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Carl L. Hart

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Remove the Knife and Heal the Wound: No More Crack/Powder Disparities

Posted: 07/26/2012 3:25 pm

Over the past 14 years, I have given thousands of doses of crack cocaine to people. I do this as part of my research to understand how the drug affects the brain, behavior and physiology. My findings are published in some of the most prestigious scientific journals but rarely are they included in public policy discussions about whether we should eliminate the different penalties for powder and crack cocaine. Without these data we run the risk of making policy decisions based on anecdote and misinformation, which, in this case, led to egregious racial discrimination. The human cost of this mistake is incalculable, as hundreds of thousands of men and women, including my own family members, languish in prison as a result.

In the past, I avoided speaking about my research publicly because it is potentially controversial. Some may, for example, describe me as a "taxpayer-funded drug pusher, giving 'crackheads' what they want." Others may question the ethics of giving crack cocaine for research purposes. Over the course of my career, however, I have come to the conclusion that it would be unethical not to conduct this type of research because it provides a wealth of information about the real effects of crack cocaine and the findings have important implications for public policy and the treatment of cocaine addiction.

Two recent developments deemed as considerable progress toward enhancing racial justice force me now to speak out about my research on crack cocaine. The first development was the Fair Sentencing Act of 2010, which decreased, but did not eliminate, the sentencing disparity between crack cocaine and powder cocaine offenses. The second was the recent Supreme Court ruling that the Fair Sentencing Act will also apply to people whose offenses occurred before the law was passed but were sentenced after it passed.

Before explaining why I believe these developments are insufficient, I need to provide a brief history of how we got here. In 1986, Congress passed the Anti-Drug Abuse Act, which stated that a person convicted of selling 5 grams of crack cocaine was required to serve a minimum sentence of 5 years in prison. To receive the same sentence for trafficking in powder cocaine, an individual needed to possess 500 grams of cocaine -- 100 times the crack cocaine amount.

At the time, crack cocaine was believed to be so powerfully addictive that even first-time users would become addicted. It had also been linked to the deaths of two promising young athletes -- Len Bias and Don Rogers -- although later it became clear that the athletes had taken powder and not crack cocaine. Nonetheless, there remained a public perception that crack cocaine produced unpredictable and deadly effects. By 1988, concern about the drug had increased so much that penalties of the 1986 law were extended to persons convicted of simple possession, even first-time offenders. Simple possession of any other illicit drug, including powder cocaine or heroin, by a first-time offender carried a maximum penalty of one year in prison.

When the furor about crack cocaine had settled, some began raising concerns that crack/powder laws disproportionately targeted blacks. A whopping 85% of those sentenced for crack cocaine offenses are black, despite the fact that the majority of users of the drug are white. Even presidential candidate Barack Obama voiced strong concerns, "...let's not make the punishment for crack cocaine that much more severe than the punishment for powder cocaine when the real difference between the two is the skin color of the people using them...That will end when I am president." On August 3, 2010, President Obama signed the Fair Sentencing Act into law, reducing the sentencing disparity between powder and crack cocaine from 100:1 to 18:1. And on June 21, 2012, the highest court ruled that the new law can be applied retroactively, but only for those who were sentenced after the law was passed.

So why isn't this real progress? From a scientific perspective, any sentencing disparity for crack and powder cocaine makes no sense. Based on my studies with all forms of cocaine, there are no pharmacological differences between crack and powder cocaine to justify their differential treatment under the law. Both forms of cocaine produce identical effects; these effects are predictable. That is, as the dose is increased, so are the effects, whether they are blood pressure and heart rate OR subjective "high" and addictive potential. The way the drug is taken differs based on its form, however. Crack is smoked, whereas powder is swallowed, snorted, or injected. More intense effects are observed when the drug is smoked or injected, but the drug itself remains the same. To punish crack offenses more harshly than powder offenses is like punishing more harshly those who are caught smoking marijuana than those caught eating marijuana-laced brownies.

Not only have I learned valuable information about cocaine itself, but I have also learned that much of what we think we know about crack cocaine users is wrong. A common misconception is that virtually all users of the drug are addicted. This is simply inaccurate. The overwhelming majority of users use the drug without problems. This is not to condone cocaine use or encourage illegal activity. I am simply stating the facts. Another persistent stereotype is that most crack cocaine users are impulsive, focused only on getting another hit of the drug. Demanding schedules are imposed on research participants in my studies; they are required to do considerable planning, inhibit behaviors (e.g., drug use) that may be inconsistent with meeting study schedule requirements, and delay immediate gratification. Most meet these demands with no problems.

In 1964, when asked whether the U.S. had made sufficient progress towards racial equality, Malcolm X said "If you stick a knife in my back nine inches and pull it out six inches, there is no progress... The progress is healing the wound." Accordingly, I think it's time for us to eliminate the sentencing differences and apply this change retroactively to all crack cocaine offenders. Such changes would be in line with the scientific evidence and the ethical thing to do. More importantly, it would be a significant and honest step toward healing the wounds of racial injustice.

Carl L. Hart is an associate professor of psychology in the departments of psychiatry and psychology at Columbia University and a former member of the United Nations reference group for intravenous drug use and HIV.

 
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Over the past 14 years, I have given thousands of doses of crack cocaine to people. I do this as part of my research to understand how the drug affects the brain, behavior and physiology. My findings ...
Over the past 14 years, I have given thousands of doses of crack cocaine to people. I do this as part of my research to understand how the drug affects the brain, behavior and physiology. My findings ...
 
 
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02:21 PM on 08/18/2012
The repercussion of these unfair drug sentences is destroying us all. A well-written article; quite insightful.
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Jessica Holiday
Social Liberal - Fiscal Conservative
11:37 AM on 07/30/2012
Cocaine is a helluva drug.
02:23 AM on 07/30/2012
Very informative and compelling.

In my country, disparity lies not in the words (i.e. cocaine is cocaine in whatever form), but in the implementation of the law. Many times, it is the poor that experience the full brunt of the law. They are those who do not have the means nor the clout to buy their way out, to demand for their rights, or to hide in rehab.

Coming from this perspective, I am trying to understand the sentencing disparity vis-Ă -vis the 85% statistic. Is it because blacks are more likely targets for *arrest (i.e. regardless of substance)? Or more likely to be *sentenced, e.g. once incarcerated? Or is it because crack cocaine users (regardless of race) are more likely to be targets for arrest & that there are more blacks using crack cocaine then powder cocaine? I apologize if the questions may seem simplistic; just that, in trying to understand, I think am missing a step in the logic sequence.

Be that as it may, one cannot help wonder as to what had shaped the Fair Sentencing Act. Given that the President had acknowledged "the real difference between the two is the skin color of the people using them," it is hard to reconcile that he could sign into law a (mere) reduction – not elimination – of the sentencing disparity. And it similarly defies logic that the law, as passed, was not made retroactive for all. What could have been the other considerations?
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NoMoreMoneyChangers
12:17 AM on 07/29/2012
Can anyone even justify why their is a crack/cocaine disparity? I've never heard the explanation.
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markspence
08:49 PM on 07/30/2012
"Consistency is the hobgoblin of people with little minds."

Ralph Waldo Emerson
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Judy75201
Ms. "No Limit" Knicker
07:29 PM on 07/28/2012
Every time a law is put in place, an entire new class of "criminal" is created.
09:36 PM on 07/27/2012
Thanks Carl! Superb work.
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GlennWatson
Two million fans
09:58 AM on 07/27/2012
It was black legislatures who first asked for the higher crack penalties.
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NoMoreMoneyChangers
12:17 AM on 07/29/2012
Well, thy are asking for less disparity now but the prison lobby is fighting this.
11:19 PM on 07/26/2012
Don't people make a choice to use or sell drugs? If they chose to do something illegal, they should be accepting of the punishment. Stay out of trouble is what this article fails to address.
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djelimon17
what's this thing for?
10:58 AM on 07/28/2012
Let the punishment fit the crime is what you are failing to address
12:06 PM on 07/29/2012
Could you miss the point any more? I don't think so.
ThinkCreeps
Seriously, it's time.
05:54 PM on 07/26/2012
Maybe it's in fact time to medicalize not criminalize at all?

The production, distribution and sale of columbian marching powder is a huge industry that kills and damages the lives of millions of people. Tax it at 1500% and get it on sale. It'll lose some luster if it's not illicit, and it'll bring in revenue.

Crack (like meth) is a bit harder to work out, as its users are likely to be less wealthy, and more likely to steal to buy it, and likely to sell it if they're given it in a medical program. However, how much more damaging and pointless could that be than the `war on drugs'?
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hereyagobeach
08:56 PM on 07/26/2012
Thats silly. If you do that you would simply buy the powder and cook the crack your self, its an easy process. Did you read the article? The folks smoking crack are the same as those snorting lines.
ThinkCreeps
Seriously, it's time.
12:54 AM on 07/27/2012
The effects of both are the same. The users are not, hence the sentencing disparity. 
If the powder was careful priced, cooking legally-obtained powder wouldn't likely be a profitable route to making crack. If there was a legal powder market, then the crack market might just vanish. Could it be less effective or more damaging than the current plan?
02:57 PM on 07/27/2012
War on Drugs
War on Poverty
War on Terrorism
all massive failures you may be on to something.
04:52 PM on 07/26/2012
IIRC, the people of the very communities that were torn apart by crack were the ones that suggested that crack be given harsher sentences. Its ironic that these same people are now opposing the harsher sentences. Charlie Rangel, for example, was a co-sponsor of the bill that provided harsher punishment for crack cocaine. (and now he's among the most critical of it).