Abstract
Alcohol use is a major determinant of health at both an individual and societal level. In New Zealand alcohol is legal and highly commercialized. Its harms are pervasive and are inadequately managed by current alcohol policy. However, contemporary methods for policy reform have also proven ineffective, and so effective alcohol regulation has been repeatedly thwarted. This essay first outlines the current state of regulatory failure and establishes the need for reform, before proposing citizens’ assemblies as a solution to this public health conundrum. These are novel democratic institutions designed to secure an informed and representative public voice as the central determinant of policy. This essay contends that an appropriately designed citizens’ assembly is likely to lead to alcohol policy which is more informed, evidence-based, and democratically accountable than current methods. Such an assembly would also be consistent with the Treaty of Waitangi principles and may assist in reducing alcohol-related inequities for Māori. Finally, in discussing such an assembly, this essay presents an internationally applicable model which could be employed for a range of other drug policy issues.