Heroin maintenance is, in manyways, like euthanasia. It is perhaps agood idea if all the details can beworked out. Unfortunately in bothcases, it turns out that there aresticky problems that simply do notyield to the kind of line drawingwhich a legal-and social-systemsuch as ours must do.Does this mean that there isnothing we can do about our heroinproblems? The answer, it is hoped, isno. There may be no panacea, butsome things can be done, particularlyin our policies towards userswho are not otherwise involved incriminal activities.Although the cumulative effect ofthis and many other small improvementsmay eventually lower greatlythe cost of heroin in our society, itlooks very much as if no dramaticchange will rescue us from the probcentiveto fail during the trial periodon methadone so that he could thereafterreceive heroin.Cultural ControlsMost discussions of heroin maintenancefocus on the short-term effectsof freeing heroin addicts from thedemands of an illegal habit. Rarelydo we see any discussion of the longtermeffects of heroin maintenanceon the social control of heroin use.Yet this is a worrisome problem. Thepresent cultural constraints againstheroin addiction, and even againstany use of the drug, are probably amajor factor in keeping down thepresent number of addicts.The mere fact of large-scale legalsupply of the drug by the governmentand by the medical professionmight broadcast the message thatheroin is not that bad. This mightlessen the social disapproval ofheroin, which acts as a barrier tomany who might otherwise try thedrug. In addition, the fact that an addictcould be maintained on the verydrug that has caused his problemmight make addiction itself lessthreatening. This might weaken thefear of addiction, which not onlyprevents many from initially tryingthe drug but also acts to impel manyoccasional users to control theirintake.The final problem with heroinmaintenance is in fact a broader difficultywhich besets any maintenancesystem or indeed any attempted cureof heroin addicts. Our experiencewith methadone maintenance hastaught us that though stabilizationon an opiate is probably a necessarycondition of an addict's social productivityand personal well-being, itis by no means a sufficient condition.By the time they enter maintenance,addicts typically are unable to copewith anger, frustration, or anxietywithout turning to one drug oranother to ease those feelings. Oftenboth their friends and their valuesare deeply rooted in the addictculture. It is likely that they sufferfrom a woeful lack of job skills, andin many cases they seem unable todelay their gratification long enoughto gain any reward less immediatethan their drug use.If our major goals in maintainingaddicts on heroin are the reductionof their criminality and their restorationto productive life, we should beaware that not all of their criminalitymay be due to their addiction andthat most have never led what wewould call productive lives. The addicts'many problems apart fromtheir drug use are not, of course,automatically solved by maintenance.Though maintenance maypermit their amelioration, the existenceof these additional problems,which must also be solved before thefull benefit of maintenance can berealized, may reduce our enthusiasmfor any kind of maintenance system,and especially for the most expensiveand difficult variety- heroinmaintenance.Conclusionlem. Admittedly, the drug area is fullof surprises. (Who would have predictedseven years ago that cocainewould bring more money into the illegalmarket than heroin?) The importantthing is to do the best we can.After all, if the heroin problem werean easy one, we probably would havesolved it by now.•* * *This article is drawn from ProfessorKaplan's latest book, The HardestDrug: Heroin and Public Policy (<strong>University</strong>of Chicago, <strong>1983</strong>). The extensivereferences of the original areherein omitted to save space.Professor Kaplan is a leading expert inthe field ofdrug control and author ofthe book Marijuana: The New Prohibition(1970). He earned both hisundergraduate and law degrees atHarvard (LLB '54), where he was amember of the law review. He thenclerkedfor U. S. Supreme CourtJusticeTom Clark, followed by study at the<strong>University</strong> of Vienna in criminology.In 1957 he was a special attorney forthe U. S. Department of Justice, andfrom 1958 to 1961 he served as assistantU. S. attorney in the NorthernDistrict of California. A member ofthe <strong>Stanford</strong> Law faculty since 1965,he holds the Jackson Eli Reynolds Professorship.His principal Law Schoolcourses are Criminal Law, Evidence,and Criminal Procedure.66 <strong>Stanford</strong> <strong>Lawyer</strong> <strong>Fall</strong> <strong>1983</strong>
PRISON LABOR continuedworking Californians on the outside?There are, I believe, at least twofloodcontrol work and prison construction- that the legislatureshould now move forward on. Bothkinds of work, while highly beneficialto the state's citizenry, would beprohibitively costly without prisonlabor. Restrictions on a third kind ofwork-manufacture of products forgovernmental agencies - should alsobe eased.Some observors have cautionedthat an expansion of prison laborprograms could eventually lead to a 'Soviet-style Gulag system of laborcamps. This is a legitimate concern,and it must be admitted that prisonlabor does entail some element ofcoercion. The difference, however,is that the Soviet system of prisonerexploitation is carried on in secrecyby a regime possessing unbridledadministrative discretion. Americanprisons, by contrast, are subjected toheavy and regular doses of outsidescrutiny from the press, the legislature,relatives of inmates, andacademics. Moreover, our prisonoperations are governed by detailedwritten rules emanating from allthree branches of government, withappeal rights built into each step ofthe incarceration process.But to those who feel that workprograms are detrimental to the prisonersor detract from the rehabilitativeprocess, I can only ask that theyconsider the alternative. Idleness ona scale encompassed in the currentCalifornia prison system presents afrightening spectre. An idle institutionis much more difficult to manageand secure than a productive one.The attitude and environment ofboth staffand inmate depends uponthe amount and nature of productivework being done. The alternative towork is a "lock down" of more andmore inmates in 40-square-foot cellsfor twenty or more hours a day- in-mates who have nothing but time ontheir hands.The eminent penologist, MaxGrunhut, said, "Throughout history,the rise and fall of prison systemscoincided with the changing conditionsof prison work." California'sprison system has been declining inquality for two decades, and the rateof decline escalates with each passingyear. Threatened by an expandinginmate population and a shrinkingpurse, our prison system is beingchallenged as never before.In order to meet that challenge, wemust change the character of Californiacorrections by making productivelabor the object, and notmerely the adjunct, of incarceration.To do otherwise is to accept the continuingdecline and escalating cost ofa prison system of which no one canbe proud.•Professor Sher, a member ofthe <strong>Stanford</strong>Law faculty since 1957, is nowseving his second term in the CaliforniaState Assembly, where he chairsthe Committee on Criminal Law andPublic Safety.Credits:Photography: cover, John Sheretz;p. 2, Jane Reed; 10, Bank ofAmerica; 12, Sears; 19, <strong>University</strong>of Hawaii; 28-46, John Sheretz; 47(Schmidt), Artie Streiber, <strong>Stanford</strong>Daily; 47-9 (faculty photos),<strong>Stanford</strong> News and Publications; 50(moot court), John Sheretz; 50(Zotts) and 51 (Steyer), MicheleFoyer; 51 (Merryman), Henry ElyAix; 52 (both), 53, and 56 (both),<strong>Stanford</strong> News and Publications; 55and 57, John Sheretz; 58, InstructionalMedia, <strong>Stanford</strong>; 59,<strong>Stanford</strong> Law School; 69, <strong>Stanford</strong><strong>University</strong> Archives; and 90(Chicago), Kee Chang.Drawings: pp. 4-8, BarbaraMendelsohn; 22-27, Steve Rouett;57, Honore Daumier, "Scene from aMoliere Play," Glasgow Museumand Art Gallery; and 86 (map),Nancy Singer.<strong>Fall</strong> <strong>1983</strong> <strong>Stanford</strong> <strong>Lawyer</strong>67
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RFAll 1983VOL. 18, NO.1Heroin Optio
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jah(e,oYCONTENTSSTANFORD lAWYEREdit
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Business Law vs. Public Interest La
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By John Kaplanjockson Eli ReynoldsP
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maintenance almost entirely up toth
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smaller percentage of British addic
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that, because of regulation, cannot
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of a whole variety of new mortgagei
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- Page 80 and 81: October 11Washington, DC LawSociety
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Clyde E. Tritt'49William W. VaughnS
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BEQUESTS AND DEFERRED GIVINGBequest