Pubdate: Wed, 16 May 2001 Source: Palm Beach Post (FL) Copyright: 2001 The Palm Beach Post Contact: http://www.gopbi.com/ Details: http://www.mapinc.org/media/333 CONGRESS' PRESCRIPTION The Supreme Court did not decide Monday to rule out the use of marijuana for medical purposes. The ruling was narrow, applying only to collectives that distribute the drug. The ruling, however, also was narrow-minded, since government research has shown some potential for therapeutic use. The court's 8-0 decision -- Justice Stephen Breyer abstained because his brother, U.S. District Judge Charles Breyer, had ruled that the cooperative could supply marijuana in cases of "medical necessity" -- does not affect the laws of the eight states that have legalized marijuana for certain medical uses. But it will discourage other states from passing such initiatives by making it more difficult to obtain the drug and more hazardous for physicians to prescribe it. The decision also conflicts with growing medical and public opinion, which supports marijuana use -- if no other treatment works -- for people suffering AIDS wasting, terminal cancer pain or the nausea that chemotherapy causes. The California case involved the Oakland Cannabis Buyers' Cooperative, which the city of Oakland set up to provide marijuana for medical purposes. In an opinion by Justice Clarence Thomas, the court ruled that marijuana's inclusion as a Schedule 1 drug under the federal Controlled Substances Act means it has no accepted medical use. The New England Journal of Medicine has suggested a reasonable change to the law that would make marijuana a Schedule 2 drug like morphine. That way, doctors could prescribe it without losing their licenses to prescribe other drugs. But opponents insist that such a change would lead to legalization. In 1999, a $1 million federal study found that cannabinoids, the drug's active ingredients, did seem to be useful in treating pain and the severe weight loss that comes with AIDS. But since smoking harms the lungs, the government suggested developing inhalers or other methods of delivering it. There has been no action on that recommendation. In a separate concurring opinion, Justices David Souter, Ruth Bader Ginsburg and John Paul Stevens noted that the ruling affects only large-scale distributors and does not address the issue of patients trying to "avoid starvation or extraordinary suffering." That's the concern of the California Medical Association, which supports medical marijuana use. California also supported the cooperative. The decision does not bar patients from obtaining the drug. But it contradicts the court's professed support in many other rulings of states' rights. Congress should change the law to allow a humane exemption. - --- MAP posted-by: Andrew