Excellent article here about the British system of prescribing diamorphine to addicts.
<a class="break-all" href="https://web.archive.org/web/20200326090056/www.independent.co.uk/independentpremium/long-reads/british-system-heroin-treatment-diamorphine-a9017771.html" rel="nofollow" target="_blank">web.archive.org/web/20200326090056/www.independent.co.uk/independentpremium/long-reads/british-system-heroin-treatment-diamorphine-a9017771.html
I worked in the NHS with sex workers at the time including sex workers addicted to heroin. I worked during a time of collective terror over AIDS and the “don’t die of ignorance” campaign
I would like to share a few thoughts re this.
Firstly, I do not think that anyone, anywhere would encourage desperately poor women (or men for that matter) who are addicted to drugs to be sex workers, regardless of whether they support legalisation, decriminalisation or abolition of the sex industry.
If people are concerned about the exploitation of the most vulnerable people in society in systems of prostitution then possibly the most important issue they need to divert their attention to is our current war on drugs and resulting insane and counterproductive drug policy.
Some of the sex workers I worked with personally were users of a needle exchange scheme and a drug dependency unit. These were definitely the most vulnerable and abused sex workers I encountered in my work. I also worked with women working in massage parlours, pornography, “gentlemen’s clubs”, escorting and women who were very highly paid with very few regular clients. All of these women were exploited in various ways. All of these women faced risks to their safety. However the exploitation and abuse experienced by street working, substance addicted women (many of whom were also supporting an addicted “boyfriend”) was unimaginable.
Heroin and crack addicted women typically sold sex on “the beat” in all weathers, in all hours in extremely unsafe situations. Several women I knew were murdered. Some women occasionally dealt drugs to pay for their own supply. I knew women who were “taxed” (robbed) by dangerous, psychopaths criminals, who not only stole their drugs and money but who subjected the women to prolonged sessions of sexual torture too horrific to describe here. I still suffer occasional sleepless nights when I wake up remembering the horrors of listening to a woman describe what had been done to her in such a situation.
The very worst times for the street working women were when the local police (Paddington Green “tom squad”) launched one of their kerb crawling initiatives where they arrested punters. The women I worked with were genuinely terrified whenever this happened.
Their mundanely perilous activities became even more dangerous. There was no time to look in a car to see if the man was hiding a rope or a knife or giving off a funny vibe. No time to check the ugly mugs list. They had to just jump in the car quickly and hope for the best, because any time spent lingering mean that the punter was likely to just drive off.
You may ask yourself why they just didn’t stop selling sex? The reason why is the same reason why all the sex workers in Ipswich carried on walking the beat when a serial killer was on the loose. The women were addicted to drugs, had experienced multiple and repeated emotional traumas resulting from drug addiction, sex work and related horrors and needed money to pay for their drugs to self medicate and also to eat.
I cannot understand why people cannot grasp this. On the news yesterday there were scary photos of commuters packed into trains at a time when getting on a train might cost them their health or even their life. Why do they do it? Because they need to pay the rent and put food on the table. Obviously
There is much more I would like to post about this subject. Pushed for time right now