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In my humble opinion, it all depends. There are "real" mmj patients and then there are the rest.
The rest are people who like the feeling and make excuses to smoke it. which includes me, but I don't claim weed is medicine. I just like the stuff.
and then there are people who rather smoke marijuana for serious conditions to relieve EXTREME pain(there are many people with many "conditions") or for an appetite due to treatment. as in cancer or AIDS(and "conditions" like that). and don't get me wrong, this is a great thing that cannabis can help these people. I just don't like the "rest of the people" who basically help the black market and run these "cannabis clubs" and give the whole cause a bad name. or the people who are fine, get high and claim medical use. that also hurts the "cause". the "cause", in my opinion, being to show society that the plant has positive instead of the image of it being completely useless.
I don't really like it when people claim a medical reason, if in fact they don't have a condition that is helped by medical marijuana, and they just really want to get high.
There's nothing wrong with getting high, and I personally only smoke to get high --- I don't have any conditions that are helped by weed. But I wouldn't try to get a medical card just so I could get high. There are people who really need marijuana as their medicine, and I think it ruins their legitimacy when people abuse that loophole just so they can get stoned.
Of course, I would like to see weed legalized for recreational use too, not just medical use. But until that time, I'm not going to ruin it for them, and I'll continue to obtain my weed illegally.