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Alex Wodak's avatar

Bill Clinton’s successful 1992 campaign for President of the United States often used the phrase ‘it’s the economy, stupid’ to draw attention to the difficult economic times which had developed during President George HW Bush’s term of office. This campaigning devise worked well for Clinton and undoubtedly helped him to become President. But Australia’s True Believers in sky high cigarette excise and quasi prohibition of vapes have got away so far with ignoring the economic cause of the crime wave they have caused as well as the increased economic hardship jacking up cigarette prices have led to especially for low income smokers during a cost of living crisis. Australia’s hardline advocates for zealous implementation of tobacco control have produced a plethora of nasty unintended consequences. Meanwhile our political, media and academic supporters of these policies have provided a Masterclass in how to ignore reaping what you sowed. But ‘things that can’t go on forever, don’t’. One of these days, the music will stop and it will be crystal clear for all regarding why it all went pear shaped and who recommended the policy. In the thirty years of careful monitoring of HIV Infection among Australians who inject drugs, the Kirby Institute found that HIV prevalence varied between 0.8% and 2.5%. This was achieved because harm reduction was the guiding principle of policy. Authorities recognised that law enforcement could never eradicate the heroin market in Australia. They accepted that what was needed was an inclusive approach with explicit peer based education about the basic survival facts people who inject drugs needed to know, needle syringe programs, a much liberalised and greatly expanded methadone profane and user organisations run by people who inject drugs for people who inject drugs. In the process, many lives, many hospitals beds, much misery and many dollars were saved. No wonder the first finding of the recent NSW Legislative Council report on smoking and vaping policy was to restore harm minimisation as the central guiding principle of Australia’s response to tobacco. But around 2011, then Health Minister Nicola Roxon accepted advice to adopt a tobacco control policy which excluded harm reduction. Is there any wonder that the results of leaving out harm reduction was a policy train crash?

Kiwi Tom's avatar

Corruption, stupidity 🙄, sheer igerrance or ??¿¿

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