Congressional Research Service Report on Medical Marijuana

Congressional Research Service Report on Medical Marijuana
Sunday, March 8, 2009

Big thanks to NORMLinFL in comments for pointing us to Congressional Research Service Report RL33211: Medical Marijuana: Review and Analysis of Federal and State Policies by Mark Eddy, Domestic Social Policy Division, November 10, 2008.

CRS reports are compilations and summaries of existing information, and are commissioned by Congress to provide background information to be used in helping them formulate policy. Ideally, they are intended to be a straightforward presentation of the available facts, without bias or political agenda (although some CRS reports I've read end up with perhaps unintended bias due to incomplete research methods and/or failure to ask the right questions).

This CRS report is one of the best I've read, and stands on its own as an excellent summary of the history, science and politics of medical marijuana.

Here's an important part of its methodology:

In the ongoing debate over cannabis as medicine, certain arguments are frequently made on both sides of the issue. These arguments are briefly stated below and are analyzed in turn. Equal weight is not given to both sides of every argument. Instead, the analysis is weighted according to the preponderance of evidence as currently understood. CRS takes no position on the claims or counterclaims in this debate.

What follows is an attempt to analyze objectively the claims frequently made about the role that herbal cannabis might or might not play in the treatment of certain diseases and about the possible societal consequences should its role in the practice of modern medicine be expanded beyond the places where it is now permitted under state laws. [emphasis added]

An excellent approach which, since the evidence leans toward medical marijuana, leads any reader of the report to naturally see the reason and logic in supporting medical marijuana.

The report notes that it is unlikely for Congress or the Administration to reschedule marijuana out of schedule 1, but that puts them at odds with vast public opinion, the Supreme Court, and science.

It's really something to read all the points in history of medical marijuana and see how narrow political self-interest in the DEA, FDA, HHS, etc. trumped science and medical/legal opinion at every turn.

And then, matter of fact statements sprinkled throughout, such as:

Many patients have found that they benefit more from the whole plant than from any synthetically produced chemical derivative.87 Furthermore, the natural plant can be grown easily and inexpensively, whereas Marinol and any other cannabisbased pharmaceuticals that might be developed in the future will likely be expensive -- prohibitively so for some patients.88 [...]

The federal government's own IND Compassionate Access Program, which has provided government-grown medical marijuana to a select group of patients since 1978, provides important evidence that marijuana has medicinal value and can be used safely. [...]

The therapeutic value of smoked marijuana is supported by existing research and experience. [...]

Smoking can actually be a preferred drug delivery system for patients whose nausea prevents them from taking anything orally. Such patients need to inhale their antiemitic drug. Other patients prefer inhaling because the drug is absorbed much more quickly through the lungs, so that the beneficial effects of the drug are felt almost at once. This rapid onset also gives patients more control over dosage. [...]

Concerns that medical cannabis laws send the wrong message to vulnerable groups such as adolescents seem to be unfounded. [...]

Marijuana grown for medical purposes, according to DEA and other federal drug control agencies, can be diverted into the larger, illegal marijuana market, thereby undermining law enforcement efforts to eliminate the marijuana market altogether. [...] GAO responded that in their interviews with federal officials regarding the impact of state medical marijuana laws on their law enforcement efforts, "none of the federal officials we spoke with provided information that abuse of medical marijuana laws was routinely occurring in any of the states, including California."116 The government also failed to establish this in the Raich case. [...]

The situation that Grinspoon and Bakalar described in 1995 in the Journal of the American Medical Association persists a decade later: "At present, the greatest danger in medical use of marihuana is its illegality, which imposes much anxiety and expense on suffering people, forces them to bargain with illicit drug dealers, and exposes them to the threat of criminal prosecution."131 [...]

As for the charge that politics should not play a role in the drug approval and controlled substance scheduling processes, medical marijuana supporters point out that marijuana's original listing as a Schedule I substance in 1970 was itself a political act on the part of Congress.

Scientists on both sides of the issue say more research needs to be done, yet some researchers charge that the federal government has all but shut down marijuana clinical trials for reasons based on politics and ideology rather than science.143 [...]

The report concludes with a discussion about the politics of medical marijuana...

Is it cynical or smart for NORML and other drug reform organizations to simultaneously pursue the separate goals of marijuana decriminalization for all, on the one hand, and marijuana rescheduling for the seriously ill, on the other? It is not unusual for political activists tactically to press for -- and accept -- half-measures in pursuit of a larger strategic goal. Pro-life activists work to prohibit partial-birth abortions and to pass parental notification laws. Gay rights activists seek limited domestic partner benefits as a stepping stone to full marriage equality. Thus is the tactic used on both sides of the cultural divide in America, to the alarm of those opposed. [...]

Rescheduling marijuana and making it available for medical use and research is not necessarily a step toward legalizing its recreational use. Such a move would put it on a par with cocaine, methamphetamine, morphine, and methadone, all of which are Schedule II substances that are not close to becoming legal for recreational use. Proponents of medical marijuana ask why marijuana should be considered differently than these other scheduled substances.

It is also arguable that marijuana should indeed be considered differently than cocaine, methamphetamine, morphine, and methadone. Scientists note that marijuana is less harmful and less addictive than these Schedule II substances.

Acceptance of medical marijuana could in fact pave the way for its more generalized use. Ethan Nadelmann, head of the Drug Policy Alliance, has observed, "As medical marijuana becomes more regulated and institutionalized in the West, that may provide a model for how we ultimately make marijuana legal for all adults."151 Medical marijuana opponents have trumpeted his candor as proof of the hypocrisy of those on the other side of the issue. Others note, however, that his comment may be less hypocritical than astute.

This would be a good report to print and send to your Congressional Representatives (at both the state and federal level). Just to make sure they've seen it.

http://racismandnationalconsciousnes...20&h=182&h=182