About That Finland Study

This year, a new study came out in The Lancet that looked at the long-term differences in alcohol-related morbidity and mortality between birth cohorts in Finland that either were or were exposed to the lowering of their legal drinking age from 21 to 18 on January 1, 1969.  That is, based on how old they were when the drinking age was changed.  The study and its interpretation had a clear pro-21 bias. 

While the results did show that, exposed cohorts did have higher morbidity and mortality later in life relative to the unexposed cohorts, the results were ultimately inconclusive since several other changes happened at the same time. For example, the lowering of the drinking age occurred in tandem with other alcohol liberalization policies (in a previously very stringent policy regime with fairly low alcohol consumption) that greatly increased alcohol availability in general and thus consumption in a short period of time.  Urbanization also increased rapidly as well.  Culture changes (especially of the drinking culture) also inevitably occurred as well against a backdrop of increasing general alcohol consumption, and those who came of age during or right after the change would logically have been more affected than those who already came of age just before it, regardless of the legal age limit.  So teasing out the specific effects of the legal drinking age change is really practically impossible in this case.

A cursory reading of the Wikipedia article about Finnish drinking culture will tell you all you need to know about why the age limit is largely irrelevant.

Previous studies on the very long-term effects of the 21 drinking age in the USA and elsewhere have been very scarce and ultimately inconclusive at best as well.  (At least one Swedish study seems to suggest a null effect though.)  And this new Finland study, quite frankly, adds very little.  Causation can thus neither be confirmed nor ruled out, in other words.

Regardless, in any case, even if it were partly causal, using a study like this to justify the ageist abomination that is the 21 drinking age is mission creep at best, and grasping at straws at worst, given that the original justifications for it are either debunked, obsolete, or both.  The idea that some vague conception of "public health", especially theoretically in the distant future, somehow trumps civil rights (and selectively for only one demographic group, no less) is the very worst of utilitarianism and health fascism, and has no place in a free society.

And as long as we are on the subject of Finland, that same country has also since shown us what can be done to rapidly decrease alcohol-related mortality and morbidity at very little cost to society at large and without trampling civil rights:  raising the tax/price of alcohol.  Even the pro-21 crowd, including the authors of the aforementioned study, seem to be willing to concede that.  But apparently that doesn't satisfy the ageists' desire for power and control.  Their libido dominandi seems to know no bounds in that regard.

QED

UPDATE:  And while we are at it, lest anyone speciously claim that Lithuania's raising of the their drinking age from 18 to 20 effective January 1, 2018 somehow saved lives, keep in mind that in 2017 they also greatly raised their alcohol taxes, banned alcohol advertising, and greatly cut trading hours for alcohol sales in 2018.  So once again, we see confounding.  In fact, one study found that once such confounders were adjusted for, any supposed lifesaving effect of the drinking age hike on 18-19 year olds disappeared, implying that it was a spurious effect.

See also a recent 2025 study about Finland as well.

What Reactionaries Get Wrong About Drugs, Decriminalization, And Homelessness

Twenty-One Debunked does not take an official position on hard drugs (i.e. illicit drugs other than cannabis and some psychedelics) or the question of their legalization, but we generally lean more towards the decriminalization and harm reduction side of the spectrum as opposed to the War on (people who use a few particular) Drugs.  There is a lot of nuance that tends to get glossed over in debates that are, more often than not, typically dominated by hysterics.

Reactionaries have lately been giving some red-hot takes about the supposed perils of decriminalization and harm reduction, and often pointing fingers at Oregon for their decriminalization policy causing or exacerbating homelessness, crime, and overdose deaths.  However, such hot takes are typically completely devoid of nuance, and thus conflate correlation with causation.  Such nuances include the role of super-deadly fentanyl and its variation over time and geography, the role of the pandemic and lockdowns and their aftermath, the still-growing housing crisis, the inherent pitfalls of forced treatment, and so on.  Better articles about such nuances can be found here and here, for starters.

Those who have the GALL to oppose basic and increasingly necessary lifesaving harm reduction measures like making naloxone (Narcan) and fentanyl test strips readily available are, to put it mildly, murderously stupid.  Fentanyl often gets mixed into other drugs and can make the drug supply much deadlier than it would otherwise be.  While treatment and recovery are no doubt important goals, we also still need to meet people where they are as well.

Of course, the reactionaries do get one thing partially right, as a stopped clock always does twice a day.  There has been a general breakdown of law and order in most major North American cities in recent years due to a combination of general policy changes, anti-police sentiment, catch and release, political ideology, political correctness, and perhaps even deliberate chaos manufacture by various agents provocateur.  Of course, they should shut down and clear out the sprawling homeless encampments on the city streets and sidewalks and the open-air drug scenes that all too often go along with them.  End catch and release.  Re-criminalize theft.  Crack down on violence of all kinds.  Bring back "focused deterrence" policing, and take the classic "broken windows" theory literally.  All of these things are really just common sense, and none of them require ending harm reduction or reversing Oregon's decriminalization of simple possession of small amounts of illicit drugs.

In other words, simply enforce existing laws, and repeal bad or counterproductive ones.  But please, do it ethically, and don't let it be a springboard for an illiberal reactionary agenda.  If you feel the urge to show "tough love", look to Portugal or Alberta, not the current or historical drug warrior nations.

That said, we should always keep in mind that hard drugs called "hard" for a reason, as they are a different beast from alcohol, tobacco, and cannabis.  They may not be quite a million miles away from the latter ones, but they clearly don't belong in the same category either.  While illiberal drug policy clearly makes them much more dangerous than they have to be, they are also pretty inherently dangerous, deadly, and highly addictive in their own right as well regardless.  This is especially true for opioids in particular, as there is really no such thing as a truly safe opioid.  And we have also long known that "speed kills" and "meth is death".  And yet, unfortunately these things are still not going anywhere either.  Policymakers need to handle these things with great care as they should with any wicked problem.  And consumers would be wise to avoid these substances like the plague, especially in the age of fentanyl. 

As for the perennial wicked problem of homelessness, the housing crisis still needs to be solved before there is any hope of ending it for good.  Artificial scarcity of housing needs to end, yesterday.  And a recent study found that some form of UBI can also play a net positive role in the solution as well.  Contrary to popular opinion, spending on "temptation goods" did not actually increase for such recipients.  But good luck convincing the reactionaries of that!

Yet Another Myth Bites The Dust

Last month, another study came out that debunks yet another cannabis prohibitionist myth.  The study found that cannabis use during off-hours does NOT result in an increased risk of workplace accidents.  Therefore, there is no good reason to test workers for cannabis any more than there is a reason to test for alcohol, and no good reason to punish employees for their off-hours cannabis use any more so than for off-hours alcohol use.  Which is to say, there is no good reason, period.  Anything else is serfdom. 

Twenty-One Debunked has always opposed the use of drug testing for cannabis except to determine actual impairment at the time, and even then only when truly necessary.  Urine and hair testing only detect past use (days or even weeks ago), not actual impairment at the time, and thus serve no useful purpose whatsoever.  The only chemical test for cannabis (and most other substances) that could possibly serve as a "fitness for duty" test would be saliva (oral fluid) testing, which despite its flaws we grudgingly support for "safety sensitive" jobs, much like breathalyzers for alcohol.  And even better still would be non-chemical tests like the DRUID app and AlertMeter that detect any kind of impairment regardless of the cause.

The study was done in Canada where cannabis has been legal since 2018 for everyone over 18 at the federal level (18 in Alberta, 18 in Quebec until 2020 when it was raised to 21, and 19 in all other provinces and territories).  So this study also puts the lie to the tired, old canard that legalization itself will somehow make workplace accidents worse or more likely.

(Mic drop)

Remove Cannabis From The Federal Controlled Substances Act

With all the recent talk about removing cannabis from the most stringent Schedule I (the same category as heroin) of the federal Controlled Substances Act (CSA), we at Twenty-One Debunked believe that the best thing to do is to remove it from the Controlled Substances Act entirely (that is, "deschedule" it).  Merely reducing it to a lower schedule ("rescheduling") or creating a new schedule would not have nearly the same benefits as removing it from the CSA entirely and treating it no more stringently than alcohol and tobacco are currently treated.

As Ricardo Baca of Salon so elegantly and eloquently writes:

But rescheduling cannabis under the CSA, rather than descheduling it completely, doesn't address the underlying issue: The cannabis plant shouldn't be a controlled substance under federal law. Period. Alcohol isn't a controlled substance. Tobacco isn't a controlled substance. Not even caffeine is a controlled substance. Cannabis shouldn't be a controlled substance either. 

Indeed.  And to that we would add, there is also no good or rational reason to set a federal age limit any higher than 18 either.

(Mic drop)

Cannabis Legalization Does NOT Increase Tobacco Use

A recent study pours cold water on another prohibitionist fear, namely that legalizing cannabis for recreational use will lead to more tobacco use via a "reverse gateway" effect.  Well, the study found the opposite:  a slight decrease in tobacco use as well as e-cigarette use.  While the decrease did not quite reach statistical significance, it was lagged and perhaps builds over time.  And at the very least, it certainly puts the lie to the tired old "reverse gateway" theory.

Thus, another myth bites the dust.