Pubdate: Tue, 30 Nov 2004 Source: Pittsburgh Post-Gazette (PA) Copyright: 2004 PG Publishing Contact: http://www.post-gazette.com/ Details: http://www.mapinc.org/media/341 Author: Michael McGough, Post-Gazette National Bureau Cited: Raich v. Ashcroft ( www.angeljustice.org/ ) Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) MEDICAL MARIJUANA CASE PUTS SUPREME COURT IN CURIOUS SPOT WASHINGTON -- A lawyer for two women who use marijuana as a painkiller told the U.S. Supreme Court yesterday that the federal government has no constitutional authority to outlaw the cultivation of the drug for medical use within a state. He urged the justices to uphold a federal appeals court decision protecting his clients from prosecution for what is a recognized medical treatment under California law and in 10 other states. But the Bush administration's top courtroom lawyer countered that the ban on the possession of marijuana contained in the federal Controlled Substances Act was a legitimate use of Congress' constitutional authority to regulate interstate commerce even in light of recent Supreme Court decisions placing limits on that power. Yesterday's argument combined poignant facts -- one of the women who challenging the federal law, Angel McCleary Raich, suffers from several life-threatening conditions, including an inoperable brain tumor -- and technical issues about the interplay of state and federal law. "This activity is non-economic and totally intrastate," said Boston University law professor Randy E. Barnett, who represented Raich and Diane Monson, who uses marijuana to ease pain from a degenerative disease of the spine. Barnett said that the enforcement of federal laws against the medical use of marijuana was "not part of a larger regulatory scheme" and had only a trivial impact on the illegal marijuana trade. "We are talking about a small number of people," Barnett said. But acting U.S. Solicitor General Paul D. Clement told the court that "any little island of lawful possession [of marijuana] poses a real challenge to Congress' regulatory regime," and several justices agreed. "There is an enormous common market" in marijuana, Justice Anthony Kennedy told Barnett. "The simple possession of that commodity is participation in that market." Justice David H. Souter, noting that as many as 100,000 patients in California might want to use marijuana for medical purposes, said: "The sensible assumption is that they're going to get it on the street." When Barnett protested that ill people would have no incentive to obtain marijuana "on the street," Souter responded: "If I'm sick, I'll say, 'They don't prosecute kids for [purchasing] marijuana. Why would they prosecute me?' " Yesterday's arguments focused less on whether smoking marijuana offers unique medical benefits -- for example, in the alleviation of the side effects of chemotherapy -- than on whether Congress and the Food and Drug Administration have the authority to override state decisions to the contrary. "I don't know if it's true that medical marijuana is helpful to people in a way that pills are not," Justice Stephen Breyer told Barnett, "but if your clients take that position they can go to the FDA, and if they lose they can go to [federal] court and claim an abuse of discretion by the agency." Referring to the fact that medical marijuana was legalized by California's voters, Breyer added: "Medicine by regulation is better than medicine by referendum." Much of the interest in this case among lawyers stems from the dilemma it seems to pose for conservative justices who in recent years have placed limits on Congress' power under the Constitution's commerce clause. For example, in 1995, a majority consisting of Kennedy, Chief Justice William Rehnquist and Justices Antonin Scalia, Sandra Day O'Connor and Clarence Thomas struck down an act of Congress that made it a crime to possess a gun on school property. In the majority opinion in that case, Rehnquist said that the gun law "neither regulates a commercial activity nor contains a requirement that the possession be connected in any way to interstate commerce." But yesterday two members of the majority in the gun case -- Scalia and Kennedy -- indicated that they thought the constitutionality of the Controlled Substances Act should be governed instead by a 1942 precedent, Wickard v. Filburn. In that case, the court upheld a federal quota system for wheat farmers even if the wheat were grown for home use, reasoning that purely in-state cultivation could still affect the national market. "This sounds like Wickard to me," Scalia told Barnett. Barnett received some encouragement from O'Connor, who pressed Clement about how he could distinguish this case from the court's recent federalism decisions. Thomas, who as usual did not ask questions yesterday, is a strong proponent of state's rights who mentioned the 1942 decision in an opinion lamenting that "our case law has drifted far from the original understanding of the Commerce Clause." If O'Connor and Thomas voted to affirm the ruling of the 9th U.S. Circuit Court of Appeals and were joined by Rehnquist -- who will participate in deciding the case despite his absence yesterday because of illness -- and Justices John Paul Stevens and Ruth Bader Ginsburg, there would be a 5-4 vote against the U.S. government's position. Yesterday Stevens and Ginsburg seemed open to Barnett's argument that the intrastate growth of marijuana for medicinal use was a special case. Ginsburg noted that "nobody's buying anything -- nobody's selling anything." Rehnquist, however, may be less sympathetic. He cited the 1942 decision in his majority opinion striking down the federal law against the possession of guns in schools. Unlike the possession of a firearm, he wrote, the cultivation of wheat involved "economic activity" -- and he might well say the same about the cultivation of marijuana.