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Scientific distinctions between coca and cocaine support policy reform | Science

By Eric November 20, 2025

The ongoing review of international drug policy is gaining momentum as experts and advocates call for a critical reevaluation of the long-standing conflation between drug use and criminality. Historically, many countries have approached drug use primarily through a punitive lens, leading to policies that not only stigmatize individuals but also perpetuate cycles of harm and marginalization. The recent discussions emphasize the need to distinguish between drug use as a public health issue and drug trafficking as a criminal activity. This shift in perspective is essential to developing more effective and humane policies that prioritize harm reduction, treatment, and education over punishment.

For instance, countries like Portugal have successfully implemented decriminalization strategies that focus on treating drug addiction as a health issue rather than a criminal one. Since the early 2000s, Portugal has seen a significant decrease in drug-related deaths and an increase in individuals seeking treatment. This model serves as a compelling example for other nations grappling with the consequences of punitive drug policies. The current review of international drug policy aims to encourage similar reforms worldwide, advocating for evidence-based approaches that prioritize public health and human rights. The integration of harm reduction strategies, such as needle exchange programs and supervised consumption sites, is also being highlighted as crucial in mitigating the adverse effects of drug use and reducing the stigma surrounding it.

Moreover, the review process is timely, as many countries are experiencing a surge in drug-related issues, including the opioid crisis in North America and rising rates of substance use in various regions. By addressing the misconceptions surrounding drug use and advocating for a more compassionate and scientifically informed approach, the international community can work towards dismantling the harmful narratives that have dominated drug policy for decades. The call for reform is not merely about changing laws but about reshaping societal attitudes towards drug use, fostering a more inclusive dialogue that recognizes the complexities of addiction and the need for comprehensive support systems. As the review progresses, it holds the potential to pave the way for transformative changes that can improve lives and promote healthier communities globally.

Ongoing review of international drug policy should correct long-standing, misguided, and harmful conflation

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