You seem upset about it. Almost like you enjoy Americans dying from OD. Or Americans developing drug addictions and destroying families/communities. Trump has liberals sympathizing with cartels, I’ll be damned.
Fact: More Americans die from tobacco use and alcohol than drugs.
Question: Do you support banning the use of tobacco and alcohol in the United States?
If you're a proponent of keeping drugs illegal because of the deaths / social problems they create, then you should similarly be an even bigger proponent of making tobacco and alcohol illegal because they cause significantly more harm to our society.
Conversely, instead of attacking drug cartels within a sovereign Peru, perhaps the Trump Administration should consider decriminalizing drugs. Real-world data suggest that such action may have better effect than simply blowing **** up.
Countries that have decriminalized (but not fully legalized) hard drugs like cocaine and heroin, such as Portugal, generally exhibit fewer drug-related deaths and social problems compared to the United States. No nation has outright legalized these substances for recreational use—decriminalization typically means possession for personal use is treated as a non-criminal administrative offense, with a focus on health interventions rather than punishment. Portugal's 2001 policy is the most prominent and long-studied example, shifting resources from criminal justice to treatment and harm reduction. While outcomes vary by implementation (e.g., recent challenges in Oregon and British Columbia), evidence from Portugal and similar countries like the Czech Republic shows reduced overdose rates, lower addiction-related health crises, and decreased crime compared to the U.S.'s prohibitionist approach.
### Key Example: Portugal vs. United States
Portugal decriminalized all drugs in 2001 amid a heroin crisis, reorienting policy toward public health. Possession of up to a 10-day supply is an administrative violation, handled by dissuasion commissions (panels of social workers, lawyers, and health experts) that recommend treatment, fines, or warnings rather than jail. Trafficking remains criminalized. This was paired with expanded treatment access, needle exchanges, and harm reduction.
- **Overdose Deaths**: Portugal's rates plummeted post-decriminalization. From 369 deaths in 1999 (36 per million), they fell over 80% to around 80-81 annually in recent years (6-10 per million aged 15-64), among Europe's lowest. The U.S., by contrast, saw ~105,000 overdose deaths in 2023 (~318 per million overall), driven by fentanyl and opioids—over 40 times higher per capita. Recent upticks in Portugal (e.g., doubling in Lisbon since 2019) are linked to funding cuts post-2008 crisis, but rates remain far below pre-2001 levels and U.S. figures.
- **Addiction and Health Issues**: Problematic drug use declined; heroin addicts dropped from ~100,000 in 2001 to ~25,000 by 2018. HIV cases from injection fell from 1,287 in 2001 to 16 in 2019. Overall drug use rates are below EU averages, with no major spikes post-decriminalization. The U.S. has ~2.6 million opioid use disorder cases, with rising fentanyl-driven addiction and limited treatment access (less than half receive medication-assisted therapy).
- **Crime and Social Costs**: Drug-related prisoners fell from 40% of the total in 2001 to 15.7% in 2019 (below EU average). Crime linked to drugs dropped from 70% of reported incidents. Social costs of drug misuse decreased 18% by 2010. In the U.S., ~45% of federal prisoners are held for drug offenses, with high racial disparities and costs exceeding $80 billion annually in incarceration alone.
| Metric | Portugal (Post-2001) | United States (Recent) |
|-------------------------|----------------------|------------------------|
| **Annual Overdose Deaths** | ~80-81 (6-10 per million aged 15-64) | ~105,000 (~318 per million overall) |
| **HIV from Injection** | Down 98% (1,287 to 16 cases, 2001-2019) | ~6,000 new cases annually (stable but high) |
| **Problematic Opioid Users** | ~25,000 (from 100,000 in 2001) | ~2.6 million with opioid use disorder |
| **Drug-Related Prisoners** | 15.7% of total (down from 40%) | ~45% of federal prisoners |
| **Social Costs Trend** | Decreased 18% by 2010 | Rising, with $80B+ annual incarceration costs |
| **Drug Use Rates** | Below EU average; stable or slight rise | High and rising, especially synthetics |
### Other Countries
- **Czech Republic**: Decriminalized since 1990s; low overdose rates (similar to Portugal's), reduced HIV, and stable use without major crime spikes.
- **Switzerland**: Heroin-assisted treatment since 1990s; overdose deaths down 64% (1995-2019), lower crime.
- **Netherlands**: De facto decriminalization for small amounts; overdose rates ~20 per million, below U.S.
- **Mixed Results**: Oregon (2020-2024) and British Columbia saw overdose rises (50%+ in Oregon) and public disorder, leading to partial recriminalization. Critics cite insufficient treatment funding and rapid rollout without Portugal's support systems.
### Criticisms and Challenges
Portugal's model isn't flawless: Recent rises in visible use, overdoses, and encampments stem from austerity cuts (health spending fell post-2008) and global trends like fentanyl. Some argue it hasn't fully eradicated stigma or addressed supply-side issues. However, even critics acknowledge lower harms than under prohibition. Success hinges on robust funding for treatment (Portugal spends 90% of drug budget on health vs. U.S.'s enforcement focus) and cultural shifts viewing addiction as a health issue.