In recent years, marijuana activists
have donned white coats and exclaimed a newfound concern for the
seriously ill. A remarkable wedge issue, they have successfully used "smoked medical marijuana," as with California's Proposition 215, to be used for "any illness
for which marijuana provides relief."
This
has led to a multimillion-dollar, state-sanctioned drug-distribution
industry, resulting in a substantial increase in medical fraud (the
drug has been recommended for everything from hangnails to fatigue to
reduced sex drive), "medical marijuana" use by minors and increased
local crime.
A
2007 expose by "60 Minutes" revealed just how easy it is to obtain
marijuana - "sick" or not. So it is also not surprising that the Food
and Drug Administration, the American Medical Association and the
renowned Mayo Clinic have come out against smoked marijuana as a
so-called medicine.
A landmark study almost 10 years ago,
conducted by the Institute of Medicine, said, "Smoked marijuana should
generally not be recommended for ... medical use." The IOM Report did say that marijuana might be used in limited circumstances, in the context of double blind clinical trials, but that the future of cannabis as medicine did not lie in its smoked form. Smoked marijuana
(smoked anything) has never passed basic medical standards of safety
and efficacy.
Legalizing
smoked marijuana under the guise of medicine is irresponsible and
contradictory to basic scientific standards for therapeutic drugs.
Of
course some people who use the drug may find relief from their
illnesses, but smoking a drug as volatile and unstable as marijuana is
like chewing on willow bark to partake in the benefits of aspirin. Marinol,
derived from the plant's most active ingredient, THC, already exists.
Though it's not often prescribed, doctors have the right to do so if
they feel it would best serve their patient (though non-cannabis-based
drugs are almost always chosen as a first resort).
Other
isolated components in marijuana -- delivered in aerosol sprays or
patches -- are currently being studied, and research in this area is
important.
Cannabis-based drugs could indeed open
new pathways to fight obesity, nausea, multiple sclerosis and other
illnesses, but just as someone should not inject heroin to gain the
therapeutic effects of morphine, these drugs need to be used in the
proper context and setting.
Even if smoking
marijuana might make someone "feel better," that is not enough to call
it a medicine. If that was the case, then tobacco cigarettes or vodka
shots could be called medicine because they are often attributed to
making one "feel better."
Medicine is determined by a rigorous scientific process, not political campaigns. We should keep it that way.