Pubdate: Tue, 07 May 2002
Source: Reason Online
Copyright: 2002 The Reason Foundation
Contact:  http://www.reason.com/
Details: http://www.mapinc.org/media/359
Author: David Wallis
Note: David Wallis is the CEO of Featurewell.com

HURTING DR. FEELGOOD

How Oregon Punished A Doctor For Legally Recommending Medical Marijuana

The Oregon Board of Medical Examiners dispensed some pain to Dr. Phillip 
Leveque last month, suspending the 79-year-old osteopath's medical license 
for 90 days and fining him $5,000 for signing medical marijuana 
applications without examining patients. Under Oregon's 1998 medical 
marijuana law, patients who want to light up legally must first receive 
verification from a doctor that they suffer from one of nine medical 
conditions, ranging from AIDS to premenstrual syndrome. An unrepentant 
Leveque plans to spend his time off lecturing throughout the state about 
medical marijuana. Leveque recently talked with New York writer David Wallis.

Reason: Oregon's medical board suspended your medical license for 90 days 
and fined you $5000 for signing applications for medical marijuana "without 
examining the patient, conducting medical tests, maintaining an adequate 
medical chart, reviewing possible contraindicators, or conferring with 
other medical care providers." Are you guilty as charged?

Phillip Leveque: The Oregon medical marijuana law did not require that I 
see the patient or do an examination on them. If it had said so, I would 
have done it. And for the first 900 patients I recommended, the medical 
marijuana office approved 900 [applications]. All of a sudden, they say 
"Oh, we made a big mistake 900 times." Nobody makes a mistake 900 times.

Reason: Why not fight the suspension then?

Leveque: If I didn't accept that they would have revoked my medical license.

Reason: You've approved more applications than for medical marijuana in 
Oregon...

Leveque: The figure is more than 50 percent [of the total number of 
applications]--eight times more than any doctor in the state.

Reason: What does that say about your colleagues?

Leveque: They are scared to death of George W. Bush. They are scared of 
John Ashcroft. In my state in particular, they're scared of the Oregon 
Board of Medical Examiners.

Reason: John Ashcroft has warned doctors that they could face prosecuted 
for prescribing medical marijuana. Would you go to jail for your beliefs?

Leveque: I'm not doing anything illegal. I don't prescribe marijuana. I 
don't approve of marijuana. I don't recommend marijuana.

Reason: What do you mean you don't recommend it?

Leveque: If a patient tells me that he has one of the nine medical 
conditions which are acceptable by the state of Oregon [to be treated with 
marijuana], and it helps his medical problem, that's fine and dandy. 
William Osler, who was considered the father of American medicine, said 
"Your patient will tell you what's wrong with them."

Reason: Are there more than nine ailments that you would treat with 
marijuana if allowed to?

Leveque: A lot of veterans tell me that for post-traumatic stress disorder, 
it's better than anything else anyone has ever gave them. Also attention 
deficit disorder.

Reason: Pot helps people concentrate?

Leveque: Well, I guess so. It's also an excellent anti-anxiety drug.

Reason: Can you tell any difference between patients seeking medical 
marijuana and your other patients?

Leveque: These people are sicker, more disabled, more destitute than any 
patients that I saw in my regular medical practice. Reason: But if some of 
your patients are in fact suckering you, do you care?

Leveque: Absolutely. I am deathly afraid of ringers being thrown at me by 
[regulators], and I am very, very cautious. It's just like the question, 
"How do porcupines make love?" Very carefully. I know that these people are 
out to get me.

Reason: So why take the risk?

Leveque: My Hippocratic Oath requires that I take care of my patients. And 
if marijuana is the way to take care of my patients, that's what I'm going 
to do. Any doctor who will not sign an application for medical marijuana is 
[guilty] of malpractice.

Reason: Did you ever expect to become a political advocate?

Leveque: I have a spinal cord injury myself. I had prostate surgery about 
11 years ago, and they gave me too much spinal anesthesia, damaging my 
nerves going to my feet and tailbone. My feet are on fire all the time. 
When you walk you feel pressure. When I walk I feel fire. And when I sit 
down--fire. I have pain 24 hours a day. The only way I can escape from it 
is by taking a triple dose of sleeping pills at bedtime.

Reason: Why not smoke pot for your pain?

Leveque: If I did I would have a target on my front and back, and every cop 
in Oregon would be hassling the hell out of me. About 12 years ago, one of 
my smart-aleck sons gave me a loaded bong for Christmas and dared me to 
light it up. I took a couple of hits off the damn thing, I don't know if I 
had some bad grass, but I told him, "What do you see in this stuff, anyhow?"
- ---
MAP posted-by: Beth