To recap, from the 1920s through the close of the 1960s, hundreds of studies of the relationship between crime and addiction were conducted. Invariably, when one analysis would support the medical model, the next would affirm the view that addicts were criminals first, and that their drug use was but one more manifestation of their deviant lifestyles. In retrospect, the difficulty lay in the way the studies had been conducted, with biases and deficiencies in research designs that rendered their findings to be of little value.
Research since the middle of the 1970s with active drug users in the streets of New York, Miami, Baltimore, and elsewhere has demonstrated that, at least with those drug users active in street subcultures, the medical model has little basis in reality. All of these studies of the criminal careers of heroin and other drug users have convincingly documented that while drug use tends to intensify and perpetuate criminal behavior, it usually does not initiate criminal careers. In fact, the evidence suggests that among the majority of street drug users who are involved in crime, their criminal careers were well established prior to the onset of either narcotics or cocaine use. As such, it would appear that the inference of causality, that the high price of drugs on the black market per se causes crime, is simply not supported. On the other hand, these same studies suggest that drugs drive crime in that illicit drug use tends to intensify and perpetuate criminal careers.
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