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Scientific distinctions between coca and cocaine support policy reform | Science

By Eric November 26, 2025

In an era where global health and safety are increasingly prioritized, the ongoing review of international drug policy presents a crucial opportunity to address the long-standing misconceptions and harmful conflations surrounding drug use and trafficking. Historically, drug policies have often been shaped by stigma and fear rather than evidence-based approaches, leading to punitive measures that disproportionately affect vulnerable populations. This review aims to disentangle the complex relationship between drug use, addiction, and criminality, advocating for a more nuanced understanding that recognizes addiction as a public health issue rather than solely a criminal one.

One of the key issues highlighted in the review is the misguided conflation of drug users with drug traffickers. This has resulted in policies that not only criminalize individuals seeking help for substance use disorders but also perpetuate cycles of incarceration and marginalization. For instance, countries that have adopted harm reduction strategies, such as Portugal, have seen significant decreases in drug-related deaths and HIV infections, demonstrating that treating addiction as a health concern rather than a criminal issue can lead to better outcomes for individuals and society as a whole. The review emphasizes the need for policies that prioritize public health, education, and rehabilitation over punitive measures, encouraging nations to reevaluate their approaches to drug-related issues.

Moreover, the review calls for a more equitable international framework that considers the diverse socio-economic contexts of different countries. It argues for the importance of tailoring drug policies to local needs and realities, rather than imposing one-size-fits-all solutions. By fostering collaboration among nations and integrating the voices of those directly impacted by drug policies, the international community can work towards creating a more compassionate and effective approach to drug use and trafficking. Ultimately, this ongoing review represents a pivotal moment for global drug policy, with the potential to reshape the narrative around drug use and create a more just and health-focused framework for addressing these complex issues.

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

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