In Baltimore, we are exploring the possibility of training a cadre of community physicians on the nature of substance abuse so that they can screen more extensively for substance abuse among their patients. We propose to have physicians treat certain types of substance abuse directly. Substance abuse counsellors may be deployed to the offices of private practitioners to support their efforts. The way to mobilise the health care system fully in order to address the substance abuse problem is to develop a protocol for use by clinics and administrators at all levels, in all types of settings. In conclusion, just as the drug trade disproportionately afflicts poor minority communities, the 'drug war' we are waging takes a heavy toll on these communities.
All wars tend to scorch the earth.
The war on drugs is no exception. In this war, what is being scorched is our inner city neighbourhoods and the people who live in them. Preliminary Vital Statistics Report, Baltimore, Maryland. Adult Arrests 1988 Report. Centers for Disease Control.