Theodore Dalrymple on heroin use:
It is not only those who take heroin who are blinded by illusions, but almost the entire population, including – or especially – the experts. Every problem in contemporary society calls forth its equal and supposedly opposite bureaucracy. The ostensible purpose of this bureaucracy is to solve that problem.
But the bureaucracy quickly develops a survival instinct and so no more wishes the problem to disappear altogether than the lion wishes to kill all the gazelle in the bush and leave itself with no food for the future.
In short, the bureaucracy of drug addiction needs drug addicts far more than drug addicts need the bureaucracy of drug addiction. Thanks to propaganda assiduously spread for many years by everyone who has concerned himself with the subject, there is now a standard or received view of heroin addiction that is almost universally accepted by the general public, by the addicts and by the bureaucracy.
This view serves the interests of the addicts who wish to continue their habit while placing the blame elsewhere, as well as the bureaucracy that wishes to continue in employment, preferably forever and at higher rates of pay.
This standard or received view conceives opiate addiction as an illness and therefore implies that there is a bona fide medical solution to it. When all the proposed “cures” fail to work, as they usually do, and when the extension of quasi-medical services to addicts is accompanied not by a decline in the prevalence of the problem but, on the contrary, by an increase, who can blame addicts if, in continuing their habit, they blame not themselves but the incompetence of those who have set themselves up as their medical saviours and offered them solutions that do not work?
But where bureaucracies are concerned, nothing succeeds like failure….
The addict has a problem, but it is not a medical one: he does not know how to live. And on this subject the doctor has nothing, qua doctor, to offer. What he ought not do, however, is to mislead the addict, or allow the addict to mislead him, into thinking that the problem is medical and requires, or is susceptible to, a medical solution.
That’s from the Australian, which adds, “Dalrymple has worked as a prison doctor and as a psychiatrist in a general hospital in a British slum”. I suppose Britain has slums like the US has ghettoes. Sounds dated, but fits in nicely with Dalrymple’s persona as one reporting back from the forgotten world of Britain’s lumpenproletariat.
Mick Hartley 
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