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- Taken from the March 28 -- April # 1992 "The Economist" without permission.
-
-
- ----------------------------Beigin article-----------------------------------
-
- Medical marijuana
- The last smoke
-
- Medicines often produce side-effects. Sometimes they are physically
- unpleasant. Many doctors consider marijuana effective in relieving the
- nause of chemotherapy, treating glaucoma and helping AIDS patients gain
- weight. It too has discomforting side-effects, but these are not physical.
- They are political.
-
- On March 18th the Drug Enforcement Agency (DEA) rejected the pleas of
- medical marijuana advocates to reclassify the drug so that it could be
- prescribed by doctors. At present, marijuana is grouped with the most
- disapproved-of drugs such as LSD and heroin; cocaine and morphine, just as
- illegal, may be used medically. Two weeks earlier, the Public Health
- Service (PHS) had said it was curtailing a tiny "compassionate use"
- programme that supplies marijuana, despite the law, to 13 patients. They
- will go on getting their; no one else will.
-
- The decisions come after a year of to-ing and fro-ing. Last June the PHS
- hinted it might limit the compassionate-use programme because of a surge of
- applications from AIDS patients. After loud protests from AIDS activists,
- th PHS decided to review its policy. Pressure on the DEA came from
- elsewhere. In 1988 a federal administrative-law judge recommended that
- marijuana be re-classified. The DEA disagreed, saying the drug had no
- "currently accepted medical use". Last April a federal appeals court
- ordered the agency to think again.
-
- Now the government has in effect abandoned the "current acceptance"
- standard It had little choice. A recent study by two Harvard drug-policy
- researchers found that almost half of 1,035 oncologists surveyed said they
- would prescrib marijuana if it were legal. Indeed, 44% of them said they
- had advised patients to smoke pot despite the possibility of prosecution.
-
- The government's case against medical marijuana rests on an alleged lack of
- systematic studies of its safety and efficacy. Pot smoke contains
- carcinogens, says the PHS; it may harm the immune systems of AIDS patients;
- they may not like the "high". Besides, marijuana's main active ingredient,
- THC is already sold in pill form, as Marinol.
-
- According to the Harvard group study, however, 77% of those oncologists who
- had an opiniopn on the matter say smokeable marijuana is more effective
- than oral THC. Because puffs are easier for parients to measure than
- pills, it is also less likely to get them uncomfortably high. True,
- marijuana may be a carcinogen (though that has not been proved). But AZT,
- the most effective AIDS treatment, causes cancer in animals; and AIDS
- patients, in any case, are willing to risk anything.
-
- These concerns do not seem to bother the PHS or the DEA. They have other
- things on their minds. Last year a PHS spokesman admitted that for the
- government to say marijuana could ever be therapeutic would be and unwise
- signal to send during a "war on drugs". Recently James Masin, head of the
- PHS said he feared that AIDS patients, crazed on marijuana, would be more
- likely to practise unsafe sex.
-
- Some sick people who would benefit from marijuana will be deterred by the
- ban others, desperate, will smoke it anyway. So far, 35 states have
- endorsed medical marijuana. In San Francisco police have agreed to turn a
- blind eye t it. Unless the government does something similar, smoking
- marijuana to relieve intolerable discomfort will remain, incredibly, a
- crime.
-
-
- --------------------------------End Article----------------------------------
-
- I heard that George Herbert Walker Bush has glaucoma. Marijuana
- (allegedly) relieves the vision impairing symtoms of glaucoma. Do you
- think George's doctors would "advise him to smoke marijuana despite the
- possibility of prosecution"?
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