Shaky ScienceDrug Detection Your RightsDrug Test NationDrug Assays
Home
Methadone Forum
Rate Your Program
"What's Your Story?"
The Director's View
Talk Back
Guestbook
Addiction Science
An Addict's View
Bits and Pieces
Dedications
Drug Tests
Erosion Of Rights
Federal Regulations
 Frequent Questions
Georgia Opiate Clinics
Georgia Regulations
Hepatitis HCV
   Internet  Resources
 Legal Issues
Library
Methadone Talk
Methadone and Pain
Methadone Interactions
Methadone Maintenance
Myths Of Methadone
News And Views
  Opiate Drug Treatment
     Overdosed
Pregnancy
Rights of Patients
Suboxone
Video Library
For Women Only


Drug Test Nation
Get a whiff of the new pot-sniffing technologies, coming to a highway near you.
Paul Armentano

Random drug testing in the workplace rose to prominence in the mid-to-late 1980s, embodying the zeitgeist of the nation's "War on Drugs" fervor. In 1986 President Ronald Reagan signed Executive Order 12564, requiring federal employees to be drug free on and off the job. Four years later the U.S. Supreme Court ruled 5-4 in the case National Treasury Employees Union v. Von Raab that suspicionless employee drug testing does not violate the Constitution's Fourth Amendment protections against unreasonable searches. These executive and judicial moves paved the way for the unprecedented growth of workplace drug testing within the public and private sector. By 1991, 62 percent of large U.S. companies were forcing their employees to "drop trou" as a condition of employment—a figure that in recent years has dropped slightly, but still stands at roughly 50 percent. Of the nation's approximately 1.6 million federal workers, some 400,000 may now undergo some form of drug screening.

Not surprisingly, this surge in the number of Americans peeing on demand has coincided with an explosion of alternative drug testing technology. In recent years, firms touting unconventional drug screens of citizens' hair, sweat, and saliva have emerged, each proclaiming its state-of-the-art gadgetry to be the heir apparent to the piss cup. For the most part, however, employers have been unconvinced. Despite promises of the tests' purported "increased sensitivity" and "less intrusive nature," federal and private employers have generally been unwilling to rely on such Brave New World methods, virtually all of which remain largely unproved by the scientific literature and lack approval from the Food and Drug Association.

Thanks to the work of groups like DATIA, the Drug & Alcohol Testing Industries Association, things are about to change.

According to its website, DATIA is "a 1,200-member national trade association representing the full spectrum of alcohol and drug testing service agents, including laboratories, collection sites, ... and [drug] testing device manufacturers." In layman's terms, it's the lobbying arm for the drug testing industry.

DATIA's mission includes "working closely with key policy makers in federal agencies and in Congress to ensure that the interests of the industry are heard." Recently, the group's chief focus has been to push the U.S. Department of Health and Human Services to amend the federal workplace guidelines so that federal agencies can conduct drug screenings of employees' hair, sweat, and saliva. (Existing federal regulations mandate drug testing programs rely on urine screens only.)

Such a change, DATIA hopes, might finally kick-start private employers to use alternative specimen technology. It would also financially benefit several of the organization's members, many of whom have a significant financial stake in the expanded use of alternative drug screening methods.

Last April, the government finally granted DATIA's wish, proposing to overhaul the feds' drug testing regulations to encourage agencies to use alternative testing methods. Ironically, the proposal came at a time when positive drug tests among federal employees are at record lows. (Of those federal employees tested for drugs last year, only 532 peed positive, at a staggering cost to taxpayers of $11,466 per positive test result.)

Meanwhile, the agency backing the plan, the Department of Health and Human Services' Substance Abuse and Mental Health Services Administration (SAMHSA), has criticized the new technologies as seriously flawed. According to SAMHSA's April 2004 "Proposed Revisions to Mandatory Guidelines for Workplace Drug Testing," hair testing, saliva testing, and sweat patch testing all have significant limitations

In the case of hair testing, which detects drug metabolites (inactive compounds indicative of past drug use) that have passively diffused from the blood stream to the base of the hair follicle, the agency warns that both environmental contamination and hair color can significantly impact the accuracy of the test. "The role of hair color is... a major concern," SAMHSA says, noting that "data show that higher concentrations of some drugs are found in dark hair when compared to blond or red hair." Studies have demonstrated similar testing inconsistencies when screening for drugs among ethnic minorities, particularly African Americans.

Environmental contamination—such as a scenario where the individual to be tested was recently present in a room where others smoked marijuana—also may negatively affect the accuracy of saliva testing, SAMHSA says. As a result, the feds are encouraging agencies to also collect a urine sample "at the same time the oral fluid specimen is obtained" for confirmation testing—although doing so will more than double the high costs already associated with specimen collection while, at the same time, likely yielding confounding results.

Regarding the efficiency of sweat patch testing, SAMHSA notes, "The Department knows from direct experience ... that some individuals may not be able to wear the sweat patch for the optimal period of time."

The fact that federal bureaucrats are willing to brush aside such technological concerns in their rush to break bread with the drug testing industry is illustrative of the growing political power wielded by America's bodily fluid inspectors. But for the drug detection cabal, invasive testing by employers is just the first step. The next is to extend bodily-fluid-sniffing from the workplace to the roadways—and enlist the full coercive powers of the state to do so.

For the past several years drug testing superhawk Michael Walsh, a former Associate Director to the Drug Czar and current president of the drug testing and lobby organization the Walsh Group, has led the charge to apply workplace drug testing standards and regulations to all licensed U.S. drivers. In 2002, Walsh partnered with the White House to lobby state legislatures to amend their drugged driving laws, arguing that states should no longer require "impairment" as a necessary condition for prosecution. Instead, Walsh asserted that prosecutors simply charge all drivers who test positive for any level of drugs or drug metabolites as a criminal drugged driver—even if the motorist is neither under the influence nor impaired to drive!

As a result of Walsh's lobbying efforts, eleven states—Arizona, Georgia, Illinois, Iowa, Indiana, Michigan, Minnesota, Pennsylvania, Rhode Island, Utah, and Wisconsin—have now adopted such legislation, known as "zero tolerance per se" laws. At last spring's conference in Tampa, Walsh and his peers demanded Congress get into the act and pass legislation mandating all 50 states to enact models of his zero tolerance bill. Sure enough, federal politicians are champing at the bit to do just that.

Less than one month after the Tampa symposium, bi-partisan legislation was introduced in Congress granting police the power to drug test drivers and arrest anyone found to have "any detectable amount of a controlled substance ... present in the person's blood, urine, saliva, or other bodily substance." Despite the proposal's purposefully misleading title, H.R. 3922: The Drug Impaired Driving Enforcement Act, did not, in fact, require motorists to be identifiably impaired or intoxicated to be criminally charged with the crime of "drugged driving." Rather, as in the workplace, subjects need only test positive for inert drug metabolites (which, in the case of marijuana, may linger in the urine for days or even weeks after smoking) to be found guilty. Only this time, violators won't be losing their jobs; they'll be going to jail.

Despite H.R. 3922's sweeping intent to criminalize otherwise non-criminal behavior (driving while sober), congressional representatives in the summer of 2004 added the measure to the transportation reauthorization bill and promptly rubber-stamped it through the House without so much as a single hearing. However, much to federal lawmakers' chagrin (and, no doubt, to the disappointment of many within the drug testing industry as well), the bill eventually died in conference committee.

That's not to say America's pee police won't be back for another round this year with new and even more expansive proposals. In Tampa, attendees contemplated plans to enact random roadside drug testing checkpoints, while DATIA's legislative agenda for 2005 focuses on expanding the prevalence of student drug screening. Like it or not, it's dangerously clear the drug testers will not rest until every American has submitted to their inspection, and with more and more politicians in their pockets, they just might succeed.

Paul Armentano is the senior policy analyst for NORML and the NORML Foundation in Washington, DC. His writing has appeared in The Washington Post, The Washington Times, The Christian Science Monitor, Ideas on Liberty


How long a drug can be detected once it enters the body depends on a person's metabolism, individual body chemistry, and fluid intake (the more fluids you drink, the weaker your sample). Different urine tests also have varying thresholds to indicate a positive sample. The following figures indicate the range for light to heavy use:

Marijuana .................5-30 days*
Amphetamines .........2-3 days
Barbiturates ..............2-7 days
Cocaine ....................2-3 days
Codeine ....................2-5 days
Methadone ...............3-5 days
Opiates .....................2-4 days
PCP "Angel Dust"......10-14 days
Phenobarbital ..........10-20 days
Quaaludes ................8-20 days
LSD, XTC .................. Not Detectable 

* Marijuana. The recommended testing threshold for marijuana has been lowered to 50 nanograms from 100 nanograms, to catch more smokers. At the lower level some have tested positive over thirty days. Any drugs containing ibuprofen or other non steroidal anti inflammatories often taken for sport injuries can test positive at the 20 nanogram level. Some employers and government agencies still use the 20 nanogram test.

** Psychedelics and mushrooms are not detectable by basic tests.

WHAT ESCAPES THE TEST ?

Remember, the two most widely abused drugs in the United States are not subject to search in government mandated drug procedures. Alcohol. Studies show that alcohol causes approximately eight times the loss of productivity, and personal disability than all illegal drugs combined. Nicotine. Over four hundred thousand cancer deaths per year can be linked to cigarette smoking. Yet the government subsidizes tobacco farming. Hallucinogens. This family of euphorics including LSD, Mescaline, and psychedelic mushrooms, are not regularly part of the test. They're only detected by the sophisticated GC/MS test.

A person could have four Martinis at lunch, chain smoke a pack of cigarettes, drop two tablets of LSD and pass the initial drug screen with flying colors.



Cigarettes*                                                         418,690
Second HandSmoke***                                          3,800
InfantDeaths (SecondHandSmoke)*                       1,711
Alcohol**                                                             100,000
Overdoses Illegal Hard Drugs**                               3,600   
Overdoses Legal Drugs**                                       21,000
Cocaine/Crack Overdoses**                                     1,696
Heroin Overdoses**                                                  1,046
Aspirin Overdoses**                                                  1,000
Marijuana Overdoses**                                                   0


* Federal Center for Disease Control 1990
** U.S. Public Health Service 1988 *** Environmental Protection Agency 1990 

Despite the frenzy over Crack, Cocaine, PCP and Heroin the government reported total deaths in 1986 as 3,563. NBC Television News reported 1,600 Crack - Cocaine deaths in 1989. Data from the American Cancer Society, confirmed by the U.S. Surgeon General, shows more people die in two days from cigarette smoking than from crack and cocaine in the entire year.

The Surgeon General's report shows almost 10,000 people a month die from alcohol abuse.

Your tax dollars still go for U.S government price support payments to Tobacco farmers, who are selling a very slow acting, but very deadly drug. Surgeon General DR. C. Everett Koop in his The Health Consequences of Smoking, reported: "Nicotine is every bit as addicting as heroin and cocaine." Dr. Lester Greenspoon of Harvard Medical school said, "If cigarettes were prohibited, there would be a black market and people would kill over territory for selling them."

Entire branches of the medical profession are devoted to dealing with the lung and cancer diseases which are almost entirely an outgrowth of cigarette use. The American Cancer Society states that forty two million dollars a year are spent on medical care and lost productivity due to smoking.

Alcohol abuse, leads to severe kidney, liver, and heart problems. Alcohol is not even considered a drug by advocates of urine testing. Yet the number of babies stillborn last year because of mothers' alcohol abuse during pregnancy was greater than the number of people who died from crack and cocaine use. While the headlines scream about crack, the government doesn't even require a warning label on bottles of alcohol. The Federal Railroad Administration cited 77 train accidents to show the need for anti-drug tests. But investigation of the accidents showed the sole cause in 73 accidents was alcohol, while marijuana was mentioned twice, once in combination with alcohol and methamphetamine. The Center for Disease Control reports that in 1987 23,630 deaths, or 51% of all automobile fatalities, involved alcohol.

Approximately 90% of the calls coming into Byrd Labs concern marijuana use. Byrd Labs has deduced during the last two years, after conversing with thousands of worried job holders, that Urine testing is essentially an anti-marijuana campaign. Most employees can't afford cocaine and it passes out of the system quickly - in two to three days. But, THC residues may stay in the system more than a month. usually smoked after work or on the weekends. As one woman caller put it, "I want my husband to smoke pot when he comes home, stressed out , from work. It keeps peace in the family."

Drug over-use is bad for both the individual and the culture. But legislation passed by drinkers and smokers, to stop people from using other drugs is self-defeating. If one drug like cocaine is suppressed, synthetic substitutes are easily available. The principal drug abused by junior high school students are inhalants. Almost two thirds of have tried liquid paper. We can't ban everything.

Our culture teaches - "Drugs work". They're advertised as instant and attractive remedies on television. Our culture teaches when illness occurs, one rushes to the doctor, not for acupuncture, herbs, or other holistic remedies, but for drugs. It's hard to convince people who can't afford a "family doctor" that street drug use is bad.

Politicians have enhanced their position by decrying certain substances - even herbs and mushrooms - as drugs, while putting widely used nicotine and alcohol in an exempt category. Even more hypocritical is these same politicians promoting the school systems' use of drugs for social control. This year close to one million children will be given Ritalin to increase their attention in school.

The Physician's Desk Reference warns about Ritalin: "Frank psychotic episodes can occur, especially with abuse. Careful supervision is required during drug withdrawal, since severe depression as well as the effect of chronic over activity can be unmasked. Long term follow-up may be required because of the patient's basic personality disturbances." If we sold Ritalin on the street we would be sent to jail as "drug pushers." But Drug Czar William Bennett supported Ritalin use as Secretary of Education. 

Modified:2 July 2005

Top