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I have 5 data points in my family that say crack babies are not a fiction, assuming crack means crystal meth. I don't generally associate the slang term "crack" with cocaine or heroin.

Crack is a form of cocaine, not meth. However, meth's effects on fetal development is also not well understood and probably is also less than tobacco or alcohol.

Part of the reason it's not well understood is that so much of the research on the topic doesn't make it through peer-review because it's found to be biased due to the extreme stigmatization of pregnant women with addiction. So we probably ought to cut down on that.

I'm also willing to bet that there are very few women in this category who can say "I live a healthy lifestyle, except for smoking crystal meth regularly." Most likely there are a host of factors affecting fetal development. I'm willing to bet that it's worse for the fetus if she lives with the father who smokes a pack a day than if she herself does a line of coke and a shot of whiskey once a week.

As such, a control-and-protect regime designed to defend fetuses from their mothers must also, if it is to be successful, intrude into the lives of the fathers and also everyone else living in the household.

Or, we could accept what we already know; that addiction (even the super-awful kind that affects babies) is an extant public health issue that is best addressed by making treatment programs safe, inviting and available to everyone. Not through ridiculous fear-based schemes of prohibition, punishment, control and moral panic.
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