New Books In Public Policy

Before the 1960s, doctors were generally in control of the treatment of drug addicts. And that made a certain sense, because drug addicts had something that looked a lot like a disease or mental illness. The trouble was that doctors had no effective way to treat drug addiction. Their best idea–Federal “narcotics farms,” one in Kentucky and one in Texas–kept junkies clean, but only by keeping them away from the drugs those junkies craved. In that sense, they were no more effective than prisons, though in fairness drug farms offered various treatment regimens that enabled some addicts to get and stay clean. Other than locking them up, the medical establishment had no good answer to the question “How do you cure someone of narcotics addiction?” Essentially, then, junkies (who could not spontaneously “kick,” and a lot do) usually ended up in one of three places: on the street, behind bars, or dead. Enter Charles Dederich. In 1958, Dederich, a veteran of AA and ex-drug addict, decided that addicts should take the