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Scientific distinctions between coca and cocaine support policy reform | Science

By Eric November 25, 2025

In light of the evolving landscape of global drug policy, a critical reassessment is underway to address the historical conflation of substance use with criminality, a perspective that has perpetuated stigma and hindered effective public health strategies. For decades, international drug policies have been dominated by punitive measures that prioritize criminal justice over health care, often leading to increased incarceration rates and minimal impact on drug-related issues. This ongoing review aims to disentangle the complex relationship between drug use and criminal behavior, advocating for a more nuanced understanding that recognizes substance use as a public health issue rather than a criminal one.

Key examples of this misguided approach can be seen in the War on Drugs, which has disproportionately affected marginalized communities and failed to curb drug abuse rates. Countries like the United States have experienced significant social and economic costs due to harsh drug laws, while nations that have adopted decriminalization and harm reduction strategies, such as Portugal, have seen positive outcomes in terms of public health and safety. The current review of international drug policy seeks to promote evidence-based practices that prioritize treatment and prevention over punishment, highlighting the need for comprehensive approaches that address the root causes of substance use and provide support for those affected.

Moreover, the call for reform is gaining traction as more countries recognize the benefits of shifting toward a health-centered framework. The World Health Organization and various advocacy groups are urging policymakers to embrace strategies that prioritize education, prevention, and access to treatment. By correcting the long-standing conflation of drug use with criminality, this review aims to foster a more compassionate and effective global response to drug-related challenges, ultimately paving the way for a healthier society that prioritizes the well-being of individuals over punitive measures. As the conversation around drug policy continues to evolve, it is crucial for stakeholders to engage in dialogue that promotes understanding and collaboration, ensuring that future policies are informed by evidence and grounded in human rights.

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

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