Racial Prescriptions

Diary of a Mad Law Professor

By Patricia J. Williams

This article appeared in the June 3, 2002 edition of The Nation.

May 16, 2002

A recent front-page story in the Boston Globe proclaimed that New England leads the nation in Ritalin prescription levels. Somewhat to my surprise, the prevalence of Ritalin ingestion was generally hailed as a good thing--as indeed it may be in cases of children with ADHD. But to me the most startling aspect of the Globe's analysis was the seeming embrace in many places of Ritalin as a "performance enhancer." Prescription rates are highest in wealthy suburbs.

While the reasons for such a statistical skewing need more exploration than this article revealed, what I found particularly interesting was the speculation that New Englanders have a greater investment in academic achievement: "'Our income is higher than in other states, and we value education,' said Gene E. Harkless, director of the family nurse-practitioner program at the University of New Hampshire. 'We have families that are seeking above-average children.'"

Aren't we all. (And by "all," I mean all--wouldn't it be nice if everyone understood that those decades of lawsuits over affirmative action and school integration meant that poor and inner-city families also "value education" and are "seeking above- average children"?) But Ritalin, after all, works on the body as the pharmacological equivalent of cocaine or amphetamines. It does seem a little ironic that poor inner-city African-Americans, who from time to time do tend to get a little down about the mouth despite the joys of welfare reform, are so much more likely than richer suburban whites to be incarcerated for self-medicating with home-brewed, nonprescription cocaine derivatives. If in white neighborhoods Ritalin is being prescribed as a psychological "fix" no different from reading glasses or hearing aids, it's no wonder the property values are higher. Clearly the way up for ghettos is to sweep those drugs off the street and into the hands of drug companies that can scientifically ladle the stuff into underprivileged young black children. I'll bet that within a single generation, the number of African-Americans taking Ritalin--to say nothing of Prozac and Viagra--will equal rates among whites. Income and property values will rise accordingly. Dopamine for the masses!

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About Patricia J. Williams

Patricia J. Williams, a professor of law at Columbia University and a member of the State Bar of California, writes The Nation column "Diary of a Mad Law Professor." Her books include The Rooster's Egg (1995), Seeing a Color-Blind Future: The Paradox of Race (1997) and, most recently, Open House: On Family Food, Friends, Piano Lessons and The Search for a Room of My Own (Farrar Straus and Giroux, 2004.) more...
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