Pot report stumbles on medical access

Pot report stumbles on medical access

The federal task force on marijuana released a thorough report this week that proposes to end Canada’s 93-year prohibition on legal pot production and consumption. Its 80 recommendations touched on the important considerations and concerns for a well-regulated system, and appeared to borrow from the experience of some U.S. states that are several years ahead of us.

But the federal task force failed on one important point: the merger of the medical and recreational marijuana markets.

Former Liberal minister Anne McLellan’s task force devoted an entire chapter to the issue of medical access. It noted that the Canadian Medical Association and the Federation of Medical Regulatory Authorities of Canada do not believe that doctors should write prescriptions for access to marijuana. Their arguments are sound.

  • There’s no conclusive research or evidence about how or if marijuana provides therapeutic benefits. Nor is there any conclusive data about the risks of using marijuana for medicinal purposes.
  • Physicians don’t want to be responsible for prescribing marijuana in the absence of reliable evidence. We want doctors to know what they are prescribing and why.
  • There are already other approved cannabinoid-based medicines on the market.
  • Allowing the medical marijuana market to continue as a separate system might delay or undermine funding for the necessary standard clinical drug development research.

Yet the task force recommended that legalization legislation “maintain a separate medical access framework,” at least at the outset and to re-evaluate it’s necessity in five years.

Similarly, the Canadian federal task force heard strongly from municipalities and law enforcement that medical marijuana licenses have been routinely abused.

The task force should have reviewed the multi-year experiences of states south of the border and come to a different recommendation.

Colorado, the first U.S. state to legalize use of marijuana, merged its medical and recreation markets from the beginning. It simply converted medical marijuana retail outlets into recreational stores.

In the state of Washington, lawmakers fell under the spell of lobbyists for the medical marijuana industry and kept the two markets separate when it initially legalized pot sales for recreational use in 2013. But the state closed all medical marijuana stores in July of this year, merging the two markets.

People in both states using marijuana to manage pain and other medical purposes have better access to legitimate and regulated products as a result of merging the two markets.

It’s well known that unregulated medical marijuana sales across North America were really a cover for recreational consumption. It was a way around prohibition that everyone, from law enforcement to politicians, was willing to accept on a nudge-nudge, wink-wink basis.

In the state of Washington, experts estimated that more than 90 percent of cannabis sold for ostensibly medical purposes was in fact consumed recreationally.

Similarly, the Canadian federal task force heard strongly from municipalities and law enforcement that medical marijuana licenses have been routinely abused.

The report says that “These stakeholders relayed numerous examples of instances where licenses issued under (medical marijuana), notably those to designated producers, were effectively used as a cover for illegal production and diversion to the illicit market.

“We heard about the size and scale of some of these designated producer operations and instances where law enforcement encountered thousands of plants in residential properties. Representatives from municipalities told us about the challenges these grow operations pose to neighbours, landlords and communities because of fires, break-ins and rental properties rendered uninhabitable due to mould or other contaminants.”

If there is sufficient legitimate demand for the low-hallucinogenic, high-analgesic cannabis preferred by medical users, retail stores will provide it. And medical users will have the option of growing their own.

The Wild West medical marijuana market has served its purpose as a bridge to legalization. Now it’s not only unnecessary, but poses professional risks for doctors and public safety risks for law enforcement. It’s time for a new sheriff in town.

B.C. should jump start pot regulations

B.C. should jump start pot regulations

British Columbia, a province usually anxious to tax anything within its reach, has curiously kept its hands off of a large source of potential revenue: marijuana.

While Washington state, Colorado, Oregon and Alaska inhale multi-millions of dollars of tax revenue by regulating the production, distribution and retail sale of marijuana for medical and recreation use, British Columbia lets this windfall slip away.

British Columbia could help shape the federal legislation expected next year by putting a regulatory system in place now, and jumpstart its revenue stream.

This wouldn’t take as long or be as difficult as it might seem. Our neighbors to the south in Washington state have an excellent model for a system that could be more or less copied and pasted into B.C. law.

Washington state collected $67.5 million in 2015, its first full year of operation. This year, it expects to collect $154.6 million. The state’s Office of Financial Management predicts a whopping $1 billion of new revenue over the next four years.

Imagine if B.C. injected that much new money — taken away, in part, from gangs and outlaw drug dealers — into early childhood education, better access to services for people suffering from mental illness and support for affordable housing projects.

And a windfall revenue isn’t the only benefit of a fully regulated system.

Right now, marijuana growers and sellers are running loose in the province. It’s a wild west environment. Nobody can verify who’s growing the pot sold in stores, who they are selling it to or what’s in it.

From Sidney to Vancouver to Toronto, marijuana retail stores are popping up as fast as the RCMP can raid them. The Liberal government says it’s committed to legalization, but while it dithers over the details of national legislation, the market is spinning out of control.

Instead of rushing into a national marijuana legalization program, the federal government should look the other way while British Columbia develops a regulated market that includes rules pertaining to DUI, banking, public consumption and retail store locations. A smaller provincial experiment can expose weaknesses and oversights and enact quicker corrections.

Those real life test results can lead to a better-written federal law.

For example, let’s not go down the road of simple legalization. Without provincial control over who’s growing and selling marijuana, gangs and Mexican cartels will continue to siphon off money that could be used to improve the quality of life in British Columbia.

Smoking pot outside the old Lorne Hotel, circa 1975

Smoking pot outside the old Lorne Hotel, circa 1975

We must merge the recreational and medical markets. Let’s shake off the nudge-nudge, wink-wink reality of medical marijuana. Yes, it’s been a help for people with certain medical conditions, but it’s also been a false front for people who just want to get high.

In Washington state, it was estimated that 90 percent of cannabis sold for ostensibly medical purposes was, in fact, consumed recreationally. Interestingly, the medical market ballooned in 2011 when naturopathic physicians were added to the list of providers who could write pot prescriptions.

A regulated system should include a patient registry to differentiate bona fide medicinal users, who could qualify for tax exemptions, from recreational users.

If there is sufficient legitimate demand for the low-hallucinogenic, high-analgesic cannabis preferred by medical users, retail stores will provide it. And medical users would have the option of growing their own.

The province will also need to use some of the new tax revenue to fund substance abuse awareness programs, primarily aimed at children. Of course, parents must play an important role in educating their children about marijuana, and that includes keeping any edibles at home securely out of their reach. Colorado experienced a surge of hospital visits by children who accidentally ate pot-laced treats.

Marijuana legalization advocates have successfully argued that smoking marijuana poses no greater threat to society than drinking alcohol, and that prohibition will not work. Both are true. Like alcohol, marijuana is not risk-free, which argues for a government-regulated system of production, distribution and retail sales.

The federal government has recognized the historical transformation of social values during the early years of the 21st century. Whenever communal morals shift so significantly, governments must eventually conform their laws to reflect the public’s will.

British Columbia could and should generate millions of dollars in revenue and lead the nation in clearing up the current tangled mess of conflicting laws and regulations.