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references do not exist for mature industrial democracies. In the context of the current worldwide epidemic of HIV and AIDS, the U.S. gains a strong, widely-held perception of being a role model for other advanced nations in their efforts to control AIDS." If the U.S. fails to effectively respond to the AIDS epidemic, it will have provided a disincentive to other countries in the industrialized world to apply the same policies to other epidemics. This conclusion holds even though many commentators have acknowledged the need to reevaluate many of the policies that are the subject of controversy in this article. For example, one commentator wrote: "As we now see the HIV epidemic, we may very well change the ways drug users are treated and the laws punishing drug use. Drug policies must be rethought because of the AIDS epidemic and change is underway as more states approve needle exchange programs and as more drug offenders are given second chance." [92] [91]HIV is the pandemic of choice for rethinking drug laws because the awareness surrounding AIDS has generated the largest number and the densest concentration of voices speaking generally against the drug laws as the cause of the AIDS epidemic. The AIDS lobby brought about tremendous change in drug laws in Australia[93] and Italy,[94] and AIDS activists have played a role in influencing drug law reform in Eastern European countries.[95] If stigma is the result of the interaction of collective norms, statements by the public, and the media, then the AIDS lobby and drug reform groups should be viewed as two sides of the same coin. If public discourse surrounding the disease has the power to influence drug laws, the AIDS lobby may also be considered as a form of drug prohibition lobby: as someone famously stated, when the devil is not at the gates, he has been declared the shepherd of the flock by some other power. [96]

some commentators, sensing a diminutive return to the tough-on-crime approach of the Reagan era, suggested that the new focus on HIV/AIDS would inevitably lead to the establishment of a national series of drug courts. The idea of creating specialized drug courts that focus on drug offenders with co-occurring disorders is not novel; similar efforts have been implemented in several U.S. cities, notably Los Angeles, San Francisco, and San Juan, Puerto Rico. d2c66b5586

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