On needle exchange

A posting by canonist Edward Peters at In the Light of the Law — later repeated at American Catholic — argues that Bishop Hubbard of Albany is guilty of formal cooperation in grave evil, by approving the use of a needle exchange program for drug addicts. The argument by Peters is, however, substantially lacking.

For formal cooperation to exist, one has to be able to point at exactly what the cooperation definitely is. This Peters does not do. He simply asserts (for example) that exchanging a dirty needle for a clean needle is an act of cooperation with the evil of drug abuse.

Is the cooperation because of the needle itself? How could it be? Because of the way that needle exchange works, the needle itself is not physical matter for the cooperation. Before the exchange, the addict has a needle. After the exchange, the addict has a needle. No change there, and hence no material cooperation on that account.

We may more reasonably ask whether the fact that the addict is supplied a clean needle will make it more likely that the addict will continue to abuse drugs. If it does encourage the addict to continue, then there would be a case that the needle exchange was a formal cooperation with the addict. But at this point we have raised a question that must be answered by the use of  prudence. Perhaps it does make it more likely, perhaps it doesn’t. To answer that question we may look at the relevant statistics for populations of drug users, or we might use our judgment about a particular drug user. Circumstances can indeed make a difference.

We might also ask if the needle exchange could encourage non drug-users to become drug addicts, on the misguided idea that it will somehow not be very dangerous, or whether — to counter such ignorance — we can sufficiently publicize and explain that many other great dangers of drug abuse will not be avoided.

If, after exercising  prudence in this way, we come to the conclusion that the exchange of a dirty needle for a clean needle does not make it more likely that drug misuse is encouraged, then we can, with moral safety, go ahead with the exchange.

Hence we can see Bishop Hubbard making a prudential decision that there is no cooperation (material or emotional) with drug abuse, and approving the program. Others might use their own prudence, and disagree with the decision. But there is no definite grounds for concluding that there has been formal cooperation with drug abuse.

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