A religious person’s view
of the morality of needle exchange


by Dawn Day

Contents:

An obligation to try to save lives?

Medical care for all?

Am I my brother's keeper?



  An obligation to try to save lives?

With the best of intentions, our legislators passed laws prohibiting people from gaining access to sterile needles – the legislators were trying to protect people from the harm that comes from injecting drugs.  Medical science now tells us that these laws are not effective in stopping drug use and are causing the further spread of HIV/AIDS. 

It is a tragic irony that the laws prohibiting access to sterile needles, laws meant to protect people, are now the cause of people dying from AIDS.  As a religious person, I feel I have an obligation to work to correct this deadly situation. 

  Medical care for all?

If a woman has a life-threatening hemorrhage after giving birth, we want the doctor to provide medical treatment at once. We do not want the doctor to first inquire about the circumstances under which the woman became pregnant. 

When an ambulance goes to the scene of an accident, we want all those who need help to be treated, even the person who caused the accident. 

When medical science has provided a way to treat an illness, we want that knowledge used on every person it will help.  We do not wish medical care to be given only to those whose behavior is beyond reproach – so few of us would be eligible.

Of course, medical interventions go way beyond pills, bandages, and surgery.  In the name of public health, we remove asbestos, cover over lead-based paint, and purify water. 

Our medical experts tell us that making sterile needles available to persons who inject drugs will slow the spread of HIV/AIDS and not increase drug use.  Making sterile needles available to those who inject drugs is a proven medical intervention.

God has led our medical scientists to the knowledge of how to slow the spread of the deadly HIV/AIDS virus – by stopping the sharing of dirty needles.  We have an obligation to accept this gift of knowledge and use it.

  Am I my brother’s keeper?

There is a dangerous curve in the road.  One speeding driver dies.  Then another.  Then another.  They should not be speeding.  They are responsible.  But we know the curve is dangerous.  Don’t we have an obligation to post a warning sign?  Put in a stop light?  Change the traffic pattern?  Perhaps even straighten the road?

And the driver is not always alone.  Sometimes a wife or husband is along.  Sometimes a newborn child. 

And so it is with injecting drugs in the age of AIDS.  People who inject drugs know they are taking a risk.  But we know too.

I believe we have an obligation to permit people who inject drugs to have access to sterile needles so they can protect their health.  Injection drug users are also God’s children.

And, like the reckless driver in the example above, people who inject drugs have wives, husbands, and babies.  When we abandon the person who injects drugs to HIV/AIDS, we are abandoning their non-drug-injecting partners and babies as well. 

God has given us knowledge with which to slow the spread of HIV/AIDS to all these people.  Let us use it.


Excerpt from Dawn Day. 1996. "A religious person's view of the moral issues related to the spread of HIV/AIDS among injection drug users." The pioneers of reform: reflections + visions." Washington, D.C.: Drug Policy Foundation. October. pages 15-16.

For a list of other materials used on this website, see References.