Pubdate: Sun, 03 Jul 2005 Source: Orange County Register, The (CA) http://www.ocregister.com/ocr/2005/07/03/sections/commentary/ READER%20REBUTTALS/article_582107.php Copyright: 2005 The Orange County Register Contact: http://www.ocregister.com/ Details: http://www.mapinc.org/media/321 Author: James T. Hamilton Cited: Gonzales v. Raich ( www.angeljustice.org/ ) Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal) Bookmark: http://www.mapinc.org/decrim.htm (Decrim/Legalization) Note: The clinical professor of family practice at U.C. Irvine college of medicine is certified in addiction medicine. MARIJUANA RULING MADE LEGAL SENSE Many recent articles and letters and an editorial - "Marijuana ruling: status quo," Opinion, June 7 - have castigated the U.S. Supreme Court decision upholding the power of the federal government to control the use of marijuana in this country. The medical criticisms have some validity, but have been very one-sided. The legal criticisms have been unreasonable. Voiding the authority of the federal government to control the use of marijuana would have required twisted logic overturning several precedents and would have been the kind of judge-made law that the Register usually criticizes so rightly. Saying that the court has denied marijuana to patients reveals ignorance of our federal system or is dishonestly inaccurate. The court did not deny anyone anything; it only said that Congress has a right to pass the laws that it did, whether they are stupid or not. Although studies have shown that marijuana grown in a state would probably have little effect on interstate commerce, that is not good enough. The constitutional requirement is that there be a certainty that it would have noeffect. Moving on to the medical issues, we come to the fact that only the viewpoint of those who proclaim the benefits of medical marijuana have been presented. I fully agree that we should let people who are severely ill try just about anything they want to either get better or relieve their suffering, especially if they are terminal, but that is not the sticking point with legislators. They are deathly afraid that allowing any legalization of marijuana would lead to a view that it is safe and so the demand would increase and marijuana grown for medical purposes would be diverted to the black market to satisfy the increased demand. This could lead to a huge increase in medical and social problems because marijuana is about 50 percent more toxic than tobacco and its sedative and memory-loss effects last much longer than alcohol and are much sneakier in developing. Marijuana advocates often proclaim that it is not addictive, but that is not true. About 10 percent of marijuana users become dependent or addicted - about the same as alcohol. But the 10 percent addicted to alcohol already cause huge problems and marijuana, even though illegal, also does. If marijuana were legal to any extent, it might well cause even more problems. One major fear is that young people would believe, even more than they do today, that marijuana is safe and harmless, and they would use it even more than they do already. Marijuana is not harmless; it is the No. 1 cause of drug-related emergency room visits for teenagers and the No. 1 drug involved for teens seeking addiction treatment. Perhaps if the marijuana advocates would get real and admit that it can be dangerous to use, but could be beneficial for those already debilitated, they could get a lot more support from scientists and doctors (and even legislators). The last point is that there is virtually no evidence that smoked marijuana is statistically superior to modern medicines for any of the problems for which it is advocated, with the possible exception of wasting syndromes. In fact, modern medicines are usually better and more reliably effective. Even prescription oral THC (the most effective ingredient in marijuana) is often statistically more effective than smoked marijuana. That is not to say that individuals could not be the exception to the rule, because individuals are not statistics. Doctors see all the time individuals who respond to a medication much differently than the average. Although I would like to see marijuana available for medical use and I think that it would be reasonable to let individual states experiment with different policies of legalization ("the laboratory of democracy"), those who are afraid of its use becoming widespread are not foolish and it was legally very reasonable for the Supreme Court to uphold federal oversight of marijuana use. We want to be able to hold the people we vote for accountable for their policies.