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Analysis of harm reduction and prohibition measures and their effects led to identification of the essential properties of measures capable of controlling the drug/crime epidemic, and these essential properties served as principles guiding the design of interposition.


Central Concepts The central strategic concept of market interposition is that the drug/crime epidemic can be controlled by interrupting the mutual stimulation between the demand and supply sides of the black market. The demand side stimulates the supply side when drugs users purchase drugs at highly profitable black market prices; and the supply side stimulates demand when drug suppliers promote drug use to increase drug sales. Market interposition interrupts this mutual stimulation by altering the incentive system that influences the behavior of users and suppliers.


Interposition is implemented by a public health agency, the Agency for Drug Market Interposition (ADMI). This agency is authorized to supply the drug needs of all drug users. Interposition takes effect incrementally, as individual drug users decide to stop buying from the retail merchants of the crime syndicates to become clients of the ADMI. Drug users choose to become clients of the ADMI in pursuit of their own self interest. The necessary motivation is provided by interposition's strategic tools.


Strategic Tools of Market Interposition The strategic tools of interposition are generalized public health measures. I mean by the term "generalized" that these tools can be implemented in a variety of ways. We must concern ourselves now only with the general properties and functions of these tools, rather than with specific alternative modes of implementation.


To this date, eight strategic tools have been identified. The inventory is as follows:


STRATEGIC TOOLS OF DRUG MARKET INTERPOSITION


1)ADMI preemption of the drug supply function.
2)
Licensed drug use.
3)
Price/quality competition.
4)
Two-tiered price policy.
5)
Voluntary treatment: (such as maintenance dosage, substitute dosage,
interruption therapy, detoxification, cessation therapy).
6)
Drug user education and counseling.
7)
Anti-drug education.
8)
Negative advertising against drugs and drug use.


ADMI preemption of the drug supply functionmeans that the Agency is to push the black-market traffickers out of the market in commercial competition. When ADMI serves drug user demand, this public health agency will be in daily face-to-face contact with drug users--an excellent position to serve their health needs and influence their behavior.


Licensed drug use enables drug users to use ADMI drugs conditionally exempt from the drug laws. The terms of license must be lenient enough that drug users will prefer ADMI as their drug source. That condition is fully compatible with the public interest in safety and harm reduction. Licensed drug use must be confined within the limits of public tolerance; and nonusers must not be exposed to drugs and the drug culture.