A Battle With the Brewers on Pine Ridge

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I have two thoughts regarding this horrific article as reported by Nicholas Kristof:

Pine Ridge, one of America’s largest Indian reservations, bans alcohol. The Oglala Sioux who live there struggle to keep alcohol out, going so far as to arrest people for possession of a can of beer. But the tribe has no jurisdiction over Whiteclay because it is just outside the reservation boundary.

So Anheuser-Busch and other brewers pour hundreds of thousands of gallons of alcohol into the liquor stores of Whiteclay, knowing that it ends up consumed illicitly by Pine Ridge residents and fuels alcoholism, crime and misery there. In short, a giant corporation’s business model here is based on violating tribal rules and destroying the Indians’ way of living.

It’s as if Mexico legally sold methamphetamine and crack cocaine to Americans in Tijuana and Ciudad Juárez.

Pine Ridge encompasses one of the poorest counties in the entire United States — Shannon County, S.D. — and life expectancy is about the same as in Afghanistan. As many as two-thirds of adults there may be alcoholics, and one-quarter of children are born suffering from fetal alcohol spectrum disorders.

In short, this isn’t just about consenting adults. Children are born with neurological damage and never get a chance.

(click here to continue reading A Battle With the Brewers – NYTimes.com.)

The Longhorn Saloon - Main Street, Scenic, South Dakota

The Longhorn Saloon – Main Street, Scenic, South Dakota

First, Anheuser-Busch aka InBev has long been a sleazy corporation. You don’t give large amounts of corporate donations to scum like the Heartland Institute unless you are a willing tool of Republican agenda, and Anheuser-Busch is a willing tool of the GOP.

More Beautiful Desolation
More Beautiful Desolation

Second, and this is just wild speculation, what would happen if the Pine Ridge Reservation legalized booze sales, but vigorously controlled the sale? Stop selling to obviously intoxicated people, have a quota for how much beer a particular household could purchase in a month, and so on. Try the drug legalization model, in other words, like Switzerland or The Netherlands do (did?). Of course, the slightly-over the county line store would have to be removed, or incorporated into the plan. But isn’t this just as feasible as a public shaming of corporate scum like InBev?

I don’t doubt alcoholism is a big, big problem on the Res, but perhaps there are other ways to tackle this problem. Heroin junkies in Vancouver are allowed to shoot up, but only under watchful eyes of public health officials.

Just days after Canada’s Supreme Court smacked down the ruling Conservative party’s attempts to close Insite, the cutting-edge walk-in safe-injecting clinic in Vancouver, comes the latest volley from harm-reduction advocates north of the border. Over the next three years a new trial will test whether giving heroin addicts access to free, clean opiates can be an effective way to stabilize hardcore users and ultimately entice them into drug treatment.

SALOME (Study to Assess Longer-term Opiate Maintenance Effectiveness) grew out of the earlier NAOMI (North American Opiate Maintenance Initiative) study. whose conclusions were similar to those of similar trials in Switzerland, Germany and other highly evolved nations: “Heroin-assisted therapy proved to be a safe and highly effective treatment for people with chronic, treatment-refractory heroin addiction. Marked improvements were observed including decreased use of illicit “street” heroin, decreased criminal activity, decreased money spent on drugs, and improved physical and psychological health,” as NAOMI’s authors wrote.

Unlike the earlier trial, the focus of SALOME is not on heroin prescribing. With the Conservative government’s panties already in a bunch over injecting rooms, a less controversial alternative to handing out heroin had to be foundt. The solution?  Hydromorphone (trade name Dilaudid), a legally available painkiller whose effects are almost indistinguishable from heroin—not a surprise given that it is synthesized from morphine. “There’s less of a stigma, less of an aura, around hydromorphone, and it’s legally available,” said British Columbia’s medical health officer, Perry Kendall. “In Switzerland and Germany, they don’t have a problem with treating people with heroin, but here we do.”

(click here to continue reading Junkies Get Free, Clean Heroin Alternative in Vancouver Trial | The Fix.)

What do you think? Could this work for alcohol too? Of course, this is idle speculation, and as long as the GOP is around, public health initiatives will get short shrift.