they go through while under its influence.  But I would argue that arrest is more traumatizing, and that the very illegality of the substance increases the likelihood that someone will go through a bad trip.

And the regulations seem absurd compared to how we treat other drugs.  For instance, someone with a predisposition to develop schizophrenia could be pushed closer to this condition by ingesting psilocybin.  The drug can hurt someone who uses it.  But alcohol, which is totally legal for most U.S. citizens over 21 years of age to purchase and consume, causes a huge amount of harm even to people who abstain.  Alcohol is the psychoactive drug that causes the most harm to others. 

Graph made by Tesseract2 on Wikimedia.

It’s unlikely that our sitting Supreme Court justices would have sexually assaulted anyone while using psilocybin for a meditative journey of self-discovery.  Indeed, that sort of experience might have led someone to develop much more empathetic political views. 

Because alcohol consumption is so likely to lead to poor decision-making and violence, it’s illegal for people on probation to drink.  Many have to check in at “blow & go” breathalyzer stations once or twice a day, which is really tough for people whose drivers’ licenses are suspended.  But, still, we passed this law to keep other people safe.

Or consider antibiotics.  Every time you use antibiotics, you make the world a little worse.  With every dose, there’s a risk that the bacteria you’re hoping to kill off will instead evolve to resist them.

And yet, even though using antibiotics hurts everybody else, they’re regulated much less than other drugs.  If you take psilocybin, it’s not going to hurt me at all.  But if you take an antibiotic – or, worse, if you decide to manufacture huge quantities of antibiotics and them inject 80% of them into cows, pigs, and chickens, all of whom are being raised in fetid conditions – you’re making it much more likely that I will die.

In the past, somebody might get scratched by a cat … and die.  Any infection could turn septic and kill you.

In the future, a currently-treatable infection might kill me.  Or kill my children.

Because we’ve allowed people to be so cavalier with antibiotics, medical professionals expect that within a generation, more people will die from bacterial infections than from cancer.

Obviously, this terrifies me.

But we’re not stopping the meat industry from using them.  We’re not using our legal system to protect all of humanity from their misuse.  Instead we’ve outlawed psilocybin, a compound that could usher you through a spiritual experience that helps you become a kinder, happier person.

Is that reasonable?

On vengeance and Ahmed Saadawi’s ‘Frankenstein in Baghdad.’

On vengeance and Ahmed Saadawi’s ‘Frankenstein in Baghdad.’

We are composite creatures, the edifice of our minds perched atop accumulated strata of a lifetime of memories.  Most people, I imagine, have done wrong; remembrance of our lapses is part of who we are.  And most of us have been hurt; those grievances also shape our identities.

We struggle to be good, despite having been born into an amoral universe and then subjected to innumerable slights or traumas as we aged.

Goodness is a nebulous concept, however.  There’s no external metric that indicates what we should do.  For instance: if we are subject to an injustice, is it better to forgive or to punish the transgressor?

There are compelling arguments for both sides, and for each position you could base your reasoning on philosophy, psychology, physiology, evolutionary biology …

Intellect and reasoning can’t identify what we should do.

A wide variety of cooperative species will swiftly and severely punish transgressions in order to maintain social order.  Misbehavior among naked mole rats is generally resolved through bullying and violence, which ensures the colony does not lapse into decadence.  (As with humans, shared adversity like hunger generally compels threat-free cooperation.)

Archaeologists suggest that the belief in vengeful gods was coupled to the development of complex human societies.  The Code of Hammurabi prescribed immediate, brutal retribution for almost any misdeed.

The compulsion to punish people who have hurt us arises from deep within our brains.

But punishment invites further punishment.  Every act of revenge can lead to yet another act of revenge – the Hatfield and McCoy families carried on their feud for nearly thirty years.

Punishment is fueled by anger, and anger poisons our bodies.  On a purely physiological level, forgiving others allows us to heal.  The psychological benefits seem to be even more pronounced.

But forgiveness is hard.  Sometimes people do terrible things.  After her mother was killed, my spouse had to spend her entire afternoon prep period on the phone with a family member and the prosecutor, convincing them not to seek the death penalty.

The attack had been recorded by security cameras.  Apparently it was horrifying to watch.  The assailant’s defense lawyer stated publicly that it was “the most provable murder case I have ever seen.

And incidents in which dark-skinned men hurt white women are precisely those for which prosecutors typically seek the death penalty; after my mother-in-law’s death, the only national news sites that wrote about the case were run by far-right white supremacists trying to incite more hatred and violence toward innocent black people.  (I’m including no links to these, obviously.)

At the time, I was working on a series of poems about teaching in jail. 

Correction (pt. ii)

My wife’s mother was murdered Saturday –

outside at four a.m., scattering birdseed,

smoking a cigarette, shucking schizophrenic

nothings into the unlistening air.

Then a passing man tossed off a punch,

knocking her to the ground.

He stomped upon her skull

till there was no more her

within that battered brain.

Doctors intubated the corpse &

kept it oxygenated by machine,

monitoring each blip of needless heart

for days

until my wife convinced

a charitable neurologist

to let the mindless body rest.

That same afternoon

I taught another class in jail

for men who hurt someone else’s mother,

daughter, or son.

The man who murdered,

privacy-less New York inmate #14A4438

with black hair & brown eyes,

had been to prison twice,

in 2002 & 2014,

caught each time

with paltry grams of crack cocaine.

Our man received a massive dose

of state-sponsored therapy:

nine years of penitence.

Nearly a decade of correction.

Does Victor Frankenstein share the blame

for the murders of his creation,

the man he quicked but did not love?

Or can we walk into a maternity ward

and point:

that one, nursing now, will be a beast.

Are monsters born or made?

My mother-in-law is dead, & our man is inside again,

apprehended after “spontaneous utterances,”

covered in blood, photographed with

a bandage between his eyes.

And we, in our mercy,

will choose whether

our creation

deserves

to die.

#

Victor Frankenstein becoming disgusted at his creation. Fronts-piece to the 1831 edition.

I have always stood firmly on the side of Frankenstein’s creation.  Yes, he began to kill, but misanthropy was thrust upon him.  The creature was ethical and kind at first, but the rest of the world ruthlessly mistreated him.  Victor Frankenstein abandoned him in the laboratory; he befriended a blind man, but then the man’s children chased him away.

Victor Frankenstein’s fiancée did not deserve to be strangled – except insofar as we share blame for the crimes of those we love – but I understand the wellspring of the creature’s rage.

In Ahmed Saadawi’s Frankenstein in Baghdad, a junk dealer’s attempt to honor the anonymous victims of Iraq’s many bombings gives rise to a spirit of vengeance.  The junk dealer acts upon a grisly idea – most victims could not receive proper funerals because their bodies were scattered or incinerated by the blasts.  But what if many stray pieces were collected?  An charred arm from Tuesday’s explosion; a ribcage and lower jawbone from Wednesday’s; two different victims’ legs from Thursday’s.  The city is so wracked by violence that there are plenty of body parts to choose from.  And then the junk dealer could take his creation to the police and say, Look!  Here is a body, victim of the attacks.  Here is a dead man we can honor properly.

In truth, the junk dealer’s plan was never terribly well thought out.  Once he completes the corpse, he realizes that using his creation as a locus for lamentation would be no better than all the empty coffins.

And then the corpse springs to life, seeking vengeance on any and all who wronged its component parts.  In the creature’s words (as translated by Jonathan Wright):

“My list of people to seek revenge on grew longer as my old body parts fell off and my assistants added parts from my new victims, until one night I realized that under these circumstances I would face an open-ended list of targets that would never end.

“Time was my enemy, because there was never enough of it to accomplish my mission, and I started hoping that the killing in the streets would stop, cutting off my supply of victims and allowing me to melt away.

“But the killing had only begun.  At least that’s how it seemed from the balconies in the building I was living in, as dead bodies littered the streets like rubbish.”

Soon, the creature realizes that the people he attacks are no different from the dead victims that he is composed of.  He can chase after the terrorist organizations that orchestrate suicide bombings, but the people in those organizations are also seeking revenge for their dead allies.  The chain of causality is so tangled that no one is clearly responsible.

Car bombing in Baghdad. Image from Wikimedia.

United States forces have been inadvertently killing innocent civilians ever since invading Iraq … an attack that was launched in retribution for the actions of a small group of Afghani terrorists.

Some people thought that this sounded reasonable at the time.

To seek vengeance, we need someone to blame.  But who should I blame for my mother-in-law’s death?  The man who assaulted her?  That’s certainly the conclusion that the white supremacist news sites want me to reach.  But I sincerely doubt that this poor man would have hurt her if a prosecutor hadn’t ripped him from his friends and family, condemning him to ten years within the nightmarish violence of America’s prisons, all for participating in a small-scale version of the exact same economic transaction that allowed Merck to become a $160-billion-dollar valued company.

Do I blame the racist white legislators who imposed such draconian punishments on the possession of the pure amine form of cocaine, all while celebrating their pale-skinned buddies who snerked up the hydrochloride salt form?

Do I blame myself?  As a citizen of this country – a wealthy citizen, no less, showered with un-earned privilege – I am complicit in the misfortunes that my nation imposes on others.  Even when I loathe the way this nation acts, by benefiting from its sins, I too share responsibility.

I have inherited privilege … which means that I also deserve to inherit blame, even for horrors perpetrated well before I was born.

Forgiveness is hard, but revenge would send us chasing an endless cycle of complicity.  The creature in Frankenstein in Baghdad is flummoxed:

In his mind he still had a long list of the people he was supposed to kill, and as fast as the list shrank it was replenished with new names, making avenging these lives an endless task.  Or maybe he would wake up one day to discover that there was no one left to kill, because the criminals and the victims were entangled in a way that was more complicated than ever before.

“There are no innocents who are completely innocent or criminals who are completely criminal.”  This sentence drilled its way into his head like a bullet out of the blue.  He stood in the middle of the street and looked up at the sky, waiting for the final moment when he would disintegrate into his original components.  This was the realization that would undermine his mission – because every criminal he had killed was also a victim.  The victim proportion in some of them might even be higher than the criminal proportion, so he might inadvertently be made up of the most innocent parts of the criminals’ bodies.

“There are no innocents who are completely innocent or criminals who are completely criminal.”

Header image: an illustration of Frankenstein at work in his laboratory.

On happiness and mind control.

On happiness and mind control.

Many of us would like to feel happier.

In the United States, people are having sex less often.  And between alcohol, marijuana, recreational painkillers – not to mention anti-depressants and anti-anxiety medication – we take a lot of drugs. 

Many of us work long hours at jobs we dislike so that we can afford to buy things that promise to fill some of the emptiness inside.  The most lucrative businesses are advertising companies … one of which, Facebook, is designed to make you feel worse so that you’ll be more susceptible to its ads.

The suicide rate has been rising.

From Dan Diamond’s Forbes blog post
Stopping The Growing Risk Of Suicide: How You Can Help.”

It might seem as though we don’t know how to make people happier.  But, actually, we do.

Now, I know that I’ve written previously with bad medical advice, such as the suggestion that intentionally infecting yourself with the brain parasite Toxoplasma gondii could make you happier.  This parasite boosts dopamine levels in your brain (dopamine is a neurotransmitter that conveys feelings of pleasure and mirth) and makes you feel bolder (in controlled laboratory experiments, infected mice show less stress when making risky decisions, and observational data suggests the same to be true for infected humans).  You also might become more attractive (infected rodents have more sex, and portrait photographs of infected human men are perceived as more dominant and masculine).

There are drawbacks to Toxoplasma infection, of course.  Infected rodents are more likely to be killed by cats.  Infected humans may become slower as well, both physically and intellectuallyToxoplasma forms cysts in your brain.  It might increase the chance of developing schizophrenia.  It can kill you if you’re immunocompromised.  And the surest way to contract toxoplasmosis, if incidental exposure hasn’t already done it for you, is by eating cat excrement.

My advice today is different.  No feces required! 

And I’m not suggesting anything illegal.  I mentioned, above, that people in the United States take a lot of drugs.  Several of these boost dopamine levels in your brain.  Cocaine, for instance, is a “dopamine re-uptake inhibitor,” ensuring that any momentary sensation of pleasure will linger, allowing you to feel happy longer.

But cocaine has a nasty side effect of leading to incarceration, especially if the local law enforcement officers decide that your epidermal melanin concentration is too high.  And jail is not a happy place.

Instead, you could make yourself happier with a bit of at-home trepanation, followed by the insertion of an electrode into the nucleus accumbens of your brain.  Now, I know that sounds risky, what with the nucleus accumbens being way down near the base of your brain.  But your brain is rather squishy – although you’ll sheer some cells as you cram a length of conductive wire into your cranium, the hope is that many neurons will be pushed out of the way.

The nucleus accumbens tends to show high activity during pleasure.  For instance, cocaine stimulates activity in this part of your brain.  So does money — tell research subjects that they’ve won a prize and you’ll see this region light up.  If rats are implanted with an electrode that lets them jolt their own nucleus accumbens by pushing a lever, they’ll do it over and over.  Pressing that lever makes them happier than eating, or drinking water, or having sex.  They’ll blissfully self-stimulate until they collapse.  From James Olds’s Science paper, “Self-Stimulation of the Brain”:

If animals with electrodes in the hypothalamus were run for 24 hours or 48 hours consecutively, they continued to respond as long as physiological endurance permitted.

Setup for Olds’s experiment.

Perhaps I should have warned you – amateur brain modification would carry some risks.  Even if you have the tools needed to drill into your own skull without contracting a horrible infection, you don’t want to boost your mood just to die of dehydration.

After all, happiness might have some purpose.  There might be reasons why certain activities – like eating, drinking water, having sex … to say nothing of strolling outdoors, or volunteering to help others – make us feel happy.  After discussing several case studies in their research article “How Happy Is Too Happy,” Matthis Synofzik, Thomas Schlaepfer, and Joseph Fins write that using deep brain stimulation for the “induction of chronic euphoria could also impair the person’s cognitive capacity to respond to reasons about which volitions and preferences are in his or her best interests.

When an activity makes us feel happy, we’re likely to do it again.  That’s how people manage to dedicate their lives to service.  Or get addicted to drugs.

And it’s how brain stimulation could be used for mind control.

If you show me a syringe, I’ll feel nervous.  I don’t particularly like needles.  But if you display that same syringe to an intravenous drug user, you’ll trigger some of the rush of actually shooting up.  The men in my poetry classes have said that they feel all tingly if they even see the word “needle” written in a poem.

For months or years, needles presaged a sudden flush of pleasure.  That linkage was enough for their brains to develop a fondness for the needles themselves.

If you wanted to develop a taste for an unpalatable food, you could do the same thing.  Like bittermelon – I enjoy bittermelons, which have a flavor that’s totally different from anything else I’ve ever eaten, but lots of people loathe them.

Still, if you used deep brain stimulation to trigger pleasure every time a person ate bittermelon, that person would soon enjoy it.

Bittermelon. Image by [cipher] in Tokyo, Japan on Wikimedia.

Or you could make someone fall in love. 

Far more effective than any witch’s potion, that.  Each time your quarry encounters the future beloved, crank up the voltage.  The beloved’s presence will soon be associated with a sense of comfort and pleasure.  And that sensation – stretched out for long enough that the pair can build a set of shared memories – is much of what love is.

Of course, it probably sounds like I’m joking.  You wouldn’t really send jolts of electricity into the core of somebody’s brain so that he’d fall in love with somebody new … right?

Fifty years passed between the discovery of pleasure-inducing deep brain stimulation and its current use as a treatment for depression … precisely because one of the pioneering researchers decided that it was reasonable to use the electrodes as a love potion.

In 1972, Charles Moan and Robert Heath published a scientific paper titled “Septal stimulation for the initiation of heterosexual behavior in a homosexual male.”  Their study subject was a 24-year-old man who had been discharged from the military for homosexuality.  Moan and Heath postulated that the right regimen of electrode stimulation – jolted while watching pornography, or while straddled by a female prostitute whom Moan and Heath hired to visit their lab – might lead this young man to desire physical intimacy with women.

Moan and Heath’s paper is surprisingly salacious:

After about 20 min of such interaction she begun [sic] to mount him, and though he was somewhat reticent he did achieve penetration.  Active intercourse followed during which she had an orgasm that he was apparently able to sense.  He became very excited at this and suggested that they turn over in order that he might assume the initiative.  In this position he often paused to delay orgasm and to increase the duration of the pleasurable experience.  Then, despite the milieu [inside a lab, romping under the appraising eyes of multiple fully-clothed scientists] and the encumbrance of the electrode wires, he successfully ejaculated.  Subsequently, he expressed how much he had enjoyed her and how he hoped that he would have sex with her again in the near future.

The science writer Lone Frank recently published The Pleasure Shock, a meticulously researched book in which she concludes that Heath was unfairly maligned because most people in the 1970s were reticent to believe that consciousness arose from the interaction of perfectly ordinary matter inside our skulls.  Changing a person’s mood with electricity sounds creepy, especially if you think that a mind is an ethereal, inviolable thing.

But it isn’t.

The mind, that is. The mind isn’t an ethereal, inviolable thing.

Zapping new thoughts into somebody’s brain, though, is definitely still understood (by me, at least) to be creepy.

Discussing the contemporary resurgence of electrical brain modification, Frank writes that:

In 2013, economist Ernst Fehr of Zurich University experimented with transcranial direct current stimulation, which sends a weak current through the cranium and is able to influence activity in areas of the brain that lie closest to the skull. 

Fehr had sixty-three research subjects available.  They played a money game in which they each were given a sum and had to take a position on how much they wanted to give an anonymous partner.  In the first round, there were no sanctions from the partner, but in the second series of experiments, the person in question could protest and punish the subject. 

There were two opposing forces at play.  A cultural norm for sharing fairly – that is, equally – and a selfish interest in getting as much as possible for oneself.  Fehr and his people found that the tug of war could be influenced by the right lateral prefrontal cortex.  When the stimulation increased the brain activity, the subjects followed the fairness norm to a higher degree, while they were more inclined to act selfishly when the activity was diminished.

Perhaps the most thought-provoking thing was that the research subjects did not themselves feel any difference.  When they were asked about it, they said their idea of fairness had not changed, while the selfishness of their behavior had changed. 

Apparently, you can fiddle with subtle moral parameters in a person without the person who is manipulated being any the wiser.

The human brain evolved to create elaborate narratives that rationalize our own actions.  As far as our consciousness is concerned, there’s no difference between telling a just so story about a decision we made un-aided, versus explaining a “choice” that we were guided toward by external current.

Frank believes that Heath was a brilliant doctor who sincerely wanted to help patients. 

When bioethicist Carl Elliott reviewed The Pleasure Shock for the New York Review of Books, however, he pointed out that even – perhaps especially – brilliant doctors who sincerely want to help patients can stumble into rampantly unethical behavior.

The problem isn’t just that Heath pulsed electricity into the brain of a homosexual man so that he could ejaculate while fooling around with a woman.  Many of Heath’s patients – who, it’s worth acknowledging, had previously been confined to nightmarish asylums – developed infections from their electrode implantations and died.  Also, Heath knowingly promoted fraudulent research findings because he’d staked his reputation on a particular theory and was loathe to admit that he’d been wrong (not that Heath has been the only professor to perpetuate falsehoods this way).

Elliott concludes that:

Heath was a physician in love with his ideas. 

Psychiatry has seen many men like this.  Heath’s contemporaries include Ewen Cameron, the CIA-funded psychiatrist behind the infamous “psychic driving” studies at McGill University, in which patients were drugged into comas and subjected to repetitive messages or sounds for long periods, and Walter Freeman, the inventor of the icepick lobotomy and its most fervent evangelist.

These men may well have started with the best of intentions.  But in medical research, good intentions can lead to the embalming table.  All it takes is a powerful researcher with a surplus of self-confidence, a supportive institution, and a ready supply of vulnerable subjects.

Heath had them all.

It’s true that using an electrode to stimulate the nucleus accumbens inside your brain can probably make you feel happier.  By way of contrast, reading essays like this one make most people feel less happy.

Sometimes it’s good to feel bad, though.

As Elliott reminds us, a lot of vulnerable people were abused in this research.  A lot of vulnerable people are still treated with cavalier disregard, especially when folks with psychiatric issues are snared by our country’s criminal justice system.  And the torments that we dole upon non-human animals are even worse.

Consider this passage from Frans De Waal’s Mama’s Last Hug, discussing empathy:

[University of Chicago researcher Inbal Ben-Ami Bartal] placed one rat in an enclosure, where it encountered a small transparent container, a bit like a jelly jar.  Squeezed inside it was another rat, locked up, wriggling in distress. 

Not only did the free rat learn how to open a little door to liberate the other, but she was remarkably eager to do so.  Never trained on it, she did so spontaneously. 

Then Bartal challenged her motivation by giving her a choice between two containers, one with chocolate chips – a favorite food that they could easily smell – and another with a trapped companion.  The free rat often rescued her companion first, suggesting that reducing her distress counted more than delicious food.

Is it possible that these rats liberated their companions for companionship?  While one rat is locked up, the other has no chance to play, mate, or groom.  Do they just want to make contact?  While the original study failed to address this question, a different study created a situation where rats could rescue each other without any chance of further interaction.  That they still did so confirmed that the driving force is not a desire to be social. 

Bartal believes it is emotional contagion: rats become distressed when noticing the other’s distress, which spurs them into action. 

Conversely, when Bartal gave her rats an anxiety-reducing drug, turning them into happy hippies, they still knew how to open the little door to reach the chocolate chips, but in their tranquil state, they had no interest in the trapped rat.  They couldn’t care less, showing the sort of emotional blunting of people on Prozac or pain-killers. 

The rats became insensitive to the other’s agony and ceased helping. 

You could feel happier.  We know enough to be able to reach into your mind and change it.  A miniscule flow of electrons is enough to trigger bliss.

But should we do it?  Or use our unhappiness as fuel to change the world instead?

On overdose.

A few years ago, Max helped me write a poem:

DOPE TO THE CUT

Dealers too have mouths

& hungry, hungry arms;

must we begrudge these impacted men

their modicum of profit?

And there is honor among thieves –

my buddy Moses could move meth

only by loathing meth-heads –

nobody’s hurt by laxative-

laced white lady,

and why not a trace

of fentanyl in the H?

Both wash pain.

A dealer’s gotta eat.

But now the cartels start with the cut,

disguise it with dope

& wonder why

their customers

die.


I wanted to share this along with a recommendation that you read this heartbreaking story from The Washington Post.  Right now, our nation has begun reckoning with the fact that people who are addicted to drugs are sick and need help.  Incarceration isn’t curing them.  Sympathetic articles profile working class white people who are trapped in a spiral of despair.

But deaths have skyrocketed among another population, a group of people that most major news outlets have blithely ignored.  Older black users – who were anonymously demonized from the beginning – are being killed when dangerous synthetic chemicals are disguised as the same heroin that they’ve safely used for decades.

People who aren’t in severe pain shouldn’t use opiates.  These drugs sap away life.  Over time, they make pain worse, because opiates make long-term users much more susceptible to discomfort and stress.

But our laws against these drugs are making opiates lethal.  If we want people not to use certain chemicals, our best bet is to provide accurate information.  Banning drugs hasn’t helped: patients seeking legitimate verified doses have a harder time getting their medicines, but opiates are easy to come by on the streets.  We’ve only succeeded in making them edgy, transgressive, and deadly.

On neural plasticity.

On neural plasticity.

After discussing several forms of parasitic mind control during our poetry class in the local jail, somebody asked – somebody always asks – whether there’s some sort of parasite that makes people want to use drugs.

A few guys looked down at the table and nodded.  People are in there for a variety of reasons – domestic violence, burglary, DWIs, dealing or possession – but no matter the charge, many of the guys in jail were dealing with substance use that got out of hand.

I gave the same answer as always.

“Drugs do it on their own.  Chemicals can remodel your brain to make you want them again.  Like cocaine, it’s a dopamine re-uptake inhibitor, so if something makes you happy after coke, it’ll make you more happy than it would’ve … but your body responds by down-regulating the receptors, and then you’re stuck feeling less happy all the time unless you take it again.”

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But it’s not all bleak.  Drug addiction takes hold because the brain is plastic – our minds change and we want that rush again, potentially to the exclusion of all else – but neural plasticity allows people to recover, too.  Dopamine receptor levels fall during periods of excessive drug use, but they’ll rebound during sobriety … and this rebound should attenuate the desire to use again.

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Repeated exposure to drugs depletes the brain’s dopamine receptors, which are critical for one’s ability to experience pleasure and reward. From Wikimedia Commons.

(Unfortunately, the lecturers in our area’s court-mandated rehab courses have been telling people that, “After you take methamphetamines, it takes eight years of sobriety before your dopamine receptor levels come back.”  This sounds wrong to me – I don’t know the half-life of dopamine receptors, but the timing of sensitization and de-sensitization in conditions like bipolar disorder and antidepressant-induced mania suggests that it’s on the order of a month or so, not years – and it’s definitely unhelpful to say.  If you’re trying to help someone quit taking drugs, you want their goals to be feasible.

A former co-teacher tattooed “Day By Day” on his arm because quitting forever seemed impossible, but getting through one more day without drugs sounded like something he could do.  He’s now weathered five years of single days.  But if I felt like garbage and an instructor told me, “You’ll only feel like this for eight more years!”, I’d give up immediately.)

I don’t really understand Scientology – all my current knowledge comes from a single episode of South Park and a few minutes spent skimming through the Wikipedia article – but I was intrigued by the practice of using “E-meters” to measure a person’s cognitive development in the faith.  It made me wonder whether the sort of person who was interested in biofeedback and numerical metrics – somebody who tracks steps with a Fitbit or the gasoline saved on a Prius console – could use self-administered polygraphs for cognitive behavioral therapy.

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An E-meter.

It’s well-known that polygraphs are fallible – you can fail them when you’re telling the truth, and you can learn to pass them while lying – but I imagine that the easiest ways to pass a polygraph is to convince yourself that whatever you’re saying is true.  There many physiological correlates to dishonesty – skin voltage, electroencephalogram patterns, eye movement, vocal tones – and by convincing yourself to earnestly believe whatever you happen to be saying, you could pass any of them.

Because you can cheat, U.S. courts generally don’t trust the results of lie detector tests.  In the pursuit of justice, cheating would be bad.  But as self-administered therapy, cheating is the whole point.  You cheat at lying until the lie becomes the truth.

“I like myself and I am worthy of love and self-respect.”

Rig up your polygraph and say something like that until the machine stops dinging you.  Do it daily.  Your brain is plastic, designed to learn and change.  Your words will become true.

On Tara Westover’s “Educated.”

On Tara Westover’s “Educated.”

A man in my poetry class recently told me, “Ugh, cocaine is awful.  You use some, you’ll want some more, but I hate it.  It makes me such a jerk.  I mean, I’m not like this, I’m never like this, but if I’m on coke, I’m like, bitch, you best make yourself useful around here.”

Cocaine has a reputation as a fun party drug, but nobody in jail has anything nice to say about it.  And it’s not that they’re down on drugs in general – that same man told me:

“Meth?  Meth is great – you should never try it.”

And then he explained the social niceties of trying to shoot up in the home of a friend who was recently diagnosed with HIV.  This friend was apparently cavalierly sloppy with needles:

“Like, blood was spurting, and I was scooting back thinking, like, god, I wish I was anywhere but here … “

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Glasseelskils_0European eels are endangered.  They swim huge distances to complete their life cycles – hatching at sea, undertaking a voracious (oft cannibalistic) quest up rivers, then returning to their birthplaces to spawn – and have been thwarted by hydroelectric dams blocking their migration, and the tendency of an insatiable terrestrial ape to catch and consume huge numbers of their kind.

Now these eels face another obstacle: they must complete their voyages while blitzed on cocaine.  European governments dump drugs into the sea to “destroy” them, but that’s not how water works.  The drugs are still there.  The eels get high.

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576px-Robert_Louis_Stevenson_by_Henry_Walter_Barnett_bwAccording to popular legend, Robert Louis Stevenson was very sick before he wrote his Strange Case of Dr. Jekyll and Mr. Hyde.

Stevenson had tried many cures; all had failed.  Then his spouse bought cocaine.  This worked.  Suddenly Stevenson could write again.  In three days, he composed his novel.

When he read the first draft to his spouse, she said it didn’t seem sufficiently allegorical.  So Stevenson flung the pages into the fire and began again.  In three more days, he’d composed the version of the story that we know today.

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Dr. Jekyll was a fine man.  On drugs, he became a monster.

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IMG_5233When our first child was just shy of two years old, she liked to wear a green long-sleeve with a picture of The Incredible Hulk rampaging.  She’d pull it from her drawer; I’d say, “Oh, you want to wear your Hulk Smash shirt today?”

One day, I asked her, “N., why does Hulk want to smash?”

She looked down at the picture, then back up to me.  First she signed the word hungry.

“Oh, Hulk wants something to eat?”

She shook her head.  No, that didn’t sound quite right.  She looked down again, then made another sign, banging her hands together for the word shoes.

“Hulk is upset because he has no shoes?”

She bobbed her head yes.  No shoes.  That would make her rage, too.

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Once, some runners on the local high school cross country team asked me who would win in a fight, Superman or the Hulk.  They’d reached a detente after one claimed that the Hulk was unstoppable when enraged (“… and nothing calms him down except his girlfriend.”), and the other argued that Superman could turn back time until the moment before Hulk had gotten angry, then smash him.

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Superman vs. Hulk by JD Hancock on Flickr.

I demurred.  I don’t think Superman is a very interesting hero, and the Hulk is interesting only in campaigns, not battles.  I like the idea of a hero who might go berserk and accidentally thwart his own plans, but a single bout of wrestling isn’t like that.  I think it’s more compelling to consider his constant risk of hurting the people that he loves.

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fullsizeoutput_12In Educated, Tara Westover writes beautifully about the horrors of living with the Hulk.  Her early years were controlled by a father in the throes of extreme paranoia and delusions of grandeur:

Fourteen years after the incident with the Weavers, I would sit in a university classroom and listen to a professor of psychology describe something called bipolar disorder.  Until that moment I had never heard of mental illness.  I knew people could go crazy – they’d wear dead cats on their heads or fall in love with a turnip – but the notion that a person could be functional, lucid, persuasive, and something could still be wrong, had never occurred to me.

The professor recited facts in a dull, earthy voice: the average age of onset is twenty-five; there may be no symptoms before then. 

The irony was that if Dad was bipolar – or had any of a dozen disorders that might explain his behavior – the same paranoia that was a symptom of the illness would prevent its ever being diagnosed and treated.  No one would ever know. 

Because her father was at war with the federal government, Westover never went to school.  Her birth went undocumented – she didn’t have a certificate that would’ve allowed her to enroll until years later, and even then wound up with a hodgepodge of documents that listed slightly differing names and birthdates. 

And her father needed money, because he was frantically stockpiling food and ammunition.  He needed solar panels (back when they were much more expensive than today) because the power grid was going to cut out after Y2K.

As one of God’s soldiers, he needed to build an ark.  Or tank.  Arsenal.  Whatever.

This constant hustle for money led Westover’s father to subject his children to incredible dangers.  There might be a safe way to do a job, but if the risky way could save two minutes, the man put his kids’ lives on the line.  Westover was forced to ride up to a trailer inside a bin filled with two thousand pounds of scrap iron.  When her leg got caught and she couldn’t jump out, her father still dumped the bucket.  Westover tumbled nearly twenty feet to the ground.  And this was lucky.  If she’d fallen a few inches to the other side, she would’ve been crushed by all that iron. 

Her brothers were injured even more grievously at her father’s hands.

For instance, a brother’s clothes caught fire while he was working with his father.  In Westover’s recollection, the father then lifted his burnt son into the cab of a truck and made him drive home alone.  Only the ten-year-old Westover was there to help him, so she put her brother’s burnt leg inside a garbage can full of ice water.

She thought:

If Dad had been with Luke on the mountain, he would have brought him to the house, would have treated the burn.  Dad was away on a job somewhere, that’s why Luke had had to get himself down the mountain.  Why his leg had been treated by a ten-year-old.  Why it had ended up in a garbage can.

Except that she then realizes that her father must have been with her brother.  He must have been there in order to put out the fire; otherwise the whole mountainside would’ve burned. 

In a footnote, Westover adds: 

Since the writing of this story, I have spoken to Luke about the incident.  His account differs from both mine and Richard’s.  In Luke’s memory, Dad took Luke to the house, administered a homeopathic for shock, then put him in a tub of cold water, where he left him to go fight the fire.  This goes against my memory, and against Richard’s.  Still, perhaps our memories are in error.  Perhaps I found Luke in a tub, alone, rather than on the grass.  What everyone agrees upon, strangely, is that somehow Luke ended up on the front lawn, his leg in a garbage can.

Westover’s father was abusive, and he routinely convinced his children that their memories were in error, instead substituting his own (oft-illogical) versions of events, but he isn’t the Hulk in this story.  Yup, things get worse.  One of Westover’s brothers might suddenly snap and become Hyde.

Westover loved her older brother Shawn, but during an over-hasty job with their father, Shawn fell twelve feet, striking a concrete wall headfirst, and sustained a severe brain injury.  Instead of taking the kid to the hospital, their father propped him against a pickup truck and left him to sit in the hot sun.

His pupils were unevenly dilated.  His brain was bleeding.

Fifteen minutes later, Shawn wandered back to the worksite and started acting wild.  He screamed, flung his father, ran around leaping and howling.  The others tackled him – at which point his head again struck the concrete, hard – and called 911 for a helicopter to airlift him to the hospital.

It took some time for me to realize that although Shawn looked the same, he wasn’t.  He seemed lucid, but if you listened carefully his stories didn’t make sense.  They weren’t really stories at all, just one tangent after another. 

Worse, he was violent.  But unpredictably so.  At one moment, he and Westover might be laughing together.  At another moment, he’d twist her arm behind her back so brutally that she worried her wrist would break, call her a slut, and cram her face into a toilet bowl.  He hacked at the throat of his son’s pet dog with a five-inch knife blade while the animal howled, dying.  He called his sister and placidly explained his plans to visit her university and murder her.

In a lucid moment, he helped Westover install a massive deadbolt in her bedroom door, despite knowing that he was the only person she needed protection from.

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Tara_Westover_1+2-smallerAnd yet, Westover escaped.  Although she’d never set foot inside a classroom, she was accepted to Brigham Young University, where the consensus view of reality was much closer to her own.

Of course, she made a few stumbles.  Because she didn’t understand what course numbers signified, she enrolled as a freshman in an upper-level art history class.  Worse, she raised her hand to ask after the meaning of a word she didn’t recognize: Holocaust.

During one of my own classes, we were discussing poems from Charles Reznikoff’s Testimony when I mentioned that Reznikoff had also written about the Holocaust.

“Holocaust, what’s that?” a man asked. 

Unlike Westover, this man had grown up in an urban area.  But he’d stopped attending school when he was pretty young, and there’s a lot of cultural knowledge that we tend to take for granted.

I’d like to think that I handled the situation better than Westover’s professor.  Westover was shamed.  In our poetry class, we instead talked about how the word “holocaust” could be seen as offensive when used to describe the years during which members of the Nazi party murdered at least 6 million people, typically because their victims believed in Judaism.  The word “holocaust” originally meant a burnt offering for God, so Jewish leaders instead referred to this period of history with the Hebrew word for “catastrophe.”  Although even that phrasing seems off, because “catastrophe” generally evokes natural disaster, whereas the Holocaust was mass murder and torture on a scale comparable only to American slavery.  A purely human evil.

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Westover became a historian.  After experiencing firsthand the nightmare of having her own account of reality constantly replaced by someone else’s version, she understood how powerful storytelling can be.  Educated is a beautiful book.  And, to my mind, a much more sensible depiction of unequal opportunity in the United States than J.D. Vance’s Hillbilly Elegy.

Westover recognizes how lucky she was to escape, and how narrowly she avoided the fate of her sister-in-law.  And Westover gives a powerful endorsement of government aid:

I began to experience the most powerful advantage of money: the ability to think of things besides money.  My professors came into focus, suddenly and sharply; it was as if before the grant I’d been looking at them through a blurred lens.  My textbooks began to make sense, and I found myself doing more than the required reading.

On Ioan Grillo’s ‘Gangster Warlords.’

On Ioan Grillo’s ‘Gangster Warlords.’

During my income-less years spent researching & writing a novel, there wasn’t enough money to blow any on drugs.  While I was in California, though, my graduate school stipend had me feeling flush with cash — when you like to eat home-made bread and lentils there’s only so much you can spend on food, and when your big fashion shopping trip involves spelunking through the dumpsters during move-out week each year, you don’t drop much on clothes.

Plus, the attitude in Silicon Valley seems to be that, as long as you get your work done, doesn’t matter what else is going on.  Stoned at work?  If your work is good, nobody cares.  I fondly remember helping a friend’s bleary-eyed pot-head roommate do some Matlab coding for a project while we were both in a state of significant duress — that project worked & was widely celebrated & the dude had a star named after him.

A sorta dinky star, sure, and very far away, but, still.  His work will save a not insignificant number of lives.  Not too shabby for something he put together while often high.

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I have no idea which star is his.

Personally, I didn’t smoke much.  I like my lungs, and don’t like spending money (from my six years of grad student stipend, I socked away enough to live on for three or four years, which I figured would be plenty of time to finish my first book.  I undershot by about 50%), and, besides, pot just made me feel groggy.  Still, I spent a few hundred dollars on marijuana while I was living out there.

For about sixty bucks of that, I know that the stuff I bought was grown locally.  The rest was of unknown provenance.

A quick internet search has revealed that my few hundred bucks could buy somebody a discounted AK.

Oops.

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Image by brian.ch on Flickr.

I’ve written about the harms caused by U.S. drug policy a few times previously, but my focus is usually on our own nation’s incarceration crisis.  It’s blatantly unjust to lock up so many black & brown & poor white people for behavior that middle-class whites engage in just as often without risk of punishment.  I bought marijuana while I was living in California, but, as a rich white student, the biggest risk I faced was that my drugs might be confiscated and I’d be slapped with a fine.  With the Midwest Pages to Prisoners Project I’ve put together packages for dudes who’re serving time for possession of drugs in the same ballpark as I’ve carried.

That’s not right.  It’s something that we can, and should, fix.  This injustice would be significantly diminished if drugs like marijuana and cocaine were legalized.

Indeed, now that huge numbers of middle class whites are succumbing to heroin addiction, there’s talk from politicians about responding to their plight with treatment, not incarceration.  Which is fine.  That’s good, and correct.  But it must be hard for the families of poor and minority addicts, who may have seen their loved ones incarcerated for years, to hear.  To have yet more evidence that you & yours are considered less precious by our government.

Our incarceration crisis is a big deal.  Millions of U.S. lives are damaged by the War on Drugs.

unnamedBut I’m grateful to Ioan Grillo for teaching me about the millions of South & Central American lives lost because of the U.S. War on Drugs.

Actually, “lost” is probably not the right word.  “Lives lost” makes them sound misplaced, like somebody slipped and bonked his or her head and died.  Maybe the phrase “brutally wrenched away” would better describe murders via gunshot and chainsaw torture and burning alive and being hacked to bits by machetes or dissolved in giant vats of acid.  Which, right.  Grillo’s book is very good.  His writing is lucid and forceful and he’s done excellent research.  But you should know that there are passages that are difficult to read.  Grillo describes a horrifying world.

It’s a world that I had misconceptions about.  For instance, I’ve been fascinated by microclimes — both actual and metaphorical — ever since living in California.  While biking to work, there were dips along the road accompanied by drastic shifts in temperature and humidity.  While driving to the grocery store, there was the stark, sudden border between wealthy Atherton with its perfect green lawns and leafy trees and gated communities and the area just north so poor that it’s been unincorporated from adjacent communities.

I hadn’t realized that drug cartels operate in battle-ravaged wastelands closely juxtaposed to areas that look just like my home.  From Grillo’s Gangster Warlords:

unnamed (1)          This bloodshed is not in the poorest, least developed region of the world.  It takes place in industrializing societies with a growing middle class.  Latin American and Caribbean countries continue to modernize, building gleaming shopping malls, cinema multiplexes, and designer gyms, private schools and world-class universities.  Millions of visitors sun themselves in top-notch resorts on the countries’ golden beaches.  This convinces some surprised visitors that the countries are on a quick path to the First World.  There is real growth taking place.

          At the same time, sprawling slums are home to ultraviolent gangs with links to politicians and businessmen.  The parallel universes of crime-ridden ghettos and leafy middle-class neighborhoods live side by side, sometimes meeting and clashing.

Grillo also provides a lucid explanation for the feedback loop that causes violence to escalate.  These passages carry added weight for U.S. readers because the same logic underlies the violence of our own impoverished communities.  With poverty and some initial degree of lawlessness, people often lose their trust in police.  And when people who can’t go to the police are harmed, either by violence or theft, their only recourse is to seek retribution through more violence of their own.

          One alarming development is the extent to which gangsters control their own justice systems.  From Mexican mountains to Jamaican ghettos, crime bosses try those accused of robbing and raping and sentence them to beatings, exile, or death.  It’s jungle law.  But many residents find it more effective than any justice the police and courts offer.

          Wielding such power, gangster warlords threaten the fundamental nature of the state, not by trying to completely take it over but by capturing parts of it and weakening it.  They chip into the state’s monopoly on violence — or, more precisely, the monopoly on waging war and carrying out justice.  When the state loses this it becomes less able to impose its will on many issues, including the most basic, such as collecting taxes and policing protests.  People lose faith in the government, as happened in the Mexican state of Guerrero after the Iguala massacre.  Some form vigilante militias to defend themselves.  Others burn town halls.  If governments lose more control in this way, it could have devastating consequences.

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The only problem with showing an image of bales of cocaine is that, really, these just look like bags.  There could be anything in there.  Ramen noodles, plastic ducks, you name it. (U.S. Navy photo by Lt. Ed Early/Released)

Despite covering a lot of bleak topics, Grillo’s book was surprisingly enjoyable to read.  It helps that he is such a charming, self-effacing guy.  During an interview, he winds up riding in a car with his interviewee and being handed an assault rifle, at which point he commences worrying that he’ll accidentally kill himself or his companions.  He mentions his fear when approaching certain murderous bigshots without making a big deal of his own courage.  And the similes he uses to explain his feelings are plain-spoken but illuminating.  Consider this description of the months he spent reporting on Mexico’s vigilante uprising against a major cartel:

          Covering Mexico’s vigilante movement was like watching an action movie in many ways.  It was full of larger than life characters, took dramatic twists, and had high-intensity action scenes.  Like good movies, there were inspiring heroes on a moral mission and despicable baddies, such as Nazario [large-scale ultra-violent meth trafficker with a Jesus complex], a big enough villain for any Hollywood set.  But like the best movies, it became morally hazy by the end, the heroes showing cracks, and finished leaving you with a mix of fear and hope of what might come next.

 . . .

          Yet, after two years, the problems of vigilantism were too big to deny.  One thing is holding up the ideal of armed struggle.  The other is seeing it in action.  It’s ugly.  As vigilantes drove out the cartel, they tortured and murdered.  In 2013 and 2014, police tallies count 1,894 people killed in Michoacan [a state about midway between Iowa and Wisconsin in terms of size and population], the victims of both sides.  The vigilante ranks also filled with the gangsters they were supposed to be fighting against.  And you wondered how much better off anyone had become.

Unfortunately, U.S. drug policy inflates the profits available to traffickers.  Even if major traffickers are killed or captured by the government or vigilantes, new criminals will likely take their place as long as those incredible profits are up for the taking.

Legalization would probably increase demand (but not by much, according that what little evidence we have), but it would also cause a major fall in price.  Without the lure of easy profits, there’d be less incentive for cartels to pursue horrific violence.  I don’t think I’m being overly Panglossian in assuming that more people are murderously greedy than sadistic.

I’d like to end this post with one more quotation from Grillo’s book.  This passage comes from a conversation he had with a dude who grew up in the U.S., was deported over a domestic violence charge, started working for a cartel, then left the cartel to join the vigilantes when it seemed clear that they were winning.

          “I flipped.  I had no choice.  Now I’m scared the Knights Templar [violent trafficking organization led by that dude with the Jesus complex] are going to kill this whole fucking town for turning against them.”

          However, Manuel hasn’t done too badly out of the uprising.  He has a brand-new truck that he “decommissioned” from a Knights Templar boss who fled town.  “It’s mine now,” says Manuel, who stands a head taller than his dozen comrades in the trench.

          Still, Manuel says he dreams of escaping Michoacan to return to the United States and his former life.  He wonders why I, as a Brit, would want to spend any time here.

          “I’d love to get out of here and go home.  Why would anyone choose to live in a place like this?”

Of course, Grillo doesn’t provide an answer.  That’s not his style.  But, because I’m grateful for the existence of his book, I’d like to hazard a guess.  Grillo chooses to live there because the War on Drugs in the U.S. and Britain causes huge numbers of people to be silently, senselessly murdered.  Without the efforts of courageous journalists like Grillo, those victims would have no voice.