The war on drugs isn’t just a huge, bloody, and counterproductive waste of money and lives. Turns out it’s also the ‘main reason’ HIV/AIDS is still spreading around the world.

That’s the blunt assessment of the gold-plated Global Commission on Drug Policy, an all-star team of former presidents and assorted luminaries who call in a new report for big changes in the way governments tackle drugs.

‘The global war on drugs is driving the HIV pandemic among people who use drugs and their sexual partners,’ says the report. ‘Repressive drug law enforcement practices’ – drug seizures, arrests, criminal convictions – ‘force drug users away from public health services and into hidden environments where HIV risk becomes markedly elevated.’ Mass incarceration, another mainstay of the drug war, also plays a role, says the report, noting that as many as 25 percent of Americans infected with HIV may pass every year through correctional facilities, where prevention and treatment measures leave a lot to be desired.

The result: HIV is bigger than it needs to be in countries like the U.S. and is growing in certain regions and countries, thanks mostly to injection drug use.

The commissioners — they include six former presidents and other assorted big […]