In 2001, the Surgeon General of the United States, David Satcher M.D. Ph.D., placed the D.A.R.E. program in the category of "Ineffective Primary Prevention Programs".[6] The U.S. General Accounting Office concluded in 2003 that the program was sometimes counterproductive in some populations, with those who graduated from D.A.R.E. later having higher than average rates of drug use (a boomerang effect).