Pubdate: Mon, 9 Jun 2003 Source: Press Democrat, The (CA) Copyright: 2003 The Press Democrat Contact: http://www.pressdemo.com/ Details: http://www.mapinc.org/media/348 Author: Ucilia Wang, The Press Democrat Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) MENDOCINO COUNTY TOPS IN PER-CAPITA MEDICAL POT Issuance Of Authorization Cards Greater Than Any Other North Coast Registry UKIAH -- Mendocino County Sheriff Tony Craver has issued 1,340 cards allowing medical use of marijuana, a per-capita rate more than five times greater than other North Coast marijuana registries. Nearly half are patients of a single pediatrician, who has received Craver's approval on more than 600 applications without authorization of the county Public Health Department and contrary to the sheriff's own guidelines. Mendocino County has granted cards to about 1.5 percent of its population of 88,000, a rate greater than other counties with similar programs, including Marin, Humboldt and Del Norte, and greater than San Francisco which grants cards to users outside the county. Craver, a vocal supporter of medical marijuana use since he first campaigned for sheriff in 1998, helped draft the policy that provides for the cards, which shield medical marijuana users from local prosecution. In Mendocino County, applicants need a recommendation from their doctor, approval from the county's public health officer and authorization from the Sheriff's Office, which issues cards allowing people to have up to two pounds of marijuana in their possession. The multiagency process makes Mendocino County unique. In other counties, public health departments are responsible for reviewing and approving applications, and issuing cards. Sonoma County doesn't have a card program, but allows users authorized by a panel of doctors to have up to three pounds of marijuana. Craver emphasized that the public health department's involvement in Mendocino County's program gives it "credibility." But he said he will continue to issue cards directly to patients of Dr. Richard White of Mendocino, who sees patients at medical marijuana clinics in Ukiah and Fort Bragg. White is the only one of about 16 doctors in the county whose patients receive medical marijuana cards from the Sheriff's Office without public health authorization. Dr. Marvin Trotter, the county public health officer, first refused to consider applications from White when he received about 50 in a two-week period in the spring of last year. Trotter said he is troubled by the volume of applications and White's focus on seeing people who want marijuana. "I made up this program to co-sign these cards so that this wouldn't be a fraudulent program. It's for doctors and patients who fear prosecution," said Trotter. "I wasn't comfortable to give the stamp of legitimacy of public health to someone who didn't meet the spirit of the policy." Trotter said he receives about 20 applications a month from patients of about 15 other county physicians in the card program. White, a longtime Mendocino coast pediatrician who began seeing patients requesting marijuana as treatment in 1999, said he believes in the medicinal value of marijuana for a wide variety of ailments and is confident in recommending its use. "It's not like I am pulling people off the street," White said about his popularity with medical marijuana users. "They must be willing to see me." Craver views the issue as a medical one. "If he (White) believes that these people would benefit from the consumption of marijuana, then they have a legitimate right to have marijuana. I can't challenge that," Craver said. "As a sheriff, I am not playing doctor or engaging in the medical field." The cards are a response to voter approval of Proposition 215, the 1996 initiative that legalized marijuana for the sick. The Legislature and the governor have been unable to agree on statewide regulations to implement the proposition, leaving individual counties and cities to struggle with ways to carry out the mandate. The U.S. Drug Enforcement Administration, which has helped bring charges against medical marijuana growers and distributors throughout California, views the card programs as a legal cover for drug traffickers. "We are against those registry cards because they give people a false sense of immunity," DEA spokesman Richard Meyer said. "Some people think because they have the cards, they are immune from prosecution. That is not the case." A state Senate bill that passed last week would create a statewide card program. The bill, by state Sen. John Vasconcellos, D-Santa Clara, would put county health departments in charge of carrying out the voluntary card program. Mendocino County is considered a pioneer in implementation of Proposition 215. About two dozen counties and cities have created policies, though they vary widely and most of them deal only with the amount of marijuana a person may have and grow. Pebbles Trippet, an Elk resident and co-founder of the Medical Marijuana Patients Union, praises the card program. She is a patient of White's and a cardholder. "The program is vital to people who otherwise might find police and sheriff deputies acting as though there was no change in law," said Trippet, who uses marijuana to prevent migraine headaches. "I think the program is exemplary." Mendocino County's program protects people with medical marijuana cards from arrest as long as they are not caught growing more than 25 plants or possessing more than two pounds of processed marijuana. Because the cards are not mandatory, anyone who can show a legitimate recommendation from a doctor also could avoid arrest, Craver said. About 1.5 people per hundred are now enrolled in Mendocino County's registry. Humboldt County, which began its program two years ago, has the state's second-highest registry rate, with about 0.4 participants per 100 residents. The year-old program in Del Norte County has 0.2 cardholders per 100 residents. Although the card issuance rate is high in Mendocino County, other jurisdictions have given out more cards overall. San Francisco, which also issues cards to residents of Marin, Sonoma, San Mateo, Solano and Santa Clara counties, has issued more than 7,500 cards since 1999. The actual number of cardholders is lower because the county gives a new card with a new ID number for every renewal. The private Oakland Cannabis Buyers' Cooperative has issued nearly 20,000 cards since 1996, but it takes applications from throughout the state. Because of privacy concerns, information is limited on Mendocino County's registry, making it difficult to determine why the county's rate is so high. County health officials said there is no known spike in any illness that would account for more extensive use of marijuana for medical reasons in Mendocino County than elsewhere. Neither the Health Department nor the Sheriff's Office keeps records on what ailments are being treated. Officials say the purpose of the program is to protect legitimate users and doctors from arrest. Keeping detailed records isn't required by law and would expose the county to subpoena by agencies that don't recognize marijuana use for medical reasons, they said. Craver and medical marijuana advocates believe the large number of applicants is a sign that Mendocino County users and their growers are more comfortable letting law enforcement agencies know who they are than are users elsewhere. Supporters of medical marijuana said the county's tolerant attitude toward marijuana in general has cultivated the right environment for encouraging its use as a health remedy. "Because there is more familiarity with marijuana in Mendocino than anywhere else, more people are more aware of the medical effects," said Dale Gieringer, coordinator of the California chapter of the National Organization for the Reform of Marijuana Laws. "I wouldn't be surprised if people are retiring up there because of it," Gieringer said. The range of medical marijuana users has expanded from mostly cancer and AIDs patients in the mid-1990s to now include people suffering from chronic pain, said Jeff Jones, executive director of the Oakland cooperative. The federal government has waged high-profile court battles against suppliers in Oakland and elsewhere in the state. A case aimed at shutting down the Oakland Cannabis Buyers' Cooperative in 2001 reached the U.S. Supreme Court, which ruled the club couldn't sell or otherwise distribute marijuana. In January, Ed Rosenthal, a well-known medical marijuana grower who supplied pot under authorization from the city of Oakland, was convicted of cultivation and conspiracy. A federal judge sentenced Rosenthal last week to one day in prison, a sentence that medical marijuana advocates hailed as a sign that the judiciary in California views federal prosecutors as too zealous. - --- MAP posted-by: Jay Bergstrom