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Re - Learning from the Dutch Coffeeshop Experience Rob MacCoun Stanford Law School
22

Cannabis Science & Policy Summit - Day 2 - MacCoun

Apr 12, 2017

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Page 1: Cannabis Science & Policy Summit - Day 2 - MacCoun

Re-Learning from the Dutch CoffeeshopExperienceRob MacCounStanford Law School

Page 2: Cannabis Science & Policy Summit - Day 2 - MacCoun

2011

US-style prohibition

Dutch-style de facto

legalization

Page 3: Cannabis Science & Policy Summit - Day 2 - MacCoun

2011 2016

Stanford University

US-style prohibition

Dutch-style de facto legalization:• Sword of Damocles• Artificially high

prices• THC limits

US-style legalization:• aggressive

marketing• minimal

price controls?

Page 4: Cannabis Science & Policy Summit - Day 2 - MacCoun

Change Had No Effect on Prevalence During First Decade...

0

10

20

30

40

50

60

70

'70 '72 '74 '76 '78 '80 '82 '84 '86 '88 '90 '92 '94 '96

Percentever used

Policy Change

18 yr olds

MacCoun & Reuter (1997, Science)

Page 5: Cannabis Science & Policy Summit - Day 2 - MacCoun

…But Use Increased Sharply in Second Decade

0

10

20

30

40

50

60

70

'70 '72 '74 '76 '78 '80 '82 '84 '86 '88 '90 '92 '94 '96

Percentever used

Increase was steeper than

seen elsewhere in Europe

MacCoun & Reuter (1997, Science)

Page 6: Cannabis Science & Policy Summit - Day 2 - MacCoun

Why?Commercialization

0

20

40

60

80

100

120

Coffeeshops

inAmsterdam

1980 1985 1988

Page 7: Cannabis Science & Policy Summit - Day 2 - MacCoun

But Dutch less likely to move on to hard drugs

MacCoun (Addiction, 2011)

Page 8: Cannabis Science & Policy Summit - Day 2 - MacCoun

Availability and youth use

Page 9: Cannabis Science & Policy Summit - Day 2 - MacCoun

Escalation to regular

use

Page 10: Cannabis Science & Policy Summit - Day 2 - MacCoun

Treatmentrates

(vs. US)

Page 11: Cannabis Science & Policy Summit - Day 2 - MacCoun

Treatment rates (vs. Europe)

Page 12: Cannabis Science & Policy Summit - Day 2 - MacCoun

Key caveat: Dutch prices stayed high

MacCoun (2011): two different estimates

First showed 2005 prices per gram comparable for Dutch Nederwiet and US marijuana herb

But Dutch cheaper on purity-adjusted basis

Second showed US prices actually lower

But roughly comparable on a purity-adjusted basis

“…prices in the Netherlands are elevated by their unusual hybrid regime which approximates legalization at the user level, but European style prohibition at the level of the growers and traffickers…”

Page 13: Cannabis Science & Policy Summit - Day 2 - MacCoun

Marcel de Kort

To understand Dutch policy, need to understand the heroin threat in the 1970s

H. Cohen’s sociological interpretation of the “gateway theory”: Separate the markets to prevent contact with hard-drug dealers

Page 14: Cannabis Science & Policy Summit - Day 2 - MacCoun

Franz Trautmann

Policy window that opened (in 1970s) and has closed (past decade)

Unintended conseqs include growth of street dealing

Production shifting to Belgium?

Move toward rationalizing the “back door problem” through overt regulation

Page 15: Cannabis Science & Policy Summit - Day 2 - MacCoun

Tom Blickman

Contrary to “laissez-faire” image, Dutch have actively struggled to regulate the coffeeshops

Tightening rules

Closing shops

“weed pass”

THC limits

Regulating supply?

Page 16: Cannabis Science & Policy Summit - Day 2 - MacCoun

Tom Blickman

Page 17: Cannabis Science & Policy Summit - Day 2 - MacCoun

Dutch no longerhave highest rate

Page 18: Cannabis Science & Policy Summit - Day 2 - MacCoun

Niesink et al (2015) THC potency

Page 19: Cannabis Science & Policy Summit - Day 2 - MacCoun

2011 2016

Stanford University

US-style prohibition

Dutch-style de facto legalization:• Sword of Damocles• Artificially high

prices• THC limits

US-style legalization:• aggressive

marketing• minimal

price controls?

Page 20: Cannabis Science & Policy Summit - Day 2 - MacCoun

Two images

Sword of Damocles Regulatory Capture

Page 21: Cannabis Science & Policy Summit - Day 2 - MacCoun

How will Dutch respond to the end of US bullying?

Page 22: Cannabis Science & Policy Summit - Day 2 - MacCoun