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In contrast with the critical, innovative ideas developed between the 1960s and the 1980s regarding the way we deal with illegal drugs in our societies, the current dominant approaches frame the issue of drugs as a matter of crime, public order, and control. Pleasurable substances have always existed and always will, and so the efforts to cope with them. However, we witness today remarkable developments at local, national and international levels in the fields of drug policies (on cannabis for example), drug trafficking (new routes, new actors) and drug use (new substances, new drug cultures), all of which deserve our attention and push us to think beyond the repressive paradigm. This contribution, which also serves as an introduction for this special issue of ToCC on drugs, aims to present an overview of the main developments taking place, and challenges ahead, within the three above-mentioned fields. There are new markets and trends in the use of legal and illegal pleasurable substances, particularly regarding synthetic drugs (amphetamines, methamphetamines and new psychoactive substances or NPS), tobacco and alcohol. Illegal drugs are supplied from changing countries and through new routes, while retailing increasingly takes place through the so-called cryptomarkets (online). Effective policies are rendered impossible by the fundamental repression paradox: the more intensive and effective the repression, the larger the profits of drug traffickers and the balloon effects (displacement). Despite the harms and negative effects of repressive policies have extensively been documented, a societal debate towards the regulation of illegal drugs is hindered by the use of false dichotomies or presuppositions, by the use of ethical or moral appeals, or by lack of political will. Also the debate in the media is static, superficial and full of clichés. Scientific research on drugs also follows specific agendas and it is focussed on particular aspects of the problem. Changes to end the ‘war on drugs’, certainly regarding cannabis, are however underway in many places at local and national level (Uruguay, Canada, US, Spain, etc.), this despite UN bureaucracies and international conventions that fiercely resist those changes.

Despite the fact that Peter Cohen has not written about drugs for the past 10 years, he remains one of the most influential and radical thinkers and researchers in the Netherlands in the field of drug use and drug policy. The former director of the CEDRO (Centrum voor Drugsonderzoek) at the University of Amsterdam is certainly a ‘significant other’ in the European drug landscape as he challenged, in the 1980s and 1990s, mainstream views and discourses on drugs held by the political, academic and health service establishments. In this interview we first discuss with him some of the key life events and intellectual sources that shaped his early choices first as student and later as young researcher, illustrating why and how he came to study drugs and remained at the university. Further, we focus on Cohen’s particular relation with the Amsterdam political elite in the 80s, which allowed him to develop the first large-scale studies in the Netherlands on different types of drug users. He further expands on his critique to the way in which drug use was at the time socially constructed in discourse and practice. During the second part of the 1990s, a new generation of politicians and managers (local and national government, but also at universities), changed on the one hand the political agenda about drugs, and imposed on the other serious limitations to conduct innovative research within the university. He finally explains some of his key ideas about the ways in which drug policies and interventions resemble religious wars and crusades, his growing disenchantment with present developments at European level, and he reflects on the future of drugs commenting on the present attempts to regulate cannabis.

Background.Transplant tourism is a phenomenon where patients travel abroad to purchase organs for transplants. This paper presents the results of a fieldwork study by describing the experiences of Dutch transplant professionals confronted by patients who allegedly purchased kidney transplants abroad. Second, it addresses the legal definition and prohibition of transplant tourism under national and international law. The final part addresses the legal implications of transplant tourism for patients and physicians.Methods.The study involved seventeen interviews among transplant physicians, transplant coordinators and policy-experts and a review of national and international legislation that prohibit transplant tourism.Results.All Dutch transplant centers are confronted with patients who undergo transplants abroad. The estimated total number is four per year. Transplant tourism is not explicitly defined under national and international law. While the purchase of organs is almost universally prohibited, transplant tourism is hardly punishable because national laws generally do not apply to crimes committed abroad. Moreover, the purchase of organs (abroad) is almost impossible to prove.Conclusions.Transplant tourism is a legally complex phenomenon that warrants closer research and dialogue. The legal rights and obligations of patients and physicians confronted with transplant tourism should be clarified.