01:49 - Source: CNN
California legalizes recreational marijuana
CA legalizes marijuana Marquez 1012018
California legalizes recreational marijuana
orig how to buy pot cabrera_00010416.jpg
Allergic Reactions to Pot pkg_00004904.jpg
Doctor sees increase in allergic reactions to ...
history medical marijuana orig nws_00003424.jpg
The quick hit history of medical marijuana
compare marijuana and alcohol_00002510.jpg
What's worse -- pot or booze?
Recreational marijuana goes on sale in Nevada
Marijuana goes on sale in Nevada
small town pot haven klas dnt_00001020.jpg
California town could become pot haven
DESIREE MARTIN/AFP/Getty Images
GO WITH AFP STORY by Desiree Martin A picture taken on April 12, 2013 shows plants of marijuana at the plantation of the Sibaratas Med Can association in Mogan on the southwest coast of the island of Gran Canaria. The plants grow from cuttings for approximately two months and then blossom before being harvested, dried, stored in jars for a month and later processed to be consumed on site. Spanish law prohibits the possession of soft drugs like cannabis in public and its growth to be sold for profit is illegal. But the law does tolerate growing cannabis for personal use and its consumption in private. Dozens of private marijuana smoking clubs operate across Spain that take advantage of this legal loophole that serve cannabis users who do not want to get their drugs from the streets. AFP PHOTO / DESIREE MARTIN (Photo credit should read DESIREE MARTIN/AFP/Getty Images)
Will recreational marijuana soon be legal nationwide?
Designer marijuana boost THC potency
shark tank of pot sebastian_00000000.jpg
Cannabis entrepreneurs pitch to investors
Cannibus infused pumpkie pie at Sweet Grass Kitchen in Colorado
Weed pumpkin pie, it exists. Happy Thanksgiving.
nr gupta medical marijuana for children _00005819
Medical marijuana for a 7-year-old?
Being Moody Marijuana DC AR Orig WX_00004116.jpg
Being Moody: Growing pot next door to Congress
pkg alaska marijuana legalization _00002415.jpg
Alaska becomes 3rd state to legalize marijuana use
high profits plans_00000614.jpg
Mapping out a legal marijuana empire
The DEA declined to loosen restrictions on medical marijuana
Dr. Sanjay Gupta says this decision could delay therapies for countless people
There is really just one salient question when it comes to today’s decision by the Drug Enforcement Administration to expand the number of growers of research-grade marijuana, while still not changing the scheduling of marijuana: Will this decision make it significantly easier for scientists to study the medical benefits of marijuana?
The answer sadly is: unlikely. And this is a missed opportunity that could further delay potential therapies to countless people.
Up until today, the University of Mississippi has been the only federally approved source of research-grade medical marijuana in the United States. In a bit of seemingly positive news today, the DEA also announced it will now allow other places to apply for permission to do the same. The hope is that marijuana available for scientific study could grow in both amount and diversity.
While this will be hailed as a victory for research, it will largely be symbolic, because no matter how much marijuana is available, if access is still difficult, it hardly matters.
Imagine a product that is in high demand but kept behind a locked door. In response to the demand for the product, someone makes a baffling decision to make more of it but still never unlocks the door.
Marijuana is that product, and its Schedule I designation is that locked door.
That is the predicament of medical marijuana.
Because marijuana is a Schedule I substance (meaning that by definition it has “no currently accepted medical use and a high potential for abuse”), there are significant hurdles to getting the door unlocked.
Potential researchers typically go to the DEA first, as it grants the license to begin scientific research. Even if a license is granted, to study a Schedule I substance, institutions must have heavy-duty safes and high-grade security systems installed, which can be expensive. There is also the more subjective consideration of getting approval from your academic institution to do the research on a Schedule I status substance in the first place. Even if individual faculty members want to do that research, the university leadership may not want the hassle or the potential fallout of bad press. This happened at the University of Arizona when Dr. Sue Sisley was let go after trying to pursue a medical marijuana trial.
Sisley eventually had to find private funding for her project, and just in April, seven years after the study was initially proposed, hers became the first DEA approved medical marijuana trial for post-traumatic stress in veterans.
Then, after years of those bureaucratic hurdles, it is the National Institute on Drug Abuse that has held the final key to the lock. Today, it is the biggest federal public funder of marijuana research and has been the sole supplier of the marijuana itself. Even if more medical marijuana will now be freed up for research, the institute will still have to approve any studies it funds.
The problem, however, is that last word in NIDA’s name: “abuse.”
According to Dr. Donald Abrams at the University of San Francisco, whom I interviewed for my documentary “Weed,” the institute has a primary mandate to study substances for potential abuse rather than as a medicine. Abrams makes an important point. Even if a study does cross all the hurdles described above, the door may stay locked if the intent is to study the benefits of medical marijuana as opposed to the harm.
Consider this: A quick (and admittedly non-scientific) search through the U.S. National Library of Medicine pulled up 1,434 papers on medical marijuana over the past five years. That same search revealed only 57 papers on medical marijuana benefits. The vast majority were research into the harm of marijuana, such as “Bad trip due to anticholinergic effect of cannabis,” “Cannabis induced pancreatitits” and “Marijuana use and risk of lung cancer.” That imbalance paints a highly distorted picture of the harm-benefit ratio.
The road to medical marijuana research is paved with surprises and hypocrisy nearly everywhere you look.
While the DEA continues to dig in on Schedule I status, deeming no medical benefit, the U.S. Department of Health and Human Services simultaneously holds a patent on cannabinoids for a wide range of medicinal purposes.
The DEA continues to place marijuana alongside heroin and LSD as drugs with high abuse potential even though the DEA’s own former chief administrative law judge, Francis Young, disagreed with this.
This is one of many quotes from his 1988 petition (PDF) to unschedule marijuana.
“In strict medical terms marijuana is far safer than many foods we commonly consume. For example, eating 10 raw potatoes can result in a toxic response. By comparison, it is physically impossible to eat enough marijuana to induce death. Marijuana in its natural form is one of the safest therapeutically active substances known to man. By any measure of rational analysis marijuana can be safely used within the supervised routine of medical care.”
Again, that was from a judge with the DEA itself. And yet nearly 30 years later, little has changed.
Follow CNN Health on Facebook and Twitter
- See the latest news and share your comments with CNN Health on Facebook and Twitter.
Whether we realize it or not, we all accept a certain amount of hypocrisy in our daily lives. Maybe we don’t always have the energy to call it out or we are too speechless and dumbfounded that no one else seems to have noticed.
With regard to the hypocrisy of federal medical marijuana policy, however, it is worth summoning the stamina to relentlessly present the facts. The lives of patients – such as that of Charlotte Figi, whose seizures abated with the use of medical marijuana, and so many others – depend on it.
That a plant could provide so much benefit and still remain behind these locked doors is worth speaking up about.