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That is the paradox: the United States leads the world in scientific knowledge in many areas but trails in applying that knowledge to social and human realities. One fact suffices to demonstrate the imbalance: Americans make up 5 percent of the world’s population but 25 percent of the world’s prison population. A main cause of this shocking discrepancy is the antiquated social and legal approach to addiction. “We pay dearly for a vindictive system that often serves to make matters worse—much worse,” in the words of another former Seattle police chief, Norm Stamper. In Canada my book has been praised as “humanizing” the hard-core addicted people I work with. I find that a revealing overstatement—how can human beings be “humanized,” and who says that addicts aren’t human to begin with? At best I show the humanity of drug addicts. In our materialist society, with our attachment to ego gratification, few of us escape the lure of addictive behaviors. Only our blindness and self-flattery stand in the way of seeing that the severely addicted are people who have suffered more than the rest of us but who share a profound commonality with the majority of “respectable” citizens. As this book appears in the United States, the Obama administration will have completed its first year in office. Whatever else its achievements or failures, it has helped to create a new climate of openness on many issues. I am encouraged by this possibility for conversations on hitherto taboo subjects, conversations that were difficult to foresee even recently. I’m not naive enough to believe that the crumbling but still formidable edifice of social prejudice toward addiction will soon fall, but the cracks in the wall are letting in more and more light. “This is the first time in all my years waging battle against the drug war that it feels like the wind is at my back and not in my face,” Ethan Nadelmann, founder and director of the Drug Policy Alliance, has written recently. In the Realm of Hungry Ghosts will have fulfilled its author’s intentions if it helps the public understand the plight of addicted people, if it helps to foster a new appreciation for the brain science of addiction, if it helps erode the false beliefs that drive the War on Drugs, and—above all—if it triggers a frisson of self-recognition in the reader. In brief, this book will have fulfilled its purpose if it helps promote a transformation in how we see ourselves and others. —Gabor Maté, MD Vancouver, BC 2009
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