Crack and the Political Economy of Social Suffering

Abstract

A comparison of cocaine, crack and heroin epidemics documented through participant-observation methods in the United States and Canada reveals dramatically distinct patterns of abuse across differentially vulnerable population groups. Political economic and cultural forces, rather than pharmacology shape the trajectory of drug epidemics. The de facto apartheid of the U.S. inner city and its associated prison industrial complex spawned the massive epidemic of crack smoking in the late 1980s and early 1990s. A contradictory Canadian public policy of police repression combined with centralized, paternalistic social services explains that country's particularly destructive intravenous cocaine epidemic, particularly among its aboriginal and francophone urbanized populations. The United States suffers from the iatrogenic consequences of its failed war on drugs. Heroin and cocaine have never been purer or cheaper despite the massive investment of U.S. public resources in repression at great humanitarian cost.