Criminalization and Drug “Wars” or Medicalization and Health “Epidemics”: How Race,
Class, and Neoliberal Politics Influence Drug Laws
By: Cindy Brooks Dollar
Dollar, C.B. (2018). Criminalization and Drug ‘Wars’ or Medicalization and Health
‘Epidemics’: How Race, Class, and Neoliberal Politics Influence Drug Laws. Critical
Criminology. doi: 10.1007/s10612-018-9398-7
This is a post-peer-review, pre-copyedit version of an article published in Critical
Criminology. The final authenticated version is available online at:
http://dx.doi.org/10.1007/s10612-018-9398-7
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Abstract:
This essay argues that race and class influence drug laws through politicized means. Crack-
cocaine and methamphetamine production, sales, and use were met with criminalizing efforts
because of their respective association with African Americans and poor Whites, two groups that
have been differentially identified as threatening to hegemonic power. Despite some similarities
in criminalizing outcomes, specific reactions differed. Crack-cocaine’s publicized connection to
violence resulted in extensive surveillance, arrest, and imprisonment. Attention surrounding
methamphetamine, however, often linked the drug to safety hazards, including property
explosions, physical distortions of users, and the pathology of un(der)employment. As a result,
policing the methamphetamine problem increased detentions but not to the same extent as crack-
cocaine. I contend that the current opioid “epidemic” has received more medicalized reactions
due to opiate’s association to middle- and upper-class Whites—social groups that are
traditionally protected. I conclude by proposing that despite nuanced and unique consequences of
criminalizing and medicalizing responses, each reflects a neoliberalist agenda that seeks to
diffuse social threat and reinforce prevailing inequalities.
Keywords: Drug laws | Criminalization | Class | Politics | Race | Inequalities | Crack-cocaine |
Methamphetamine | Opioids
Article:
Introduction
Despite the rhetoric of equal justice, the American justice system operates with persistent and
pervasive inequalities. Research clearly concludes that persons who are economically
disadvantaged are more likely to be scrutinized, arrested, prosecuted, and incarcerated as
compared to those with greater socio-economic advantage. Much of this research examines the
relative reactions to racial-ethnic minorities by criminal control institutions and concludes that
minorities, especially African-Americans, receive more punitive treatment than Whites
throughout criminal “justice” processes (e.g., Crutchfield et al. 2009; Chiricos and