The AP has an article reporting on the progress of the Public Health Policy Committee’s studies during the legislative interim says that the committee could not come to an agreement on needle exchange policy. In the wake of an HIV outbreak in southern Indiana, the General Assembly gave the Indiana State Department of Health authority to approve local needle exchange programs. Such approval has been given to Scott, Fayette, and Madison Counties.
Rep. Charlie Brown, a Gary Democrat who’s a committee member, said he plans to sponsor legislation that would allow any Indiana community to start a needle-exchange program without the state health commissioner’s approval.
My questions on this — and maybe the committee addressed these issues — are:
1) What is the downside to allowing the local health officer to authorize a needle exchange program where needed? In other words, what does the public lose if clean needles are more readily available under circumstances that the state health commissioner wouldn’t have approved?
2) Is the state health department being unnecessarily restrictive? Is there evidence that there are counties in Indiana where this would help but the State won’t allow it?
At the end of the day, we shouldn’t let absolutist moral gestures stand in the way of practical solutions where the cost/benefit of such gestures doesn’t make sense. I think the history of these needle exchanges is that there is a fear that approving them is condoning the illegal and/or immoral behavior associated with needle use. You see echoes of that kind of fear in the resistance to getting HPV vaccinations for fear that it will lead to more girls having sex. But, even if you don’t approve of sex and drugs, it’s disproportionate to allow those activities to be a death sentence where there are fairly simple steps that can be taken to mitigate the adverse consequences.