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Sunday, March 12, 2023

More Evidence That Targeting Actual Problem Drinkers Works

As South Dakota's 24/7 Sobriety Program has been studied and exported to more and more places, both in the USA and abroad, its success is becoming increasingly evident.  A recent study further confirms the program's effectiveness very well indeed.

This program, where people convicted of (and/or out on bond for) alcohol-related offenses such as DUI, drunk violence/assault, and stuff like that are required to be tested twice daily or continuously for alcohol for a period of time, usually 120 days, is essentially a way to coerce abstinence among known problem drinkers by revoking their "license to drink".  Those who fail a test or fail to show up for the test are swiftly, certainly, and yet modestly penalized, typically with a day or two in jail and perhaps a small fine.  The results have been impressive, with significantly reduced death rates among participants.  Previous studies have also found reductions in recidivism as well as reductions in all-cause death rates among the general population and reductions in domestic violence and related deaths.  In other words, it's cheap, well-targeted to actual problem drinkers, and highly effective and beneficial in many ways.

Twenty-One Debunked supports this idea, and has for a while now.  Another promising idea, would be similar to what parts of the Northern Territory of Australia, as well as parts of Western Australia, currently have:  something called the Banned Drinker Register (BDR).  It is exactly what it sounds like, and targets actual problem drinkers individually only, with no collateral damage to non-problem drinkers.  This can also be paired with the 24/7 Sobriety Program for those convicted of drunk driving, drunk violence, drunk vandalism, or repeated disorderly conduct violations.  In addition, problem drinkers can also have themselves voluntarily added to the blacklist for a fixed period of time, much like problem gamblers are currently allowed to do. (Call it "86 Me" or something like that.)  The late Mark Kleiman would certainly have approved of that as well.  And aside from the downside of ID checking of all buyers that would be required to enforce the BDR (not radically different from the status quo), it is actually the most libertarian policy that there is.  Libertarian purists, of course, would probably only support the South Dakota style 24/7 program and the voluntary blacklist, and that would be fine with Twenty-One Debunked either way.  It's certainly more libertarian than Choose Responsibility's highly quixotic proposal.

In other words, there is no need to punish the many for the excesses of the few.  And swift and certain justice need not be excessively severe, thus resulting in less crime AND less punishment at the same time.

Additionally, we know now that, while all policy measures have their hard limits, the most time-tested, efficient, effective, and cost-effective one of all is to simply raise the price of alcohol, generally via taxation.  Wayland Ellis has pointed that out several times, and it is the one thing that he and the polar-opposite Philip N. Cook can agree upon.  The late Mark Kleiman also made a similar argument years ago.  Alcohol taxes and prices have been lagging behind inflation for decades in the USA, so therefore the lowest-hanging fruit to make headway against America's growing drinking problem is to raise such taxes.  In fact, if set high enough, practically no other alcohol regulations or restrictions are needed at all. And dovetailing with the aforementioned ideas, even this one's burden falls primarily on the heaviest drinkers, as simple math would have it.  So as long as it is not ridiculously high, it is also well-targeted.

And of course, let America be America again, and lower the drinking age to 18.  If you're old enough to go to war, you're old enough to go to the bar.  'Nuff said.

2 comments:

  1. I agree, sufficiently high taxes on alcoholic beverages would sufficiently regulate alcoholic beverages by themselves of the taxation. South Dakota's 24/7 Sobriety program is a good program which serves its purpose. The programs in Australia also serve their purpose effectively as well.

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