Pubdate: Wed, 03 Jan 2007 Source: Newport Mercury, The (RI) Copyright: 2007. The Newport Daily News. Contact: http://www.newportdailynews.com/ Details: http://www.mapinc.org/media/3109 Author: Dan Kearney BURNING QUESTION One year ago, Rhode Island became the 11th state to legalize marijuana for medical use. Since then, more than 350 patients and caregivers have applied to become card carrying medical marijuana users. Will legislators be willing to continue the program? BY DAN KEARNEY Rhonda O'Donnell smokes pot. No, she doesn't have a bead curtain guarding the entrance to her bedroom and, no, she doesn't sit up late with Bob Marley and the munchies. O'Donnell, 44, has multiple sclerosis. She uses marijuana to control the pain, stiffness and burning in her legs associated with MS. She started smoking pot over the last year, after the Rhode Island General Assembly passed legislation legalizing the drug for medicinal purposes. She is one of almost 200 Rhode Islanders who have signed up for the program so far. On Jan. 3, 2006, Rhode Island became the 11th state to pass legislation legalizing medical marijuana. The law, passed with a 59-13 override of a veto by Gov. Donald L. Carcieri, is due to expire on June 30 if it is not reauthorized by the General Assembly. The legislation's passage was the culmination of years of work by its sponsors, state Sen. Rhoda Perry, D-Providence, and Rep. Thomas C. Slater, D-Providence, as well as advocates like O'Donnell. O'Donnell, a registered nurse who was forced into early retirement seven years ago by her MS, originally got behind the pot initiative because of her father. "He used it 25 years ago for his cancer," she said of her otherwise law-abiding dad. Once the legislation was approved, O'Donnell went through the Department of Health's "simple" application process for an ID card after getting a referral from her doctor. From medicine to madness and back again It might be hard to believe in today's War on Drugs world, but marijuana (then called cannabis) was once prescribed by pharmacists for pain relief. This practice ended in the 1930s with the onset of "Reefer Madness," a national hysteria over the supposed homicidal effects of the drug, which was quickly banned by Congress. Since the Controlled Substances Act of 1970, marijuana has been classified by the federal government as a Schedule 1 substance, meaning it has (a) a high potential for abuse; and (b) no currently accepted medical use for treatment in the United States. This means, importantly, that doctors are barred from prescribing marijuana to patients. Rhode Island's legislation allows physicians to recommend patients to the Department of Health for medical marijuana, thereby insulating them from federal interference. But does marijuana truly have "no currently accepted medical use" as the government claims? An active ingredient in pot, THC, is legally available in pill form, called Marinol. But studies over the past decade in New Mexico, California and Oregon have shown smoked marijuana to be more efficient than Marinol in relieving the pain associated with MS, AIDS-related treatment and chemotherapy for cancer. One of the added benefits of smoking marijuana, as opposed to taking Marinol, O'Donnell said, was her ability to control the dosage. "I was amazed at how fast it worked. I might take one hit, or I might need two, but I can feel it right away. With a pill, it stays in your system and you get that set amount." Demand...and supply During my conversation with O'Donnell, the inevitable - and highly contentious - question of supply came up. The legislation, you see, does not describe how patients actually obtain marijuana. The drug is illegal; therefore, the state cannot grow and distribute its own quantity. So how do patients get it? "Somebody knows somebody," O'Donnell answered, playfully evasive. "If someone really needed help getting it, I would tell them to go to a support group (for their illness). It's all word of mouth." Herein lies the unavoidable collision of state law and federal regulation, and the major sticking point for opponents of the legislation. One of the House members who voted to support the governor's veto a year ago was Rep. John Loughlin, R-Tiverton. Loughlin made it clear that while he does not object to the use of marijuana for medical purposes, he finds the lack of regulation of the drug disturbing. "We are putting people unnecessarily at risk," he said. "We can't regulate quality and safety," he continued, noting that street-bought pot can vary tremendously in potency and can be laced with other, more dangerous drugs. When I posed this quandary to Sen. Perry, she gave a long sigh. "We can't do anything until the feds do something," she said, noting the drug's status as Schedule 1. Critics also point to the case of Steven Trimarco. Trimarco was arrested in October for possession of 72 plants of marijuana and luring local teenage girls to his Exeter home to smoke with him. Trimarco had a Department of Health ID card to possess medical marijuana. At that time, a state police official cited Trimarco as a "perfect example" of why the State Police opposed the legislation. But didn't Trimarco simply break the law? No one - not even medical pot patients - are allowed to keep 72 plants and entice teenage girls to their homes to smoke it. Perry agreed, adding, "Even with one possible negative situation, this law still comes down on the positive side." Does she anticipate that the legislation - named in part for her nephew, who died three years ago from AIDS - will be reauthorized by the Assembly? "I'll work hard," she said, "but it's the incredible stories of real people" using medical marijuana that are key. "They will convince my colleagues." Rhonda O'Donnell has told her story before and will undoubtedly be there again before a vote is taken. Medical marijuana by the numbers: 365: Days since Rhode Island legislation was passed 193: Patients registered with state Dept. of Health * 104: Number of those patients living Providence County 34: Number of patients from Kent County 33: Number of patients from Washington County 11: Number of patients from Newport County 11: Number of patients from Bristol County 19: Patients with applications pending with state Dept. of Health 173: Caregivers signed up with state Dept of Health 2: Caregivers pending 118: Physicians who have recommended patients for medical marijuana 2.5: Usable ounces allowed per patient; or, 12: Plants allowed per patient 11: States that have legalized marijuana for medicinal purposes (Rhode Island, Maine, Vermont, Alaska, California, Colorado, Hawaii, Montana, Nevada, Oregon and Washington) 1: Percentage of marijuana-related arrests made by federal authorities in the U.S. SOURCE: RI DEPARTMENT OF HEALTH, MARIJUANA POLICY PROJECT *As of Dec. 22, 2006 - --- MAP posted-by: Derek