This book explores the increasingly broad terrain of drugs in American society with an emphasis on politics. It begins with the War on Drugs initiated by President Richard Nixon in the early 1970s and extends to the current day with the vast power of the pharmaceutical industry (Big Pharma), expansion of global criminal syndicates, militarization of the drug war, and struggles between states and federal government over the legalization of marijuana. From the beginning, the drug war produced increasing authoritarian tendencies in American politics, visible not only in swollen national bureaucracies and burgeoning police functions, but in the rise of the largest prison-industrial complex in the world, a surveillance state, and the weakening of personal privacy and freedoms. At the same time, the legal drug system with some of the most profitable business operations anywhere has expanded to create a huge medical edifice, affecting the delivery of health care, development of modern psychology, evolution of the treatment industry, and many other areas of contemporary life, including the world of sports and recreation. Although prohibitionism remains very much alive, targeting a wide range of illicit drugs, today it is the hundreds of widely-marketed chemical substances sold by Big Pharma that result in some of the most serious health problems affecting society. This book explores the long historical trajectory of both the War on Drugs and the growth of Big Pharma, focusing on social outcomes and political consequences in the US and beyond.

Offers new and cutting-edge research on the role of drugs in Iranian society and government. This title is also available as Open Access on Cambridge Core.

Historians have long neglected Afghanistan's broader history when portraying the opium industry. But in Poppies, Politics, and Power, James Tharin Bradford rebalances the discourse, showing that it is not the past forty years of lawlessness that makes the opium industry what it is, but the sheer breadth of the twentieth-century Afghanistan experience. Rather than byproducts of a failed contemporary system, argues Bradford, drugs, especially opium, were critical components in the formation and failure of the Afghan state. In this history of drugs and drug control in Afghanistan, Bradford shows us how the country moved from licit supply of the global opium trade to one of the major suppliers of hashish and opium through changes in drug control policy shaped largely by the outside force of the United States. Poppies, Politics, and Power breaks the conventional modes of national histories that fail to fully encapsulate the global nature of the drug trade. By providing a global history of opium within the borders of Afghanistan, Bradford demonstrates that the country's drug trade and the government's position on that trade were shaped by the global illegal market and international efforts to suppress it. By weaving together this global history of the drug trade and drug policy with the formation of the Afghan state and issues within Afghan political culture, Bradford completely recasts the current Afghan, and global, drug trade.

One of the most surprising developments in Mexico's transition to democracy is the outbreak of criminal wars and large-scale criminal violence. Why did Mexican drug cartels go to war as the country transitioned away from one-party rule? And why have criminal wars proliferated as democracy has consolidated and elections have become more competitive subnationally? In Votes, Drugs, and Violence, Guillermo Trejo and Sandra Ley develop a political theory of criminal violence in weak democracies that elucidates how democratic politics and the fragmentation of power fundamentally shape cartels' incentives for war and peace. Drawing on in-depth case studies and statistical analysis spanning more than two decades and multiple levels of government, Trejo and Ley show that electoral competition and partisan conflict were key drivers of the outbreak of Mexico's crime wars, the intensification of violence, and the expansion of war and violence to the spheres of local politics and civil society.

"Tobbell analyzes the political and economic history of the alignment of the pharmaceutical industry, academic institutions and their faculty and organized medicine. This book is essential reading for policymakers and their staff as well as persons who study the history of health policy and those who contribute to it through medical research, advocacy and journalism. " -Daniel Fox, author of The Convergence of Science and Governance: Research, Health Policy, and American States "Dominique Tobbell’s vivid, balanced and probing account of pharmaceutical politics is a significant, needed analysis of the relationships between the pharmaceutical industry, university researchers, the medical profession and government in the Cold War period. More than this, Pills, Power, and Policy shows why it continues to be difficult to agree in the United States on the relative roles of corporate enterprise, government regulation, technological innovation, freedom to prescribe, and consumer marketing and protection, all played out against the rising costs of health care. Timely and thought-provoking."--Rosemary A. Stevens. DeWitt Wallace Distinguished Scholar, Department of Psychiatry, Weill Cornell Medical College "A superb and compelling account of the creation of one of America’s most reviled entities: Big Pharma. With clarity and subtlety, Pills, Power, and Policy weaves together the political, economic, and the medical to reveal the entangled history behind our modern pharmaceutical predicament."--Andrea Tone, Ph.D., Professor of History & Canada Research Chair in the Social History of Medicine, McGill University “Pills, Power and Policy provides an outstanding description and analysis of the evolution of drug policy. It is an extremely important contribution to our understanding of the political, scientific, and economic nature of pharmaceutical regulation." -Daniel S. Greenberg, Washington journalist and author of Science, Money and Politics: Political Triumph and Ethical Erosion

"An important and timely book. The authors capture the dynamics of drug debate with uncanny accuracy. Too often, treatment and prevention get the short end of the stick in Congress, and this book explains why. Drug War Politics makes a compelling case for bringing public health principles to bear on the drug epidemic, and is essential reading for serious students of the drug issue."—Senator Edward M. Kennedy "A thoughtful analysis of the most fundamental and troublesome social problem in America. It reaches behind rhetoric and starts making sense about how we can go about saving ourselves from two addictions: the terrible affliction of drugs and the easy talk that makes the rest of us feel good but does not deal with the problem."—Kurt Schmoke, Mayor, City of Baltimore "This well-informed book shows how political expediency and a punitive conventional wisdom have combined over the past decades to support a national drug policy that fills our prisons, depletes our budget, and destroys our poor. This is a wonderfully sane analysis of what has become a major form of national insanity."—Frances Fox Piven, City University of New York "We've needed a new way of thinking about the drug problem for a long time. Now we have it. Drug War Politics is one of the best efforts to reconceptualize a major aspect of crime, especially victimless crime, that I have seen since Morris and Hawkins' The Honest Politician's Guide to Crime Control of nearly 30 years ago."—Theodore J. Lowi, Cornell University "A compelling analysis of our failure. The provocative public health solutions it proposes to the drug-related crime, violence, and despair that ravage many of our inner cities show that we can give people a chance—a chance to fight addiction and build better lives."—Congressman John Lewis "We will never be able to arrest, prosecute, or jail our way out of the drug problem. To understand why, read this book. The evidence is overwhelming: we need a radical change in the mission and mandate of drug control."—Nicholas Pastore, Chief of Police, New Haven "This is the smart citizens' guide to the drug policy debate—to why we spend so much time and money on things that don't work, and to where we can look for guidance for things that do."—Barbara Geller, Director, Fighting Back, New Haven

Why have our drug wars failed and how might we turn things around? Ask the authors of this hardhitting exposè of U.S. efforts to fight drug trafficking and abuse. In a bold analysis of a century's worth of policy failure, Drug War Politics turns on its head many familiar bromides about drug politics. It demonstrates how, instead of learning from our failures, we duplicate and reinforce them in the same flawed policies. The authors examine the "politics of denial" that has led to this catastrophic predicament and propose a basis for a realistic and desperately needed solution. Domestic and foreign drug wars have consistently fallen short because they are based on a flawed model of force and punishment, the authors show. The failure of these misguided solutions has led to harsher get-tough policies, debilitating cycles of more force and punishment, and a drug problem that continues to escalate. On the foreign policy front, billions of dollars have been wasted, corruption has mushroomed, and human rights undermined in Latin America and across the globe. Yet cheap drugs still flow abundantly across our borders. At home, more money than ever is spent on law enforcement, and an unprecedented number of people—disproportionately minorities—are incarcerated. But drug abuse and addiction persist. The authors outline the political struggles that help create and sustain the current punitive approach. They probe the workings of Washington politics, demonstrating how presidential and congressional "out-toughing" tactics create a logic of escalation while the criticisms and alternatives of reformers are sidelined or silenced. Critical of both the punitive model and the legalization approach, Drug War Politics calls for a bold new public health approach, one that frames the drug problem as a public health—not a criminal—concern. The authors argue that only by situating drug issues in the context of our fundamental institutions—the family, neighborhoods, and schools—can we hope to provide viable treatment, prevention, and law enforcement. In its comprehensive investigation of our long, futile battle with drugs and its original argument for fundamental change, this book is essential for every concerned citizen.