Patterns of Drug Use

Many Americans begin their day with a drug; though most probably do not think of it as such a cup of coffee, tea, or cocoa. As the day goes on, other drugs may be added: a cigarette, a vitamin tablet, a cola drink, or a martini; perhaps, if the individual is not feeling well, an over the counter remedy for a headache or upset stomach or prescription drug for a more serious condition.

The United States has been called the most drug-oriented society in history, with an enormous variety of chemical substances available both legally and illegally. Drugs are a part of almost every medical treatment, and they are widely used to ease social occasions. People use drugs freely out of habit, or to give themselves a lift, or to help themselves relax, or to feel better or not so bad, or just because it is the thing to do. Americans are continuously barraged by advertisements touting different brands of alcohol or tobacco, aspirin, cold remedies, or other drugs. Not only do these ads sell products, they also sell the idea that drugs can provide immediate solutions to human problems.

Not all advertising claims are exaggerated, of course. Many drugs do effectively provide what people need or feel they need. Some drugs do save lives and improve human health, by curing diseases, for example, or by helping to limit the size of families, or by controlling mental illness. Drugs are easy to take, and their effects are often immediate. It also mystery, then, why so many people believe that "relief is just a swallow away" or why chemical means of escaping and coping are, and will continue to be so popular.

The question is not whether people will use drugs, the evidence is that virtually everyone does and will. The real issues are who will use those drugs, for what purposes, with what benefits and risks, and with short, and long term consequences. The challenge is to maximize the benefits of these substances while reducing the risks.