Switzerland approves heroin prescription program in law

user79

Well-known member
There was a referendum very recently in our country on whether or not doctors should be legally allowed to prescribe heroin as prescription to drug addicts, as part of a comprehensive drug-use reduction program. 68% of the voting public approved the new initiative!

This is a ground-breaking move and gained a lot of international attention. I also supported this change in law. Effectively the program has been in place since 1994, but now it is supported by law.

Some people might abhor at the notion of the government handing out heroin, but you have to see it in context. Switzerland, especially Zurich, had a huge drug problem in the 80s and early 90s, with addicts gathering in "needle park" in Zurich and openly dealing and shooting up heroin and other hard drugs.

After this program began, there was a 180 turnaround and drug addicts were given safe injection sites, which are basically like clinics that provide sterile clean syringes, facilities, etc. These measures were made a part of a long-term solution to slowly wean drug addicts off the drug, as part of a rehabilitation program. Also, drug-related crime plummeted, as addicts no longer had to commit crimes to attain the necessary funds to get drugs. They can also more easily reintegrate into society since the issue of drug procurement has been removed, which means they can begin to start a job again. Of course the goal of the program is to wean drug addicts off heroin, but its a pragmatic course that realizes drug abuse cannot be stopped with mere repression alone. In fact, the success of the program has caused other countries to implement ideas from it, for example the UK and the Netherlands, and even Canada.

What do you all think of this?

Links:
BBC NEWS | World | Europe | Swiss approve prescription heroin
Heroin Legalization Program Approved By Swiss Voters

Quote:
The world's most comprehensive legalized heroin program became permanent Sunday with overwhelming approval from Swiss voters who simultaneously rejected the decriminalization of marijuana.

The heroin program, started in 1994, is offered in 23 centers across Switzerland. It has helped eliminate scenes of large groups of drug users shooting up openly in parks that marred Swiss cities in the 1980s and 1990s and is credited with reducing crime and improving the health and daily lives of addicts.

The nearly 1,300 selected addicts, who have been unhelped by other therapies, visit one of the centers twice a day to receive the carefully measured dose of heroin produced by a government-approved laboratory.

They keep their paraphernalia in cups labeled with their names and use the equipment and clean needles to inject themselves _ four at a time _ under the supervision of a nurse, and also receive counseling from psychiatrists and social workers.

The aim is to help the addicts learn how to function in society.

The United States and the U.N. narcotics board have criticized the program as potentially fueling drug abuse, but it has attracted attention from governments as far away as Australia and Canada, which in recent years have started or are considering their own programs modeled on the system.

The Netherlands started a smaller program in 2006, and it serves nearly 600 patients. Britain has allowed individual doctors to prescribe heroin since the 1920s, but it has been running trials similar to the Swiss approach in recent years. Belgium, Germany, Spain and Canada have been running trial programs too.

Sixty-eight percent of the 2.26 million Swiss voters casting ballots approved making the heroin program permanent.

By contrast, around 63.2 percent of voters voted against the marijuana proposal, which was based on a separate citizens' initiative to decriminalize the consumption of marijuana and growing the plant for personal use.

Olivier Borer, 35, a musician from the northern town of Solothurn, said he welcomed the outcome in part because state action was required to help heroin addicts, but he said legalizing marijuana was a bad idea.

"I think it's very important to help these people, but not to facilitate the using of drugs," Borer said. "You can just see in the Netherlands how it's going. People just go there to smoke."

Sabina Geissbuehler-Strupler of the right-wing Swiss People's Party, which led the campaign against the heroin program, said she was disappointed in the vote.

"That is only damage limitation," she said. "Ninety-five percent of the addicts are not healed from the addiction."

Health insurance pays for the bulk of the program, which costs 26 million Swiss francs ($22 million) a year. All residents in Switzerland, which has a population of 7.5 million, are required to have health insurance, with the government paying insurance premiums for those who cannot afford it.

Parliament approved the heroin measure in a revision of Switzerland's narcotics law in March, but conservatives challenged the decision and forced a national referendum under Switzerland's system of direct democracy.

Jo Lang, a Green Party member of parliament from the central city of Zug, said he was disappointed in the failure of the marijuana measure because it means 600,000 people in Switzerland will be treated as criminals because they use cannabis.

"People have died from alcohol and heroin, but not from cannabis," Lang said.

The government, which opposed the marijuana proposal, said it feared that liberalizing cannabis could cause problems with neighboring countries.

On a separate issue, 52 percent of voters approved an initiative to eliminate the statute of limitations on pornographic crimes against children before the age of puberty.

The current Swiss statute of limitations on prosecuting pedophile pornography is 15 years. The initiative will result in a change in the constitution to remove that time limit.
 

Beauty Mark

Well-known member
I think a marijuana decriminalization makes more sense. Of all the drugs to do, I'd rather have people using that than almost anything, even alcohol.

I personally stand that drugs should be legally allowed in some capacity. I think this does make sense, though, if they are truly weening heroin users off of it. From what I understand, heroin isn't something you can just quit cold turkey.
 

user79

Well-known member
In the same referendum there was also an initiative for decriminalizing marijuana. The majority voted against it. I understand it because it creates problems with neighboring countries that do not have the same liberal laws, like in the Netherlands....everyone just goes there to smoke. I think people were against possible "drug tourism".

Also, the point of the law is not to encourage heroin usage at all, it's seen as a last resort.
 

kimmy

Well-known member
i hope the american government doesn't get any ideas. in switzerland, it seems like this works...but here, i'd be totally against it.
 

PBunnieP

Well-known member
Oh my gosh, this is one of the on going problems in my city. Along with being one of the most beautiful cities in the world, good old Vancouver is a DRUG HAVEN and I think a while ago there was some simliar marijuana law passed here as well as safe-injection sites set up downtown.
I think these kinds of laws just creates too many possiblities for further development of drug issues in big cities with misuse and other fraud problems. They should be putting up better restrictions rather than new allowances.
 

Austrian_Babe

Well-known member
Are there no methadone programs in Switzerland? (Methadone is a synthetic opiod that´s used in hospital and pharmacy controlled programs to wean Heroin users off the drug, it´s quite successful).
Or maybe they did mean Methadon by prescription Heroin?
 

user79

Well-known member
Methadone was initially used but actually there were problems associated with methadone that made the drug not an adequate replacement. Addicts would take the methadone, but still have the need to take heroin as well, so the problem was not solved at all. I don't know the exact details of why methadone was foregone, but I did read that the methadone did not work out sufficiently. I'm not sure if methadone is maybe also used parallel to heroin, depending on the patient.

I'm just wondering what that government controlled heroin drug lab looks like!!! Bwahahah...

Quote:
I think these kinds of laws just creates too many possiblities for further development of drug issues in big cities with misuse and other fraud problems. They should be putting up better restrictions rather than new allowances.

Actually, since this program has been in place in my country since the 90s, quite the opposite has been shown to be true. Especially in Zurich, one of the biggest cities of Switzerland. I know it sounds crazy, but so far it has really worked out, which is why such a high number of voters approved the program. In our system of government, the voting public can actually decide on certains laws and initiatives.

I grew up in Vancouver and am very familiar with the issues there, especially on East Hastings...that place is crazy. Obviously repression has not worked at all there, and the problem with repression is that the addicts won't lose their addictions overnight just because it's illegal. Where there's such a strong addiction like with heroin, addicts will find a way to obtain what they need. If there's only repression, the drug scene just turns to crime, rather than if it is regulated and controlled by the authorities.
 

NutMeg

Well-known member
Hey MissChievous, this is a little OT but what part of Switzerland are you from? I have a sneaking suspicion that we might be related, because we have the same last name and my family is Swiss.
 

abbyquack

Well-known member
Sorry if this a dumb question, but I'm still confused about how this weans addicts of heroine? Because isn't that the problem with rehab, people don't quit until they're ready, right? Like rehab isn't going to do any good if the person doesn't want to change. So how does giving people heroine wean them off the drug?

I do think it's a good idea though to have it in a controlled environment so they don't commit crimes to get it. Even though it's like supporting drugs, it's making the communities safer. Choose your battles, right?

Interesting article, thanks for sharing!
 

Austrian_Babe

Well-known member
Quote:
Originally Posted by MissChievous
Methadone was initially used but actually there were problems associated with methadone that made the drug not an adequate replacement. Addicts would take the methadone, but still have the need to take heroin as well, so the problem was not solved at all. I don't know the exact details of why methadone was foregone, but I did read that the methadone did not work out sufficiently. I'm not sure if methadone is maybe also used parallel to heroin, depending on the patient.

I'm just wondering what that government controlled heroin drug lab looks like!!! Bwahahah...


hm yeah of course addicts can still fool the doctors and do other drugs on the side. I don´t know enough about the Methadone program, I just assumed it works because that´s what I heard. The regulations are very strict, but of course once the addict leaves the hospital/pharmacy it´s up to themselves what to do with their lives.

I remember not too long ago here in Austria the Green Party (the most liberal party) suggested the same thing, safe facilities were actually nurses or EMTs would inject the addicts properly and provide the heroine (by prescription of course). The public and the other parties pretty much dismissed that idea instantly, even though it apparently works out fine in some countries.

The main idea behind this wasn´t to help the addicts though, it´s to keep them away from the tourist areas of Vienna. Having all of them hanging out at the subway stations in the 1st disctrict (which is nice and warm of course, so a lot of homeless people hang out there as well) sheds a bad light on the City.

I´m all for heroine or marijuana by prescription if it turns out to be an effective "treatment".
 

Shimmer

Well-known member
Heroin is a hellish drug. It's absolutely the worst thing a person can do to his or her body, bar none. I hate the idea of legalizing it in any form. :/
 

user79

Well-known member
Oh, I agree. But this initiative is not legalizing private possession or dealing of heroin, it's not making light of the drug whatsoever, you can still get busted by the cops for those things. It certainly does not promote the notion of using heroin or other drugs, it is still seen as something utterly harmful and destructive. There are very stringent criteria for which persons are accepted into this program, it's not like anyone can just roll up to a drive by window and ask for some heroin anytime they want, it's done under medical supervision and strict controls. It's a holistic program that realizes simply forbidding heroin is not going to solve the problem at all. It's a program to ultimately help addicts lead better lives that allow them to reintegrate into society and to cut down on crime. And the results have shown that it is effective in all these areas.
 

ratmist

Well-known member
Quote:
Originally Posted by MissChievous
Oh, I agree. But this initiative is not legalizing private possession or dealing of heroin, it's not making light of the drug whatsoever, you can still get busted by the cops for those things. It certainly does not promote the notion of using heroin or other drugs, it is still seen as something utterly harmful and destructive. There are very stringent criteria for which persons are accepted into this program, it's not like anyone can just roll up to a drive by window and ask for some heroin anytime they want, it's done under medical supervision and strict controls. It's a holistic program that realizes simply forbidding heroin is not going to solve the problem at all. It's a program to ultimately help addicts lead better lives that allow them to reintegrate into society and to cut down on crime. And the results have shown that it is effective in all these areas.

I think this is why it's a good thing. For a significant proportion of the heroin user population, throwing them in jail doesn't stop the addiction. If anything, getting drugs in jail is easier than getting it on the street. Outright bans clearly don't work either. It just drives the problem underground.

It's so easy to wish that the problem would just go away by criminalising the behaviour, but it doesn't work that way. Addiction is a disease and needs to be treated as such.

That said, only those who want to get help reach for help. Some addicts just don't want to be helped.
 

ImMACnificent

Well-known member
Quote:
Originally Posted by Austrian_Babe
Are there no methadone programs in Switzerland? (Methadone is a synthetic opiod that´s used in hospital and pharmacy controlled programs to wean Heroin users off the drug, it´s quite successful).
Or maybe they did mean Methadon by prescription Heroin?



Methadone is still somewhat effective, but a lot of doctors/agencies/rehabilitation centers/etc are turning to Buprenorphine (also known as Suboxone). It has an opioid blocker in it so if you have Suboxone in your system, and try to get high, you won't. Our agency uses it, works for some, not for others. But I have quite a few clients who use Methadone to get high, which is why Suboxone has kind of become the 'new thing' because you can barely get any high from Suboxone, supposedly, but of course you can with Methadone.
 
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