The Los Angeles City Council last week finally adopted a medical marijuana ordinance. Though not perfect, it balances the needs of local communities with those of patients who truly need access to medical marijuana. And it will rein in an out-of-control situation in which a federally banned substance has been sold for the last four years as hundreds of dispensaries proliferated in the city of Los Angeles, with no local regulations and ambiguous state laws to guide us.

To make the new ordinance work as effectively as possible, legislators need to clarify the state’s medical marijuana laws — Proposition 215 and its accompanying SB 420. Both are silent or vague on critical issues for the practical implementation at the local level.

As cities throughout California draft ordinances, they are grappling with issues that they have no power over and that should be handled at the state level. Moreover, they are trying to pinpoint evolving and changing court rulings interpreting state law.

In Los Angeles, one of the most difficult issues was what constitutes a “sale.” My colleagues on the City Council and I addressed this by stipulating that although no collective shall operate for profit, “cash and in-kind contributions, reimbursements and reasonable compensation” are allowed as long as they comply with current state law. However, we don’t know how this provision will be enforced because we are relying on state law that is unclear and in litigation.

It is also unclear whether the over-the-counter dispensary model was what voters intended when they approved Proposition 215. The law might have intended a much more limited distribution of marijuana, such as having either patients or their caregivers grow their own product or having collectives grow a small amount and reimburse members for their labor.

Without clarity from the state, the council also had to punt on the issues of cultivation and transportation of marijuana by saying that the ordinance would abide by state law.

Cultivation is important because the ordinance as written does not address where the collectives will obtain their marijuana. Will it be grown locally, imported from Northern California or bought on the black market? And are people who transport the marijuana to and from collectives immune from prosecution?

Another issue that is not being addressed locally but perhaps is the biggest impediment to properly regulating dispensaries relates to the wide discretion and relative immunity that physicians have in recommending medical marijuana to patients. When most of us have a medical issue, we don’t look through the pages of alternative weeklies to find a physician. We go to the doctor who knows the most about our medical history — our primary-care physician.

Yet under state law there is no requirement to curb abuse by having people see their primary-care physician first, or, as Oregon does, to require that a patient get a note from an “attending physician” with whom he or she has an established patient/physician relationship.

It’s interesting to note that Oregon, like several other states, only allows medical marijuana for a narrow list of conditions. In contrast, in California, marijuana can be recommended for anything from cancer to writer’s cramp. So, although California voters have not (yet) directed the state to legalize marijuana for nonmedical use, the state medical marijuana law has created de facto legalization because practically anyone can become a qualified patient.

Given these ambiguities, the city has provided an ordinance within existing state law that does its best to create access for medical marijuana patients while protecting local communities from potential negative consequences.

The council voted to support a requirement that dispensaries be at least 1,000 feet from sensitive-use areas where children and families gather, such as schools, playgrounds and places of worship — and from other dispensaries.

We also capped the number of collectives at 70 (instead of the estimated 700-plus that exist) and required notification to neighborhood councils before new dispensaries open in their areas. To control profiteering, we also required annual audits and outlawed common ownership of multiple collectives.

I, like a majority of California voters, voted in favor of Proposition 215 because I believe that patients dealing with cancer, AIDS, chronic pain and other serious ailments should have access to medical marijuana.

However, I remain concerned about profiteers looking to make a quick buck, recreational users looking to use an ambiguous state law to their advantage and less-than-scrupulous doctors willing to play along by writing quick and unverified recommendations. Though seemingly innocuous to some, these unchecked activities can lead to real problems in local communities should the state refuse to further regulate medical marijuana. I encourage state legislators to immediately amend SB 420 to deal with its ambiguities.

In the future, if the voters legalize marijuana for recreational use, I would hope that the state provides clear and practical rules for local implementation, unlike what has occurred with medical marijuana.

José Huizar represents the 14th District on the Los Angeles City Council. This post originally appeared in the Los Angeles Times

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Since the Controlled Substances Act of 1970, cannabis, also known as marijuana, has been federally classified as a Schedule I drug, meaning that it has no legally accepted medical use and has the same classification as, for example, heroin. Over the last couple of decades, however, that classification has started to be challenged, especially at the state level.

Currently, 13 states have passed some form of legislation allowing the use of medical marijuana. California was the first, passing the Compassionate Use Act in 1996 that legalized medical marijuana and ostensibly set regulations for the production and distribution of the drug. In recent months, New Mexico has begun “breathing life,” to quote an Associated Press report, into its own 2007 legislation that legalized medical marijuana. That New Mexico has taken so long to formalize the systemization of medical marijuana is indicative of a larger national resistance to the notion of legal weed in the United States.

Before further discussion, the fact that marijuana does indeed have undeniable and considerable medical benefits must be made clear. Marijuana is unparalleled in its propensity for alleviating the side effects endured by chemotherapy patients, and in general the drug has well-chronicled benefits for chronic pain relief such as combating migraines and nerve pain in HIV patients. As Dr. Donald Abrams, a cancer specialist at San Francisco General Hospital, said, “I can recommend [this] one drug for all those [pains], instead of writing five different prescriptions.”

In fact, even the American Medical Association, or AMA, agrees with the need to reclassify marijuana. The current classification of marijuana as a Schedule I drug puts it on par with drugs like heroin and LSD, which clearly have no medical use. On November 10, the AMA called for a federal review of marijuana’s status under the Controlled Substances Act, stating its hope for “the goal of facilitating the conduct of clinical research and development of cannabinoid-based medicines, and alternate delivery methods.” The AMA was promptly ignored by the relevant federal authorities.

This dismissal speaks again to the long-standing unwillingness of our nation to enter proper dialogue concerning medical marijuana. The recreational and cultural use of marijuana, most prominently associated with the flowery 70s, has stigmatized the drug to the point where, it can be argued, many are unable to delineate between supporting the legalization of medical marijuana and supporting the legalization of marijuana for, simply put, getting high.

Nevertheless, there is indeed a distinction. Marijuana has scientifically supported medical benefits, ones that are so persuasive that even the AMA felt compelled to call for its reclassification. But marijuana seems doomed by its negative connotations.

To resist the legalization of such a positive social good for reasons extraneous to its inherent medical benefits is simply a fundamentally flawed approach to enacting progress.

Detractors say that there is a high probability that the legalization of marijuana for medical use will lead to rampant abuse. And a Sept. 23, 2007, “60 Minutes” special on California’s notorious “pot shops” seemed to confirm this worry. Essentially, as long as a patient — and this term is used in the loosest fashion imaginable — can convince the doctor that marijuana is necessary to relieve his pain (“You know, all I can do is take my patients’ statements as factual,” said one doctor), he can easily gain access to marijuana.

But this lack of discipline can be partly attributed to the incoherence of medical marijuana’s legalization. The aforementioned “60 Minutes” feature highlighted the blatant conflict between marijuana’s legal status as a medical drug and the virtually arbitrary raids that federal authorities conducted on California’s pot shops. This summer, furthermore, New Hampshire’s governor vetoed medical marijuana legalization, citing its inconsistency with federal regulation. But clearly, the evidence says the current federal regulations are wrong.

Unless the government — and this country — are willing to approach marijuana reasonably, we will not even get the chance to attempt proper systemization of medical marijuana. California’s marijuana policy, the state’s doctors readily admit, is of course not stringent enough, but that does not mean the law needs to swing back to the other extreme.

In New Mexico, then, cautious steps are being taken to define a template for the production and distribution of legal medical marijuana. There are 15 qualifying conditions for medical use of the drug and there are five nonprofit organizations permitted to produce it. Each producer is limited to 95 plants. The success of New Mexico’s scheme is far from guaranteed, but it represents a willingness to at least explore the potential and limitations of a properly regulated system of medical marijuana.

Nobody is denying that marijuana, as a product, has its downsides. Science is not yet sure of its lung cancer-inducing properties as well as its addictive properties. But these risks are analogous to (which, to pre-empt the decriers, does not mean “are equal to”) the risks of other drugs that the federal authorities seem willing to condone — Vicodin and Valium come to mind. Why should marijuana be treated any differently?

What is needed is a paradigm shift, one that allows us to look at marijuana not as some taboo indulgence but as a legitimate medical product. Condoning medical marijuana is not the same as condoning marijuana for other purposes.

To use the words of one of New Mexico’s approved marijuana producers, “The faster we move away from a paranoid drug dealer model to a normal business model, the better it’s going to be [for medical marijuana].” Fortunately for its proponents, medical marijuana seems to have a strong ally in the current administration. Obama’s stance on state legalization, as of February, is that the federal government will no longer interfere in the form of raids and other similar attacks.

But for real change to be enacted, there still needs to be a fundamental rethinking of whether it remains appropriate to oppose medical marijuana based on concerns peripheral to its merit as a medical drug. Until then, the question of how best to maximize its medical usefulness through regulation and systemization remains a theoretical one.

http://phoenix.swarthmore.edu/2009/11/19/opinions/legalize-medical-marijuana

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Great news for those in Wisconsin…

It is time to legalize marijuana for medical purposes. As one who is recovering from several surgeries, and the accompanying pain that goes with them, marijuana should be available for pain relief under doctor’s supervision.

For years, doctors were stingy with the amount of pain medication given in the hospital and later at home. That seems to be changing, in recent years, painkillers are much more liberally administered to those who need them. Good pain management is proven to speed up the healing process.

Although I am not a marijuana user, I’ve read reports that people with certain types of cancers and other types of debilitating diseases find pain and anti-nausea relief when smoking marijuana. If we could devise a low cost way to deliver it to appropriate patients through prescription from a doctor, and purchased from a legal outlet, like a pharmacy, I am all in favor of it. Users would have to obey the existing traffic laws and would not be able to resell it to family and friends.

Many of the current drugs we take come from plants. In this case, you would get the relief directly from the plant itself, rather than in pill or liquid form.

If you agree with this point of view, contact your Wisconsin legislator. They are currently discussing this issue.

http://www.biztimes.com/blogs/milwaukee-biz-blog/2009/11/18/legalize-medical-marijuana-in-wisconsin

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No tie-dye was on display at a standing-room only hearing held by a California lawmaker on Wednesday in a bid to get his marijuana legalization bill taken seriously.

Instead, suits and sober discussion were the rule at the state Capitol as Assemblyman Tom Ammiano presided over what his office said was the first legislative consideration of the issue since California banned the drug in 1913.

Both sides of the debate were heard, but Ammiano has long had his mind made up.

Before the hearing, the San Francisco Democrat and former comedian called the criminalization of marijuana a failed policy that denies the state significant revenue. He said the bill could put the state in a position to set the national agenda on pot.

“I think we have a real shot at it, particularly in the context of it being in some ways bigger than California,” Ammiano said.

His bill would tax and regulate marijuana in the state much like alcohol. Adults 21 and older could legally possess, grow and sell marijuana. The state would charge a $50-per-ounce fee and a 9 percent tax on retail sales.

Gov. Arnold Schwarzenegger has said he does not support legalization but caused a stir in May when he said he was open to debate on the issue.

At least one poll showed a slight majority of Californians would support a tax-and-regulate scheme for pot, but the bill’s chances remain unclear. Skeptics have questioned whether the state could truly enforce a tax on marijuana and whether users and sellers would want to expose themselves to possible federal prosecution.

“You’re going to create a record of some sort,” said Assemblyman Curt Hagman, a San Bernardino County Republican. “You can’t force me to self-incriminate myself.”

Supporters of Ammiano’s bill noted the state already collects taxes from medical marijuana dispensaries with little federal interference.

Legal experts on both sides also agreed at the informational hearing that nothing in current federal law can prevent California from stripping criminal penalties for marijuana from its own books.

“If California decides to legalize marijuana, there’s nothing in the Constitution that stands in its way,” said Tamar Todd, a staff attorney for the pro-legalization Drug Policy Alliance.

Speakers at the hearing argued a number of issues, including whether legalization would increase or decrease crime and help or hurt children.

State tax collectors presented an estimate that Ammiano’s bill could generate nearly $1.4 billion in tax revenue. They cautioned, however, that the figure depended on several untested assumptions about how rates of use and prices would change following possible legalization.

Rosalie Pacula, director of drug policy research at the nonpartisan Rand Corp., said data on the economics of marijuana were “insufficient on which to base any sound policy.”

Pacula said a failed effort in Canada to increase taxes on cigarettes showed that unless taxes had a minimal effect on prevailing prices, “you create the economic incentive for the black market to remain.”

As the legalization movement has gained momentum, organized opposition outside law enforcement groups has been sparse. Still, several anti-pot protesters spoke passionately during and after the hearing.

Marijuana use is commonplace among young people in his Sacramento neighborhood, said Bishop Ron Allen, president of the International Faith Based Coalition, an anti-drug religious group.

Legalizing marijuana to tax it would help fill state coffers at the expense of its kids, he said.

“It’s blood money, that’s it,” he said.

http://www.google.com/hostednews/ap/article/ALeqM5jXqaCr8mSHC5wPjTJgCgnHv18Z3gD9BKQROG1

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A new poll from Gallup shows that 44 percent of Americans now support legalizing marijuana, with 54 percent opposed. This is the highest-ever support for legalization in the Gallup poll.

The poll comes on the heels of the announcement by the Obama administration yesterday telling federal prosecutors not to focus on medical marijuana users and suppliers in states where medical marijuana is legal.

Gallup reports that support for pot legalization was in the 25 percent range during the 1970s through the 1990s, but jumped to 31 percent in 2001 and has been rising throughout this decade. In the most recent CBS News poll on the subject, conducted in July, 41 percent said they thought marijuana should be made legal.

CBSNews.com Special Report: Marijuana Nation
Medical Marijuana Arrest Guidelines Eased
Cannabis Shops Still Fear Long Arm of Law
Andrew Cohen: New Pot Policy Is Not Yet a Turning Point

The Gallup poll also reveals some interesting statistics on attitudes about marijuana legalization based on regional and demographic information. In the West, a majority (53 percent) say they would support legalization in their state as a way to generate revenue through taxing marijuana. Support for such a plan is only in the 30s in the South and Midwest, however, with the East coming in at 44 percent on the question.

When it comes to age, younger people, not surprisingly, are more likely to support pot legalization. According to the poll, 50 percent of those 18 to 49 support legalization, which represents an 11 percent jump since 2005. But just 28 percent over the age of 65 do, with 45 percent support by those between 50 and 64.

When it comes to ideology, the poll finds that liberals are overwhelmingly in favor of legalization (78 percent) and conservatives are overwhelmingly opposed (72 percent). Moderates as a group are just slightly opposed, with 46 in favor and 51 percent opposed.

Read more on the poll here from Gallup

http://www.cbsnews.com/blogs/2009/10/20/politics/politicalhotsheet/entry5403028.shtml

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Marijuana smokers might be breathing a little easier thanks to a policy switch by the U.S. Justice Department. Attorney General Eric Holder announced that federal prosecutors would not spend limited time and resources on people who use or sell medical marijuana “in strict compliance with state law.” Thirteen states have medical marijuana laws, which are controversial because federal narcotics laws trump state statutes.

Of course, the new federal policy doesn’t prevent local prosecutors from cracking down on medical marijuana dispensaries. Los Angeles District Attorney Steve Cooley has vowed to shutter the city’s dispensaries, which he says cater to people who do not have legitimate medical reasons for using marijuana.

Is the Justice Department paving the way for legalizing marijuana? And is it crazy to think the Obama administration is more federalist — that is, respectful of state and local government decision-making — than the supposedly federalism-loving Republicans? Joel Mathis and Ben Boychuk, the RedBlueAmerica columnists, attempt to cut through the haze.

BEN BOYCHUK

All things being equal, the states are probably better arbiters than federal officials of whether marijuana should be illegal. The fact that the Obama Justice Department believes federal resources are better spent elsewhere speaks volumes. But marijuana remains outlawed under the federal Narcotics Act, .

But whether marijuana should be legalized raises a whole host of questions. Here’s one: Should medical marijuana use be protected under the Americans with Disabilities Act? The ADA requires employers to make reasonable accommodations for workers with disabilities, including ailments such as alcoholism and drug addiction. (See the U.S. government’s frequently asked questions about the ADA here: http://www.ada.gov/employmt.htm)

The ADA has been a boon for trial lawyers and irresponsible users and abusers. A former sheriff’s deputy in Sarasota, Fla., last month sued his employer for discrimination under the ADA because he was let go for excessive alcohol use. Earlier this year, former NBA player Ray Tarpley settled an ADA lawsuit against the pro basketball league and the Dallas Mavericks that stemmed from his cocaine addiction. Two alcoholic NFL players filed similar lawsuits in 2007.

Without question, marijuana helps thousands of people suffering chronic illnesses. The rub is that many critics of medical marijuana, including most district attorneys, say the laws are widely abused; that it’s too easy for stoners to get a doctor’s note for pot; and that many of the “illnesses” that marijuana treats are bogus. It isn’t hard to imagine a raft of lawsuits against employers by potheads claiming phony disabilities.

If Americans want to ease the prohibitions on marijuana, Congress will need to act and legislators will need to debate what’s right for their states. But if the trend is toward decriminalization, it should come with a hefty dose of personal responsibility and protections for employers from unscrupulous users.

JOEL MATHIS

Actually, Americans do want ease prohibitions on medical marijuana. They’ve wanted it for a long time.

The website of the National Organization for the Reform of Marijuana Laws has a page featuring a slew of polls — going back to 1995 — showing that clear majorities of Americans believe it should be legal for doctors to prescribe and patients to use marijuana for medicinal purposes. NORML admittedly has a bias, but the polls come from a variety of outlets: Gallup, AARP, CBS, ABC, Time magazine and more.

Yet Congress has refused to act; despite those clear majorities, politicians at the federal level are too fearful about their re-election prospects to ever support legislation that might later be used to portray them as “soft on crime” or “soft on drugs.”

So activists took their case to the state level — and that’s entirely appropriate. The states have long been considered “laboratories of democracy” where different approaches to similar issues could be tried. And that’s exactly what happened: Thirteen states now permit medical marijuana. That means, of course, that 37 states do not. Nothing in the Obama administration’s new approach will force those more restrictive states to take the relaxed approach.

You can argue the Obama administration should continue to rigorously enforce federal drug laws. But given that citizens in those 13 states have made their preferences clear, the administration is probably wise to give them deference.

“What about the ADA?” my conservative friend asks. Well, what about it? The Americans with Disabilities Act is a federal law; as long as actual legalization of medical marijuana is done at the state level, federal lawsuits by a few stoned chuckleheads seeking to enrich themselves through the legal system are unlikely to be successful. When weighing the balance between real freedom and a hypothetical fear of lawsuits, freedom should win.

Ben Boychuk and Joel Mathis blog at http://www.infinitemonkeysblog.com and http://politics.pwblogs.com.

(Ben Boychuk and Joel Mathis blog daily at www.infinitemonkeysblog.com and joelmathis.blogspot.com.)

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Last week we had numerous federal laws that make possessing and distributing marijuana a crime. This week the laws are still there. Nothing’s changed on that front.

What has changed is that our U.S. Attorney General Eric Holder has directed federal prosecutors not to go after possessors and distributors of marijuana who are complying with state medical marijuana laws. He said, “It will not be a priority to use federal resources to prosecute patients with serious illnesses or their caregivers who are complying with state laws on medical marijuana, but we will not tolerate drug traffickers who hide behind claims of compliance with state law to mask activities that are clearly illegal.”

Seems fair enough, but I question whether the Justice Department’s directive will go unchallenged by those who use and distribute marijuana for medicinal purposes in the 36 states where it is still illegal under state law.

Can the federal government choose not to enforce federal laws in selected states? Is there a requirement that the Justice Department apply the principles of justice evenly across all states? Could the lack of evenhandedness be grounds for a Supreme Court case? Did we just legalize marijuana?

http://www.examiner.com/x-23682-Cape-Cod–Baby-Boomer-Examiner~y2009m10d20-Did-we-just-legalize-marijuana

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But it’s not a proposal that any of the five leading candidates for governor is willing to embrace.

“If the whole society starts getting stoned, we’re going to be even less competitive,” Democratic Attorney General Jerry Brown - who as governor signed a 1975 law reducing possession of small amounts of pot to a $100 misdemeanor - said on a recent radio show.

“Like electing Jerry Brown as governor, the idea of legalizing drugs is one more bad idea from a bygone era,” said Jarrod Agen, spokesman for Republican gubernatorial candidate Steve Poizner, the state insurance commissioner.

San Francisco Mayor Gavin Newsom says the state needs “a new direction in drug policy,” but opposes legalizing marijuana -though he welcomes an “open dialogue” on the subject as he seeks the Democratic nomination.

Ammiano’s bill

The candidates’ views pose one more obstacle for Assemblyman Tom Ammiano, D-San Francisco, who has acknowledged that his bill to legalize and tax marijuana, AB390, is a long-term project.

Ammiano has yet to enlist any legislative co-sponsors. Winning majority votes appears to be a distant goal, despite Democratic control of both the Assembly and state Senate. Persuading a governor to sign the bill won’t be easy, and at the end of the gantlet, federal law still prohibits marijuana possession, cultivation and distribution.

At least people are talking about the subject, said Ammiano spokesman Quintin Mecke. “The deeper the economic hole becomes for California, the further the conversation will progress,” he said.

The debate could also shift to the ballot box, as legalization advocates hope to sidestep the Legislature and put an initiative before the voters next year, when they will also be choosing the next governor.

California has been a leader in liberalizing marijuana laws. The state was one of the first to end felony penalties for possession 34 years ago, and became the first, in a 1996 ballot initiative, to legalize the medical use of marijuana.

Legalization for personal use, however, is a much tougher sell.

Police groups strongly oppose it, politicians fear being seen as soft on drug dealers, and federal law, if enforced, could make state legislation an exercise in futility. It’s unlikely to be a major issue in the governor’s race, but it’s a revealing subject for several candidates.

Republican Tom Campbell, for example, has denounced the government’s war on drugs in past campaigns, saying the billions of dollars that go to eradication and imprisonment would be better spent on treatment. Opponents, including Democratic Sen. Dianne Feinstein, whom the former South Bay congressman unsuccessfully challenged in 2000, have attacked him as soft on drugs and a would-be legalizer.

Organized crime

Campbell, however, says he opposes legalizing marijuana because it could open the door to organized crime. Law enforcement contacts, he said, have warned him that Mexican marijuana distributors also dominate the methamphetamine trade, and “if you legalize the one, you run the risk of creating a distribution mechanism for the other.”

Brown, a still-undeclared candidate for the office he held from 1975 to 1983, uses 1960s lingo to take a top-cop stance.

Asked July 18 on Oakland radio station KKGN about taxing legal pot sales to help balance the state budget, Brown replied, “As far as telling everybody to - what did Timothy Leary say, ‘Tune in, turn on, and drop out’? - that will not be the recommendation of the attorney general.”

New revenue sources are worth considering, he said, but a stoned society means “more broken families and more angry husbands and wives. … We need more discipline, we need more focus, and we’re going to have to work harder.”

Newsom takes a different tone, in keeping with his need to appeal to young voters as he challenges Brown for the Democratic nomination.

The war on drugs is “an abject failure,” the mayor says, consuming “precious, limited public safety dollars” by treating nonviolent offenders the same as violent felons. But when pressed on legalizing marijuana, spokesman Nathan Ballard said Newsom doesn’t think it’s a “responsible way to balance the state’s budget.”

On the Republican side, Meg Whitman, the former chief executive of eBay, said she opposes legalizing marijuana for any reason. “We have enough challenges in our society without heading down the path of drug legalization,” she said in a statement.

Attack on opposition

Poizner turns his opposition to legalization into an attack on Brown and the “bygone era” of the ’60s as well as raising taxes on marijuana or anything else.

“Only those who are smoking something think tax increases will lead to economic growth,” said Agen, Poizner’s spokesman.

One advocate of legalized pot shrugs off the candidates’ positions.

“Supporting legalization probably risks losing the support of law enforcement,” but “I think opposing it is going to turn off some younger voters,” said Dale Gieringer, California coordinator of the National Organization for the Reform of Marijuana Laws.

On this issue, he said, “the public’s perceptions are always ahead of the politicians.”

What gubernatorial candidates have said about pot policy

Meg Whitman: “I am absolutely against legalizing marijuana for any reason. We have enough challenges in our society without heading down the path of drug legalization.”

Gavin Newsom, whose campaign spokesman says he opposes legalization: “I welcome an open dialogue in California on the relative merits of legalization of cannabis. … While marijuana has positive medicinal properties, it also has adverse effects.”

Attorney General Jerry Brown: “If the whole society starts getting stoned, we’re going to be even less competitive. And we’re going to have more broken families and more angry husbands and wives.”

Former Rep. Tom Campbell: “The principal (Mexican) distributors of marijuana are also dominant forces in meth. If you legalize the one, you run the risk of creating a distribution mechanism for the other.”

Jarrod Agen, spokesman for Insurance Commissioner Steve Poizner: “The idea of legalizing drugs is one more bad idea from a bygone era. Nor can California smoke its way out of the structural budget deficit.”

E-mail Bob Egelko at begelko@sfchronicle.com.

SF Chronicle

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Growing up in the ’60’s, marijuana was the preferred recreational drug of my generation. While beer and other alcohol may have been the choice of the fraternity crowd, the cool kids recreational drug of choice was marijuana.

Living close to Santa Monica Bay, my wife and I frequently stroll the Venice boardwalk to soak in the flavor of the beach and witness the antics of the wacky local Venetians. For the last several years, we couldn’t walk the boardwalk without being approached by a local vendor inviting us to meet with a local doctor to get our marijuana prescription filled. “Whatever ails you, marijuana will cure you”.

I always considered the prospect of decriminalization of marijuana as a positive step since its use was no worse than alcohol or cigarettes and enforcement of antiquated marijuana laws were a waste of resources. I really didn’t believe that marijuana had a legitimate medical use but, with a wink and a nod, I supported initiatives designed to legalize its use.

Well, it looks as though current marijuana research may be changing my original opinion of its medical benefits. According to an L.A. Times article, recent research points to the following benefits and risks of marijuana consumption:

THE GOOD

Pain:

Marijuana has been shown to be effective against various forms of pain ranging from chronic low grade pain to severe pain and seems to be effective against nerve pain that’s resistant to opiates.

Cancer:

While no one is arguing that marijuana will cure cancer in humans (at least not yet), it has been shown to be effective in combating pain, nausea and loss of appetite in cancer patients undergoing traditional cancer treatments. According to an October 2003 review article in the journal Nature, marijuana may even have a positive effect on blocking the growth of tumors in lab animals.

Other Potential Benefits:

Multiple Sclerosis

AIDS wasting syndrome

Muscle spasms

Tourette’s syndrome

Glaucoma

THE BAD

Addiction:

The same National Institute on Drug Abuse that has yet to determine whether marijuana increase the risk of lung and other cancers, says that repeated use could lead to addiction and heavy users may experience withdrawal systems such as irritability and sleep loss if they stop suddenly.

Respiratory disease:

Several studies in New Zealand and Australia have concluded that smoking one marijuana joint is at least 2.5 times more harmful to the lungs than one cigarette and that pot smoking can lead to one type of lung disease 20 years earlier than cigarette smoking.

Psychological effects:

It appears that heavy pot smoking affects the parts of the brain that controls memory, attention and learning. (Those readers who have partaken in this herb can relate to that last sentence). Also, studies have showed loss of tissue in two areas of the brain, the hippocampus and amygdala which are areas of the brain that are rich in receptors for marijuana and are a vital memory and emotional region of the brain.

THE ANSWER

Perhaps a way to overcome the adverse health concerns that will allow consumers to reap the benefits of marijuana is to not smoke marijuana (as a joint or in a pipe) but to inhale its vapor. According to a study published in 2007 in Clinical Pharmacology and Therapeutics, vaporizing is a safe and effective way of getting THC, the active ingredient, into the blood-steam and does not result in consuming toxic carbon monoxide.

While inhaling marijuana vapor and not its smoke will help alleviate the adverse physical affects; regular, heavy non medicinal pot smoking or THC vapor ingestion should be avoided. It’s not good for your brain. Otherwise, contrary to the original conventional wisdom, for some of us marijuana may offer more benefits than risks.

UPDATE:

For those Southern California readers who are interested in finding a doctor to prescribe medical marijuana, the can check out this Cannabis center site.

The Examiner - Fred Gober

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