This book is about drug policy in America. It is a celebration of the Drug policy enacted by Nixon and a criticism of the drug war. The book is two layered, the author follows around a worker who deals with drug addicts and talks about his life running a poor under funded agency while at the same time talking about the broader issues.
All drugs cause society some problems. Probably the most costly drugs for society are alcohol and tobacco. Heroin and Crack however have a very visible cost in an increase in criminality. Drug dependant people often drift into various forms of crime to support their habits. Other drugs such as cannabis also have side effects and there is evidence that long term use can cause a range of problems.
The book suggests that the policy developed by Nixon was in fact the correct policy. That is by making provision for rehabilitation centres for treatment of drug addicts. Rehab centres are cheap by comparison with jails and significantly cut drug use and criminality. The author of the book refers to studies carried out by the RAND Corporation into the cost benefits of such programs to support his case.
During the Reagan years the direction of drug policy changed. A number of parents groups had sprung up suggesting that teenage use of cannabis was responsible for a range of adolescent social problems. Money was taken from rehab centres to fund Nancy Reagan's "say not to drugs campaign".
In reality the "say no to drugs campaign has been successful." Cannabis and other drug use in American is far lower for adolescents than for other comparable countries. The basic problem was that as resources were taken from rehab centres hard drug use skyrocketed. This in turn led to the substitution of imprisonment as the main response to drug dependant criminality. The cost has been significant with a tremendous social cost of prison construction lessening funds for other government programs such as eduction. The arrest of drug dependant people also has led to massive increases in the imprisonment of Afro American people.
This book is one of the more impressive written on one of the significant issues facing American society,

A classic must read. Phenomenal.

great

I really enjoyed this book and learned much about the history of the politics of addiction treatment. I think all policy makers of adiction treatment in the government should read this book and others like it. Maybe then we could have science based addiction treatment rather than treatment methods based on emotion and hysteria.

Michael Massing's book is an engrossing account of the evolution of drug policy in the past 30 years. He traces the ineffective twists and turns of the government's approaches, ironically beginning with the promising work of Dr. Jerome Jaffe, the first drug czar in Nixon's first term. His narrative shifts between the policymakers in Washington and the efforts of an outreach worker in Spanish Harlem to help others with virtually no resources. Massing concludes that a lot more resources need to be applied to the treatment of hard core addicts with less for interdiction. He maintains that treatment does work, we know what to do, but have been influenced by fadism all along the way. An obvious example is "Just Say No" but a less obvious one is the effort that suburban parents began in the late '70s to move resources to treat kids for pot smoking. Policy makers in the drug arena will find this book valuable in presenting a case for the enhancement of resources for those most in need.

The Fix is one of those rare books on the drug issue that rejects both the war on drugs and drug legalization as mirror extremes. Michael Massing, an experienced journalist and MacArthur Fellow with many years of experience in drug policy, reviews the history of the nation's drug policy while also exploring the reality of drug addiction on the streets of East New York. The result is a book that reads like a novel in parts yet is thoroughly grounded in hard analysis. Massing demonstrates the futility of current policy with its military model of a "war" on drugs, explains the political expediency underlying that policy and points out the irony that the last time the U.S. had a workable drug policy was during the Nixon Administration (and Massing is certainly no Nixon lover). If you want to read one book that will provide you with a balanced survey of the quagmire that is drug policy, this is the one to read. As an added bonus, it is EXTREMELY well-written. Highly recommended.

Few analysts of the so-called war on drugs avoid the pitfalls of being drawn into discussion of unimportant issues or using Oprah-speak in dealing with the social dynamics the drug war, drug use and drug treatment. Massing provides a balanced picture of the history of the drug war and depicts the experience of drug use in a direct, nonsensationalized manner. His work is in the tradition of Thomas Szasz, whose seminal work CEREMONIAL CHEMISTRY brings a clear social-analytical lense to the problem of taboo substances and the societal response to their users.

"The Fix" is one of the most superb works I have read on a relatively new topic in society. Mr. Massing, although he does suggest that the war on drugs has failed, does not preach in this book. He explains in gripping detail the trials of drug abusers, rehabilitation clinics, poor communities, and more. This is neither a text book nor a piece of fiction; it seemlessly integrates key facts and scholarly commentary with a powerful narrative on the effect on drugs on society. If you are interested in the subject of drugs in society, you are missing out on one of the most incisive books on the top if you don't read this book.