Pubdate: Sat, 12 Jul 2003 Source: Listener, The (New Zealand) Contact: 2003 Wilson & Horton Website: http://www.listener.co.nz/ Details: http://www.mapinc.org/media/241 Author: Bill Keir MEDICINAL MARIJUANA Alistair Bone's "Dope test" (June 7) obscured an important point about the medical use of cannabis. If you need its medical benefits, smoking is the silliest possible way to take it. There is no dosage or purity control, and the tar content of the smoke is more threatening to lung health than that of tobacco, puff-for-puff. This would still be true even if there were no legal or attitudinal barriers to smoking it recreationally. Very sick, disabled or terminally ill people may well like to smoke it for its well-known sedative effects and associated heightened feelings of wellbeing. You'd be hardhearted to deny it to such people. But smoking the raw plant material could never be a medically appropriate practice. Dosage and purity are crucial in drug therapy, especially when calculated side-effects are part of the equation. The biggest barrier to the medical use of the active ingredient in cannabis is that the medical-use agenda is being driven by those who want cannabis legalised for recreational smoking. They need to focus on their real programme and stop this transparent hypocrisy that recreational cannabis smoking is a medical miracle in disguise. No reasonable person would obstruct the use of a promising ingredient from an illegal substance in medically proper applications. As the article mentioned, several of our existing medicines use illegal substances with no social disapproval. If it were really ground-breaking, the drug companies would fall over themselves to get it through the hoops, and the Health Minister's powers already extend to allowing it. So don't expect me to believe that recreational cannabis smokers are only interested in advancing medical science or helping sick people. The thin edge of the wedge is blatant. Dope smokers are their own worst enemy. Their campaign for legalisation would be more credible if they left medical use out of it. It is much more important to acknowledge that the health and social costs of recreational use are as real as they are for alcohol and tobacco, and that this reality must be recognised in any new laws. Bill Keir, Waimamaku, Hokianga - --- MAP posted-by: Derek