Despite Legalization, Not Much Known About Effects

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Even though 20 states, including Illinois, have passed laws legalizing medical marijuana, swayed in part by thousands of personal testimonies, current research hasn’t nailed down exactly if, and how, marijuana alleviates all the specific diseases the drug is being legalized to treat, experts say.

A number of proponents believe marijuana could benefit people with everything from glaucoma to cancer, and it’s been legalized in Illinois to aid patients with some 40 medical conditions. But opponents of its medicinal use believe the risks of smoking medical marijuana outweigh the benefits, while others question whether patients really improve or only feel like they improve.

Marijuana’s best-known compound is THC, but the plant actually has 105 unique cannabis compounds with potential for medicinal use, proponents say. THC has already been approved by the Food and Drug Administration in synthetic form to help patients with nausea and decreased appetite.

Some scientists believe the plant’s other compounds — called cannabinoids — could have equal promise. Although research has increased in recent years as more states legalize medical marijuana, solid evidence of how individual cannabinoids could help people with specific diseases has been significantly lacking, a review of medical literature and interviews with experts shows.

Researching the potential effects of marijuana’s various components on conditions such as multiple sclerosis, fibromyalgia or lupus could have serious implications for doctors who want to prescribe medical marijuana to patients.

If the specific benefits could be proved, experts say, doctors ultimately would be able to assign particular strains — with varying chemical mixes — to people, depending on their condition. Further research also may help determine optimal doses and whether marijuana works better than other medicines, experts say.

While most medicines derived from nature are tested before they reach the masses, the process to evaluate marijuana has been confounded by its longtime status as an illegal drug, which it retains in the eyes of the federal government. A complicated federal approval process and limited availability of research-grade marijuana add to the difficulty.

The only study specifically cited in Illinois’ law, signed by Gov. Pat Quinn in August and set to go into effect next year, is a 1999 Institute of Medicine report. But Dr. John Benson, a lead editor of the report, said legislators stretched the conclusion of the book-length study when it said modern medical research “has confirmed the beneficial uses of cannabis.”

While the report did say there was promise that marijuana could have medical benefits, it also suggests researchers need to continue to dig deeper into the issue. It also says marijuana should not be smoked, he said.

“Smoking marijuana is not recommended,” the report states. “The long-term harm caused by smoking marijuana makes it a poor delivery system.”

The 14-year-old article has become a primary source for both critics and supporters of medical marijuana — the Drug Enforcement Agency and advocacy groups have cited it to prove opposite points.

“I don’t think whatever the legislature is saying (in the law) is in effect untrue,” Benson, now retired, said from his California home, “but it needs to be qualified.”

Medicine by Legislation

Illinois legislators knew they had an uphill battle getting the medical marijuana bill passed last summer, Rep. Lou Lang said. Lang worked at swaying his colleagues for five years and said he compromised on the list of about 40 conditions — some of which are closely related — that will qualify people for medical marijuana once it becomes available sometime next year.

Illinois legislators, he said, did “a substantial amount of reading,” but they did not evaluate each condition on the list with any scientific methodology.

“I can’t point to specific studies that we used,” Lang said. “Much of it was done by patients telling us what worked and what didn’t. … It became crystal clear some of these things that ought to be in the bill.”

The legislators relied mostly on personal testimonies and compared notes with states that have also passed medical marijuana laws.

“When thousands of people come to me and say they’re using this drug illegally because it’s the only thing that works,” Lang said, “that’s good enough for me.”

Mike Graham, of Manteno, was one person who shared his story with legislators. A little more than a decade ago, he was using 14 different pharmaceuticals. Living with an extremely painful degenerative spine disease, he has been through multiple surgeries in efforts to remedy it. But doctors feared one more could paralyze him, so he took medications for pain instead.

“I didn’t even know my name,” Graham said. “It was horrid.”

When he was in his late 30s, doctors sent him home with a hospice care nurse. After reviewing his medications, she told him he would die early if he continued taking all of them. To his surprise, she recommended pot, he said.

“I almost fell out of bed laughing,” Graham, 51, said. “I come from a law enforcement family.”

Increasingly desperate, in 2002, he decided to give it a try. He was able to cut back on all his previous medications except a morphine pump under his skin. Now, he takes three or four puffs of marijuana in the morning and at night. Once down to 135 pounds, the more than 6-foot-tall Graham now says he’s back up to 250 after regaining his appetite.

“What it comes down to here (is) I wouldn’t be here if I hadn’t made that decision,” Graham said.

While stories like Graham’s are plentiful, doctors and researchers say the nonmedical elements of the plant could have sometimes serious adverse effects.

Dr. Eric Voth, a Topeka, Kan., internist and pain specialist and chairman of the Institute on Global Drug Policy, said relying on anecdotal evidence is dangerous because other factors could influence why patients start to feel better.

“It’s very hard to differentiate whether somebody feels better because they’re stoned or because they’re getting a true therapeutic benefit from the drug,” Voth said.

Health Risks

Smoking marijuana could increase the risk of cancer because of inhalation of tar and other carcinogens in the plant, Voth said. While proponents of its use point to the 105 unique compounds, as detailed in a soon-to-be published report by leading cannabinoid researcher Dr. Mahmoud ElSohly and his colleagues, that may be useful for medicine, there are hundreds more compounds in marijuana that some scientists believe not only have no use but may be harmful.

“You’ve still got (hundreds of other) substances in there,” Voth said. “It just (shouldn’t) be smoked. That is a crazy precedent.”

Illinois’ law allows dispensaries to sell marijuana-infused baked goods in addition to joints, but advocates say it takes longer to feel the effects of marijuana when it’s ingested instead of smoked.

Several papers in scientific journals have found that marijuana use over a long period of time can have negative cognitive effects too. Users can’t concentrate or remember as well as before, in some cases years after they have quit.

Joe Friedman, a Deerfield pharmacist, said the chemical makeup of marijuana could be tested at independent labs, and he hopes it will be in Illinois. Marijuana is designated as a Schedule I drug, defined by the DEA as “drugs with no currently accepted medical use and a high potential for abuse.”

Changing it to a Schedule II drug, which means it is considered dangerous but could have potential medicinal value, Friedman said, would help research progress in learning which type of marijuana is best for which patient.

“When a drug comes on the market, you take the active ingredients, you figure out what these drugs do,” said Friedman, who wants to open a dispensary in Illinois. “You want to be able to identify the active ingredients and the concentrations … and then down the line (after more research is done), you’ll be able to say, ‘OK this one is good for MS,’” Friedman said.

But Voth said he doubts that even identifiable benefits would be enough to outweigh the negative effects, because of other potentially harmful components that are mixed in.

“Essentially what they are, are toxic chemicals,” Voth said. “None of those things would you ever mix with medicine.”

What Some Call a Cure-All

In 1937, the U.S. criminalized marijuana, and today it’s considered a Schedule I drug, along with heroin and LSD.

The FDA approved a synthetic THC pill called Marinol in 1985, acknowledging the drug’s benefits for people with nausea and decreased appetite. In Canada and some parts of Europe, a similar drug called Sativex — containing synthetic THC and cannabidiol — has been approved in recent years, offered as an oral spray. In the late 1980s, scientists discovered a previously unknown biological system called the endocannabinoid system, which proponents for marijuana theorize could show how it works.

The National Institutes of Health reported in 2006 that the system holds “therapeutic promise in a wide range of disparate diseases.”

But experts say more research is needed before determining exactly what the system may be able to do.

Mary Lynn Mathre, a founding partner of Patients Out of Time, a marijuana advocacy group that focuses on health issues, said the leading theory regarding the system is that the human body has cannabinoid receptors — essentially key holes that cannabis compounds fit into, helping the body regulate.

“You take cannabis, which has similar chemicals that we need, and you put it in the body and they work if we’re not making the cannabinoids that we need,” explained Mathre, a longtime registered nurse. “You can liken this to a diabetic. Their pancreas isn’t making insulin, so we give them insulin. If our body can’t make this chemical, there happens to be this plant on earth that is there to supply us.”

A Call for Research

Many prominent health organizations — including the American Medical Association, the American Cancer Society and the National Multiple Sclerosis Society — support researching cannabinoids’ potential but don’t endorse the legalization of medical marijuana. The American Nurses Association and the American College of Physicians support medical marijuana’s legalization, while also calling for more research.

“Science has been doing this kind of thing for years,” Voth said. “They find a (naturally) occurring substance and then they try to dissect down to what really works, isolate it and synthesize it. That’s what pharmaceutical companies do all the time.”

While THC has a few proven medical benefits, it’s possible that other compounds that don’t have the same euphoric effect could relieve symptoms just as well or better than THC, researchers and pharmacists say.

Pritesh Kumar, a researcher who specializes in cannabinoid pharmacology and is a consultant for Chicago-based Quantum 9, a medical marijuana technology firm, has focused on CBD, a compound in marijuana some scientists believe could have significant benefits.

Research like Kumar’s, studying isolated compounds in marijuana, has picked up in recent years, but widespread research looking at how specific diseases and cannabinoids interact has not been done.

Friedman, the Deerfield pharmacist, said he’s hopeful that with medical marijuana legalization on a faster track than ever, disease-specific research in the U.S. will pick up.

“As marijuana gains popularity and (if it) moves from Schedule I to Schedule II, research will really kick in,” Friedman said. “This is a whole new industry, and this is going to get bigger and stronger as time goes on.”

Source: Chicago Tribune (IL)
Author: Ellen Jean Hirst, Tribune Reporter
Published: October 27, 2013
Copyright: 2013 Chicago Tribune Company, LLC
Website: http://www.chicagotribune.com/

Marijuana Likely To Be Decriminalized in D.C.

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Before long, smoking a joint in the nation’s capital might get you in even less trouble than parking on the wrong side of the street on street-cleaning day.

Ten of 13 members of the D.C. Council and Mayor Vincent C. Gray (D) have endorsed a plan to make small-time marijuana possession a civil rather than a criminal offense. That means recreational cannabis users wouldn’t face arrest, charges or jail time — any of which can destroy their lives — as long as they aren’t caught with more than an ounce of the drug. Instead, they would have to pay a fine, perhaps as low as $25. (The mayor also wants criminal penalties to remain for anyone caught using it in public.)

Much of the debate over the idea has focused on an American Civil Liberties Union report that suggests that the District and many other jurisdictions enforce their anti-marijuana laws unfairly, disproportionately arresting African American suspects. On these pages, Police Chief Cathy L. Lanier pushed back, insisting that factors such as a geographic concentration of tips about marijuana users, not biased policing, are responsible for the city’s arrest figures.

That debate does not need to be resolved to conclude that maintaining criminal penalties for small-time users of any race doesn’t make sense.

Enforcing criminal penalties against those who aren’t involved in trafficking or selling the drug would be too harsh and a waste of government resources. As it stands, very few people in the District are prosecuted for possessing less than an ounce of marijuana, unless there are other charges to go along with it. But even an arrest can make it difficult to find a good job.

Refraining from enforcing criminal penalties, on the other hand, would promote disrespect for the law.

An all-around better policy, long championed by District lawyer Paul Zukerberg, would be to slap small-time users with a civil fine, which is a measured way to send a message that the government does not condone or tolerate marijuana use. No one’s life would be permanently marred by getting caught with a joint. But violators would still have to pay, literally. In that vein, we would suggest that $25 — a smaller fine than that attached to low-level parking violations — is too modest a penalty. Maryland lawmakers considered setting a $100 fine this year, the same level that New York state approved last year. That sounds like the right size.

Attitudes about marijuana are changing, and quickly. A recent Gallup poll found that an astonishing 58 percent of Americans now favor legalizing the drug. Colorado and Washington state have both tried to do just that by changing their drug laws. Federal law still treats marijuana as an illicit substance, but Attorney General Eric H. Holder Jr. announced a policy this year that aims federal resources at high-level offenders. And now the District government is poised to join the 15 states that have decriminalized small-time pot possession.

Of all the official reactions to changing mores on marijuana, decriminalization is the best.

Source: Washington Post (DC)
Published: October 27, 2013
Copyright: 2013 Washington Post Company
Contact: [email protected]
Website: http://www.washingtonpost.com/

Marijuana Compounds Can Kill Some Cancer Cells

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A scientist in the United Kingdom has found that compounds derived from marijuana can kill cancerous cells found in people with leukemia, a form of cancer that is expected to cause an estimated 24,000 deaths in the United States this year.

“Cannabinoids have a complex action; it hits a number of important processes that cancers need to survive,” study author Dr. Wai Liu, an oncologist at the University of London’s St. George medical school, told The Huffington Post. “For that reason, it has really good potential over other drugs that only have one function. I am impressed by its activity profile, and feel it has a great future, especially if used with standard chemotherapies.”

Liu’s study was recently published in the journal Anticancer Research. It was supported by funding from GW Pharmaceuticals, which already makes a cannabis-derived drug used to treat spasticity caused by multiple sclerosis.

The study looked at the effects of six different non-psychoactive cannabinoids — compounds derived from marijuana that do not cause the “high” associated with its THC ingredient — when applied alone, and in combination, to leukemia cells. Cannabinoids displayed a “diverse range of therapeutic qualities” that “target and switch off” pathways that allow cancers to grow, Liu told U.S. News & World Report.

In an interview with The Huffington Post, Liu stressed that that his research was built around the testing of the six purified cannabinoid forms — not traditional cannabis oil, which Liu described as “crude” in comparison and generally containing 80-100 different cannabinoids. “We do not really know which are the ones that will be anticancer and those that may be harmful,” Liu said.

During the study, Liu and his team grew leukemia cells in a lab and cultured them with increasing doses of the six pure cannabinoids, both individually and in combination with each other. His study says the six cannabinoids were CBD (Cannabidiol), CBDA (Cannabidiolic acid), CBG (Cannbigerol), CBGA (Cannabigerolic acid), CBGV (Cannabigevarin) and CBGVA (Cannabigevaric acid). Liu and his team then assessed the viability of the leukemia cells and determined whether or not the cannabinoids destroyed the cells or stopped them from growing.

Although promising, Liu also said that it remains unclear if the cannabinoid treatment would work on the 200-plus existing types of cancer.

“Cancer is an umbrella term for a range of diseases that fundamentally differ in their cellular makeup, [and] which occur as a result of disturbances to growth controls,” Liu said. “Chemotherapy works by disrupting these dysfunctional growth signals. Therefore, any cancers that have these profiles should respond to the chemotherapy. It just so happens that a number of cannabinoids can target these very same mechanisms that make cancer what it is, and so any cancer that exhibits these faults should respond well to cannabinoids. The flip side is, of course, that other cancers may not have these same genetic faults and so cannabinoids may not work as well.”

According to the Centers for Disease Control, 7.6 million people die from various forms of cancer each year worldwide.

When asked if smoking marijuana has the same or similar effects as ingesting the pure cannabinoid compounds he studied, Liu said he thinks it’s unlikely.

“Smoking cannabis introduces a number of potential problems,” Liu said. “First, the complex makeup of cannabis that contains about 80 bioactive substances means that the desired anticancer effect may be lost because these compounds may interfere with each other. Second, we see that delivering the drug either by injection or by a tablet would ensure the most effective doses are given. Smoking would be variable, and indeed the heat of the burning may actually destroy the useful nature of the compounds.”

In 2012, researchers at the California Pacific Medical Center in San Francisco found that CBD (cannbidiol), a non-toxic, non-psychoactive chemical compound found in the cannabis plant, could stop metastasis in many kinds of aggressive cancer.

The National Cancer Institute has also funded some research into cannabis and cancer, including a 2012 study that looked at the effects cannabis compounds have on slowing the progression of breast cancer, spokesman Michael Miller told U.S. News and World Report. However NCI has not funded research on the effects of cannabinoids on leukemia.

Liu stressed that much work is still needed, and said that finding support for marijuana-derived medicines can be polarizing.

“Although there is much promise, I struggle to find enough support to drive this work on,” Liu said. “The mention of cannabinoids can polarize the public, who understandably link cannabis smoking with cannabis-derived drugs.”

Liu told the Seattle PI’s Pot Blog that he hopes to start clinical trials involving humans in 12 to 18 months.

Source: Huffington Post (NY)
Author: Matt Ferner, The Huffington Post
Published: October 25, 2013
Copyright: 2013 HuffingtonPost.com, LLC
Contact: [email protected]
Website: http://www.huffingtonpost.com/

MJ Debate Catches Fire Among College Students

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Support for marijuana legalization has reached a new high — and young adults are fueling the flames.

A Gallup poll released Tuesday revealed a majority of adults back cannabis legalization for the first time since Gallup asked the question in 1969.

58% of the respondents supported the idea, but among 18- to 29-year-olds the figure jumps to 67%.

Michael Kenney, professor of international affairs at the University of Pittsburgh, says supportive attitudes were inevitable among Millennials who came of age in the midst of the legalization debate.

“Every year, millions of otherwise law-abiding citizens are using cannabis,” Kenney says. “It’s not necessarily looked down on by young people. It’s no big whoop.”

Karilla Dyer, a junior at the University of Florida, meets very few people who haven’t tried the drug. Smoking should be considered a lifestyle choice, she says.

“If someone wants to smoke marijuana occasionally in a social setting or just to relax, it should not be more illegal than having a glass of wine,” the 21-year-old says. “Pot is not something that ruins lives.”

Currently, 20 states and Washington, D.C., allow smoked marijuana to be used for a variety of medical conditions. Colorado and Washington became the first states to legalize recreational use.

This is in stark contrast to the “just say no” mentality spearheaded by First Lady Nancy Reagan in the ’80s, says Mason Tvert, spokesman for the Marijuana Policy Project.

“The federal government and anti-marijuana crusaders have been exaggerating the harms for decades,” he says. “Young people are hearing more about marijuana and marijuana policy than ever before and realizing it’s less harmful than alcohol.”

Kevin Sabet, co-founder of Project Smart Approaches to Marijuana and author of Reefer Sanity, says not all college students are bowled over by health claims.

“Students really don’t want to jeopardize their future prospects,” he says. “Marijuana can cause problems in the classroom and job performance.”

Sabet also says Gallup’s poll doesn’t take into consideration how Americans feel about marijuana sales.

“I think students are wary of another industry like the tobacco industry, another corporate interest that is going to live off people’s addiction,” Sabet says.

But Carlan Loeb-Muth, 22, thinks the financial prospects are bolstering support.

“I feel the legalization would significantly help America’s economy,” the Georgia State University junior says. “A good chunk of the profits go towards taxes.”

Arguments for legalization cross party lines, says Alex Kreit, associate law professor at San Diego’s Thomas Jefferson School of Law.

He says decriminalizing marijuana benefits traditional right-leaning tenants like limited government and Democratic concerns like the racial disparity in drug-law enforcement.

“It makes me think that this issue especially has the potential to drive politicians,” he says. “Parties have an inherent interest in appealing to young people early, and there are compelling arguments on both sides in favor of reform.”

Despite the increased support for legalization, young adult marijuana use has decreased, according to poll data.

Millennials reported smoking less than their parents, with Gallup reporting 36% admitted to trying weed compared to 56% of youths in the late ’70s and ’80s.

Joey McGuire, a senior at Minnesota’s Winona State University, says even for students who don’t smoke, current laws reflect a troubling limitation of personal freedoms.

“The government is designed to protect us from each other and should have no rights deciding what we can or cannot do for ourselves,” the 21-year-old says. “I should be able to make any decision for myself as long as it doesn’t negatively affect others.”

Tvert says in some ways, young adult attitudes toward marijuana legalization mirror their feelings about marriage equality.

In March, a joint Washington Post-ABC survey put same-sex marriage approval rates at 70% among Millennials — 3% above the weed approval rate.

“The same reason a heterosexual person might support marriage equality is why someone who doesn’t smoke might support legalization,” he says. “They recognize it’s the right thing to do.”

Source: USA Today (US)
Author: Shayna Posses, USA Today
Published: October 25, 2013
Copyright: 2013 USA Today, a division of Gannett Co. Inc.
Contact: [email protected]
Website: http://www.usatoday.com/

State Pot Officials Can Exhale

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With little fanfare in a drab conference room, the state Liquor Control Board adopted rules for a legal marijuana system after 10 months of research, revisions, wrangling with the federal government and wrestling with who-would’ve-imagined questions.

In a unanimous vote Wednesday, state officials charted the course for an experiment that seeks to undercut illegal dealers and launched the next leg of the journey: licensing a recreational-pot industry serving customers with 334 retail stores.

Adults will be able to walk into stores between 8 a.m. and midnight beginning next year to buy small amounts of marijuana products, including buds and brownies produced with state-certified safe levels of pesticides and other chemicals.

“The Washington state Liquor Control Board just built the template for responsible legalization of marijuana,” said Alison Holcomb, chief author of the legal-pot law. Holcomb is traveling to England, Poland and the Netherlands in coming weeks to discuss Washington’s law and rules, and is part of a new panel studying the idea in California.

Liquor-board members predicted a bumpy ride for the next year or so, with further tweaking of the rules likely.

“We might not have it exactly right today,” said board member Chris Marr of the 43 pages of rules. “But we’re in an excellent position to open stores in the middle of next year.”

State officials expect stores to open as early as May. Farms would start growing several months earlier.

In those stores, marked by a single sign that can’t be much bigger than 3 feet by 3 feet under the rules, consumers won’t be able to sample products. They will be able, however, to smell samples through screened containers that do not allow them to touch pot.

Childproof packaging will be required for edible products. All packages will contain warning labels saying marijuana has intoxicating effects and may be habit-forming. Labels will warn consumers of health risks, particularly the risks for pregnant women.

They also will show potency, as measured in percentage of THC, the key psychoactive chemical in pot.

In what state officials hope will be a competitive edge for the recreational system, retail stores will stock only products determined to have safe levels of pesticides, bacteria, moisture and metals.

Randy Simmons, the state marijuana project director, said he’s heard of growers who have added sand to pot to give it additional weight, who have painted pot to make it more desirably purple, and who have spiked buds with hash oil to make them more potent.

Labels will disclose all pesticides used in the growing of the product. Consumers can ask retailers for full test results of chemicals and foreign matter found in products.

State-regulated pot can’t be labeled organic, Simmons said, because the federal government bestows that standard and it still considers marijuana a dangerous drug. But the state is using federal standards for organic products as a model for its rules, he said.

Prices in stores will be determined by the market, not state officials. But state consultants have written about scenarios in which prices could range between $6 and $17 per gram depending on wholesale farm prices and markups.

Consumers will be able to buy pot grown under the sun in outdoor farms, as well as weed grown indoors, which uses more electricity and has a larger carbon footprint.

The rules give an advantage to indoor growers, Simmons acknowledged. That’s because rules limit all farms to a maximum of 30,000 square feet and indoor farms can produce four harvests a year compared with two for outdoor growers in Washington state.

Jeremy Moberg, an Okanogan County activist, and Holcomb, criminal-justice director for the ACLU of Washington, both argued for a more equitable system. They proposed limiting indoor farms to half the size of outdoor farms as one way to level the playing field.

But Simmons said the state wants to make sure it meets the estimated demand for 80 metric tons of pot next year. It might not if it cut the size of indoor farms, he said, and if it doubled the size of outdoor farms it might antagonize federal watchdogs.

Simmons believes demand will increase in time, and when the state expands its supply that will provide an opportunity for outdoor growers to make up ground.

State officials believe the 334 pot stores, which are allocated similarly to the state’s defunct liquor stores, will be enough. But Seattle City Attorney Pete Holmes has asked the state to consider allocating more stores to the city than the 21 it has planned.

If there are more qualified applicants in a city than stores allotted, the state will use a lottery system to pick winners, literally by drawing names, Simmons said.

The state can’t use a merit system to award licenses, Simmons said. Unlike contracts, which can rely on merit, state licenses are threshold-based, he said; if applicants meet the standards they qualify for licenses.

There appear to be more than enough entrepreneurs eager to meet the state’s requirements for growers, processors and retailers.

The Liquor Control Board is holding licensing seminars in seven cities this month to inform and advise entrepreneurs about the rules and application process.

Seminars in five cities already are fully booked. In all, of the 2,440 seats available at all seven seminars, 1,991 were taken by Wednesday.

The state on Nov. 18 will open a 30-day window for accepting applications for growing, processing and retail licenses, and expects to start issuing them, after background checks, in December at the earliest.

Some cities remain resistant to pot commerce and have adopted moratoriums and other restrictions that would effectively keep pot merchants away.

But others such as Seattle, Bainbridge Island and Bellevue are moving ahead with zoning and other regulations for permitting pot commerce.

Several lawyers who advise pot entrepreneurs said cities seem to be warming to pot commerce now that the state has adopted rules and the federal Department of Justice has said it won’t try to stop Washington’s legal system — approved by voters last November — provided it is tightly regulated.

“It’s not happening quickly, but I do have a sense there’s been a bit of a shift,” said Candice Bock of the Association of Washington Cities.

Officials in some of the reluctant cities have said they’re worried about the impact of legal pot commerce on community character. But the Liquor Control Board’s Marr said that excluding legitimate pot businesses only promotes the illicit pot market that already exists within those communities.

To keep store ownership from concentrating in the hands of a few, the rules do not allow a person or company to own more than three retail stores in the state.

Source: Seattle Times (WA)
Author: Bob Young, Seattle Times Staff Reporter
Published: October 16, 2013
Copyright: 2013 The Seattle Times Company
Contact: [email protected]
Website: http://www.seattletimes.com/

Panel OKs Rules for Wash. State’s MJ Industry

posted in: Cannabis News 3

Washington became the second U.S. state to adopt rules for the recreational sale of marijuana Wednesday, setting what advocates expect to become a template for the legalization of the drug around the world.

“We feel very proud of what we’re doing,” said Sharon Foster, chairwoman of the Washington Liquor Control Board, as she and her two colleagues approved the rules. “We are making history.”

Washington and Colorado last year legalized the possession of up to an ounce of pot by adults over 21, with voters deciding to set up systems of state-licensed growers, processors and sellers. The measures put state officials in the difficult position of crafting rules for a fledgling industry barred by federal law for more than seven decades.

The liquor board devised the rules after nearly a year of research, debate and planning, including public hearings that drew hundreds of people around the state. The rules cover everything from the security at and size of licensed marijuana gardens, to how many pot stores can open in cities across the state.

Sales are expected to begin by the middle of next year, with supporters in Washington hoping taxed pot might bring the state tens or hundreds of millions of dollars, with much of the revenue directed to public health and drug-abuse prevention.

“What the Liquor Control Board has done is build a template for the responsible regulation of marijuana,” said Alison Holcomb, the Seattle lawyer who drafted Washington’s marijuana initiative. “This is a template that is going to be reviewed by other states, and already is being reviewed by other countries,” including Mexico, Uruguay and Poland.

The board’s members said they had tried to strike a balance between making marijuana accessible enough that legal pot would undermine the black market, but not so accessible that it would threaten public health or safety. The board hopes the sale of legal pot will capture about one-quarter of the total pot market in the state, for starters.

Under the rules, the board will issue licenses for up to 334 marijuana stores across the state, with 21 of them in Seattle – a figure some have questioned as too low, considering the city estimates about 200 medical marijuana dispensaries are operating there. The City Council has passed zoning regulations for pot businesses that would require medical marijuana dispensaries to obtain a state license or stop doing business by 2015.

The rules limit the number of licenses that anyone can hold to three – an attempt by the board to stamp out any dreams of marijuana monopolies before they start. They also prohibit out-of-state investment in pot businesses and require quality-control testing of marijuana by third-party labs. Marijuana must be tracked from seed to sale, and packages must carry warnings about the potential dangers of pot use.

Hilary Bricken, a Seattle lawyer who is advising businesses that hope to obtain marijuana licenses, said her clients largely are content with the regulations, though some are disappointed by the three-license max and the ban on out-of-state money.

“It’s a huge undertaking, and the board has been extremely fair,” she said.

Washington’s rules take effect in one month, and the state plans to begin accepting license applications Nov. 18.

Colorado approved its marijuana industry rules last month. They require businesses to use a state-run online inventory tracking program to document the plant’s journey from seed to sale. Marijuana also must be placed in opaque, child-resistant containers before being taken out of a store, and recreational pot stores won’t be allowed to advertise to people under 21.

The federal government announced earlier this year that it would not sue Washington, Colorado or other states over plans to tax and regulate marijuana sales for adults over 21, provided they address eight federal law enforcement priorities, including keeping marijuana off the black market and keeping it away from kids

Washington’s legal marijuana law includes zoning requirements keeping the businesses away from schools, parks and playgrounds.

Source: Associated Press (Wire)
Author: Gene Johnson, Associated Press
Published: October 16, 2013
Copyright: 2013 The Associated Press

PTSD Sufferers Qualify for Medical Marijuana

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A new state law allowing veterans and others suffering from post-traumatic stress disorder to be prescribed medical marijuana will help them live a normal life, advocates and veterans say.

Under the law that went into effect Wednesday, PTSD joins cancer, glaucoma, hepatitis C and others on the list of conditions patients must have to qualify for medical marijuana use in Maine.

Hundreds of Maine veterans already use marijuana to treat PTSD, but they weren’t previously able to get it from their doctors, said Paul McCarrier, legislative liaison for the Medical Marijuana Caregivers of Maine.

“This unties the hands of doctors to allow them to treat their patients,” he said.

Retired Marine Corps Sgt. Ryan Begin is one of those veterans already using the drug. Begin lost 4 inches of his right arm, including his elbow, from an IED explosion during his second tour in Iraq in 2004. He started using medical marijuana to deal with the pain, but it has also helped manage his PTSD, which caused flashbacks and nightmares, he said.

“It balances me,” the 33-year-old Belfast resident said. “Instead of being on a roller coaster … you’re more even keeled. … You don’t get too far up, and you don’t get too far down.”

Maine voters legalized marijuana for medical purposes in 1999 and approved a law creating a statewide network of marijuana dispensaries 10 years later. Twenty states and the District of Columbia have legalized medical marijuana use, but only six other states allow its use for PTSD, according to the Marijuana Policy Project, a D.C.-based advocacy group.

Gordon Smith, executive vice president of the Maine Medical Association, said the question of medical marijuana use for PTSD treatment is contentious among the medical community.

“We heard both from doctors who felt that particularly people coming back from Afghanistan might be assisted (by it), and we heard from doctors who thought there was not a sound evidentiary basis for it,” Smith said.

Because the drug is still illegal under federal law, there is a lack of federally funded studies on medical marijuana. That has been a challenge to understanding its impact on various conditions, Smith said.

The U.S. Department of Veterans Affairs changed its policy on medical marijuana in 2011 to ensure veterans using medical marijuana in states where it’s legal aren’t punished, said Michael Krawitz, director of the Virginia-based group Veterans for Cannabis Access. But VA doctors still can’t recommend medical marijuana for treatment or provide documentation to get it.

McCarrier said he suspects the new law will bring many new patients into Maine’s medical marijuana program, which had more than 1,450 patients registered with the state in 2012.

Efforts to expand the program to include more qualifying conditions will likely continue in Maine. The first draft of the proposed law would have allowed doctors to prescribe marijuana for any condition they deemed necessary. But the Maine Medical Association opposed that, saying that expanding the program to virtually every condition could essentially legalize recreational marijuana use.

Begin said the new law will be a huge step forward for veterans struggling with PTSD. That’s because marijuana doesn’t cause the negative side effects that prescription medication can, like feelings of weakness or depression, but instead allows patients to stay medicated while remaining social and productive, he said.

“Just because they have to take medication, they shouldn’t be put on the sidelines of life,” he said.

Source: Associated Press (Wire)
Author: Alanna Durkin, Associated Press
Published: October 12, 2013
Copyright: 2013 The Associated Press

High Hopes for Legalizing Marijuana in Maine

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Melissa Thomas is a 38-year-old interior designer for a local paint company. She has a 5-year-old son, and she is engaged to be married. She shows up to work on time, and belongs to a book club and mothers groups. She pays her bills and is closing on the purchase of a house in South Portland next month. And like an increasing number of Americans, she likes to smoke marijuana – not for its medical benefits but because she enjoys it.

“Alcohol makes me sleepy,” said Thomas, a well-dressed, well-spoken woman with long curly hair and an engaging smile. “Marijuana does the opposite – it tends to kick-start me, especially creatively.”

Thomas believes she uses marijuana responsibly, limiting her use to the occasional weeknight or weekend. She says she doesn’t drive after smoking and never uses marijuana around her son or before going to work. She firmly believes that children and teenagers, whose brains are still developing, should never use the drug.

But, she says, marijuana use by a responsible adult should be legal. And she is far from alone. After decades of shifting attitudes, more Americans now support legalizing marijuana than oppose it, according to national surveys.

On Nov. 5, Portland voters will try to make it so, at least within city limits. Voters are widely expected to pass a citizen-led referendum and enact an ordinance to legalize recreational marijuana for adults over the age of 21.

However, the proposal would not allow people to use marijuana in public or operate a vehicle after smoking. Landlords could prohibit its use on their property. And there would still be no legal way for people to obtain marijuana – selling it will still be banned.

And, no matter what Portland voters say next month, marijuana use will still be illegal under federal law, which classifies pot as being in the same group as heroin.

Thomas said she decided to step forward publicly about her marijuana use – essentially admitting to illegal activity – to combat the fear and misconception about marijuana. She said her habit is known and accepted by her employer and her more conservative friends.

Even so, speaking publicly about her marijuana use carries some social risks.

“I don’t think anyone wants to be labeled for the vices they have,” Thomas said, adding that for some the vice might be gambling or drinking or sex. “That’s the most difficult thing about coming out.”

She is also stepping forward because of her son. “I don’t want my son growing up and thinking I’m a criminal,” she said.

Snipped

Complete Article: http://drugsense.org/url/FscAVyOg

Source: Portland Press Herald (ME)
Author: Randy Billings, Staff Writer
Published: October 13, 2013
Copyright: 2013 Blethen Maine Newspapers Inc.
Contact: [email protected]

Legal or Not, Industrial Hemp Harvested in Colo.

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Southeast Colorado farmer Ryan Loflin tried an illegal crop this year. He didn’t hide it from neighbors, and he never feared law enforcement would come asking about it.

Loflin is among about two dozen Colorado farmers who raised industrial hemp, marijuana’s non-intoxicating cousin that can’t be grown under federal drug law, and bringing in the nation’s first acknowledged crop in more than five decades.

Emboldened by voters in Colorado and Washington last year giving the green light to both marijuana and industrial hemp production, Loflin planted 55 acres of several varieties of hemp alongside his typical alfalfa and wheat crops. The hemp came in sparse and scraggly this month, but Loflin said but he’s still turning away buyers.

“Phone’s been ringing off the hook,” said Loflin, who plans to press the seeds into oil and sell the fibrous remainder to buyers who’ll use it in building materials, fabric and rope. “People want to buy more than I can grow.”

But hemp’s economic prospects are far from certain. Finished hemp is legal in the U.S., but growing it remains off-limits under federal law. The Congressional Research Service recently noted wildly differing projections about hemp’s economic potential.

However, America is one of hemp’s fastest-growing markets, with imports largely coming from China and Canada. In 2011, the U.S. imported $11.5 million worth of hemp products, up from $1.4 million in 2000. Most of that is hemp seed and hemp oil, which finds its way into granola bars, soaps, lotions and even cooking oil. Whole Foods Market now sells hemp milk, hemp tortilla chips and hemp seeds coated in dark chocolate.

Colorado won’t start granting hemp-cultivation licenses until 2014, but Loflin didn’t wait.

His confidence got a boost in August when the U.S. Department of Justice said the federal government would generally defer to state marijuana laws as long as states keep marijuana away from children and drug cartels. The memo didn’t even mention hemp as an enforcement priority for the Drug Enforcement Administration.

“I figured they have more important things to worry about than, you know, rope,” a smiling Loflin said as he hand-harvested 4-foot-tall plants on his Baca County land.

Colorado’s hemp experiment may not be unique for long. Ten states now have industrial hemp laws that conflict with federal drug policy, including one signed by California Gov. Jerry Brown last month. And it’s not just the typical marijuana-friendly suspects: Kentucky, North Dakota and West Virginia have industrial hemp laws on the books.

Hemp production was never banned outright, but it dropped to zero in the late 1950s because of competition from synthetic fibers and increasing anti-drug sentiment.

Hemp and marijuana are the same species, Cannabis sativa, just cultivated differently to enhance or reduce marijuana’s psychoactive chemical, THC. The 1970 Controlled Substances Act required hemp growers to get a permit from the DEA, the last of which was issued in 1999 for a quarter-acre experimental plot in Hawaii. That permit expired in 2003.

The U.S. Department of Agriculture last recorded an industrial hemp crop in the late 1950s, down from a 1943 peak of more than 150 million pounds on 146,200 harvested acres.

But Loflin and other legalization advocates say hemp is back in style and that federal obstacles need to go.

Loflin didn’t even have to hire help to bring in his crop, instead posting on Facebook that he needed volunteer harvesters. More than two dozen people showed up — from as far as Texas and Idaho.

Volunteers pulled the plants up from the root and piled them whole on two flatbed trucks. The mood was celebratory, people whooping at the sight of it and joking they thought they’d never see the day.

But there are reasons to doubt hemp’s viability. Even if law enforcement doesn’t interfere, the market might.

“It is not possible,” Congressional Research Service researchers wrote in a July report, “to predict the potential market and employment effects of relaxing current restrictions on U.S. hemp production.”

The most recent federal study came 13 years ago, when the USDA concluded the nation’s hemp markets “are, and will likely remain, small” and “thin.” And a 2004 study by the University of Wisconsin warned hemp “is not likely to generate sizeable profits” and highlighted “uncertainty about long-run demand for hemp products.”

Still, there are seeds of hope. Global hemp production has increased from 250 million pounds in 1999 to more than 380 million pounds in 2011, according to United Nations agricultural surveys, which attributed the boost to increased demand for hemp seeds and hemp oil.

Congress is paying attention to the country’s increasing acceptance of hemp. The House version of the stalled farm bill includes an amendment, sponsored by lawmakers in Colorado, Oregon and Kentucky, allowing industrial hemp cultivation nationwide. The amendment’s prospects, like the farm bill’s timely passage, are far from certain.

Ron Carleton, a Colorado deputy agricultural commissioner who is heading up the state’s looming hemp licensure, said he has no idea what hemp’s commercial potential is. He’s not even sure how many farmers will sign up for Colorado’s licensure program next year, though he’s fielded a “fair number of inquiries.”

“What’s going to happen, we’ll just have to see,” Carleton said.

Source: Associated Press (Wire)
Author: Kristen Wyatt, The Associated Press
Published: October 12, 2013
Copyright: 2013 The Associated Press

US Policy Clouds Approvals of Medical Marijuana

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Doctors at Massachusetts community health centers have been advised not to authorize any of their more than 638,000 patients to obtain marijuana for medical purposes because the centers fear they would lose their federal funding.

The Massachusetts League of Community Health Centers has advised its 36 federally funded facilities to hold off on issuing patient marijuana certifications under the state’s new medical marijuana law, because use remains illegal under federal law.

Health center physicians who believe marijuana might be beneficial for certain patients and authorize its use could be committing a “potential violation of federal law and could result in legal and financial exposure for community health centers,” according to a statement from the League.

This disconnect between state and federal marijuana law is cropping up in other areas as well; some rules restrict tenants who use medical marijuana from living in federally subsidized housing, or prevent Veterans Administration hospitals and clinics from authorizing medical marijuana.

Voters approved a ballot initiative in November, making Massachusetts one of 20 states, and the District of Columbia, that allow medical marijuana use. Community health centers in other states also have advised doctors against authorizing patients to use marijuana.

It is not just federal funding at stake if the centers certify patients for marijuana use, but also loss of malpractice insurance, covered by a federal program known as the Federal Tort Claims Act.

Also, should a community health center physician be convicted under federal law for certifying a patient, the physician could be shut out of the Medicare and Medicaid programs, the insurance that covers many who use health centers.

The National Association of Community Health Centers is unaware of any center or center physician that have faced federal sanctions for prescribing medical marijuana, but the threat of prosecution or funding loss looms large.

“Community health centers have been providing access to care for decades, but there is no assurance that they would not come under federal investigation or that their physicians would not face trouble for certifying medical conditions under state medical marijuana programs, given it is an unsettled area of the law,” said Kathryn Watson, an attorney at Feldesman Tucker Leifer Fidell, a Washington-based law firm that advises the national group.

With health insurance unlikely to cover medical marijuana treatments, state regulators tried to ensure that lower-income people would be able to afford medical marijuana. State-licensed cannabis dispensaries must offer discounted or free marijuana to patients with documented financial hardship, but the community health centers’ stance could undermine that goal.

Among these patients is Gary, a 61-year-old disabled former church outreach worker who received a certification for medical marijuana use this year from his primary care physician at the Joseph M. Smith Community Health Center in Allston. A few puffs before meals helps pique his appetite, which, along with his weight, has shriveled because of hepatitis C, a disease that attacks the liver.

Gary asked that his last name not be used for fear of losing his publicly subsidized apartment, where medical marijuana use is prohibited.

In July, Gary received notice from the health center that his marijuana certification was being rescinded because the center was worried about losing federal funding, which accounts for about 10 percent of the facility’s funding.

“I am in a Catch-22 position,” Gary said. “I have a [doctor’s certification] that may or may not be valid.”

He has been buying marijuana on the street, bargaining prices between $200 and $300 for an ounce, and eagerly awaiting the opening of dispensaries,where he could get reduced-cost or free marijuana, as well as edible or vapor options, which would be gentler on his scarred lungs.

Paola Ferrer, grants and development director at the Allston health center, said the organization cannot risk its federal funding and care for 12,000 patients by writing certifications for a small number.

“We are really tied to the federal government and the funding stream, and until the legal issues are adequately resolved, we are not at liberty to do this,” Ferrer said.

Regulations issued by the Massachusetts health department in May require people who want to legally buy medical marijuana to receive a physician’s written certification that they have a “debilitating medical condition” that would benefit from marijuana use.

Like patients treated at community health centers, those who receive care at Veterans Affairs facilities face challenges obtaining certification. In a 2011 memo, the Department of Veterans Affairs reminded its physicians that it prohibits them from “completing forms seeking recommendations or opinions regarding a veteran’s participation in a state marijuana program.”

The memo, however, said department policy does not prohibit veterans who legally participate in a state marijuana program from also receiving other treatment at VA centers.

More confusing is a 2011 memo from the US Department of Housing and Urban Development to public housing authorities. It directs them to establish standards and leases that prohibit new tenants, and those with new subsidized housing vouchers, from using “state-legalized medical marijuana,” but gives authorities discretion to allow medical marijuana use by current residents and “to determine continued occupancy policies that are most appropriate for their local communities.”

An August memo from the US Department of Justice to federal prosecutors has also left many lawyers and health administrators unsettled.

The department attempted to clarify its policy by listing eight priorities, such as preventing marijuana sales to minors. The priorities do not specifically mention selling, growing, or authorizing patients to get marijuana for medical use.

The department is “committed to using its limited investigative and prosecutorial resources to address the most significant threats in the most effective, consistent, and rational way,” the memo states.

It concludes by noting the department still has authority to enforce federal laws “including federal laws relating to marijuana, regardless of state law.”

Source: Boston Globe (MA)
Author: Kay Lazar, Boston Globe Staff
Published: October 9, 2013
Copyright: 2013 Globe Newspaper Company
Contact: [email protected]
Website: http://www.boston.com/globe/

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