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The complete "war on drugs", which was instigated worldwide in the 1980s, and the drug use associated with this war were a result of the public health consequences of crack cocaine. Cracker consumption, because of their cheap cost because of their accessibility, created a high saturation of crack cocaine at an epiconceptual point in the American society [4]. This glass ceiling's focal point in New York was the Harlem district [5].

Further, besides the "war on drugs" argument, it was also a very hard policy to combat crack cocaine. Despite the government funding and the research into crack cocaine, crack cocaine use continued to increase in the 1980s and 1990s for many reasons, including the availability of cocaine in other forms, which, include powder cocaine and heroin [5]. Although crack cocaine use and its associated harms were being studied, criminalized, and restricted, the perception of use and harms of crack cocaine was very different than the reality of its harms. It was estimated that the quality of life associated with crack cocaine use was worse than the quality of life associated with alcoholism. Only 50% of crack cocaine users successfully complete treatment. The other 50% who do continue to use crack cocaine and its related harms of crime, violence, and imprisonment in the criminal justice system. The police typically do not report violent and non-violent drug crime crimes. Therefore, if a crime was committed it often was not reported and, if reported, later filed [6, p.3]. Another issue with crack cocaine use is related to the concomitant use of other drugs like heroin [7].

The medical treatment of crack cocaine was not well recognized until the 1990s. Public attitudes towards drug use and public discourse also changed in the 1990s when the CDC's 1992 Surgeon General's report to Congress for the first time explored the possibility of an addiction to crack cocaine, as well as possession and use of cocaine [4]. As the debate progressed within the medical community and the law enforcement community, public funding for crack cocaine shifted towards research support for treatment for those affected by crack cocaine. d2c66b5586