Pubdate: Sat, 23 Feb 2008 Source: News Tribune, The (Tacoma, WA) Copyright: 2008 Tacoma News Inc. Contact: http://www.thenewstribune.com/ Details: http://www.mapinc.org/media/442 SMOKING IS HEALTHY? Well, no, smoking isn't actually healthy. But the American College of Physicians -- an association of internists -- recently decided that smoking marijuana is therapeutic, right? Not quite. We need to draw a crucial distinction here. What a lot of people don't get -- and other people try to obscure -- is that the real argument about medical marijuana is about delivery, not content. One guy who apparently doesn't get it is the writer of the Los Angeles Times article on the College's position paper. The story dwelt on marijuana advocates' glee that the ACP had joined their cause. It accurately noted the ACP's (accurate) conclusion that some of the chemicals in cannabis had medicinal value. But it left out a small detail: The College pointedly rejected the smoking of marijuana. Take this excerpt, for example: "The chronic effects of smoked marijuana are of much greater concern, as its gas and tar phases contain many of the same compounds as tobacco smoke. Chronic use of smoked marijuana is associated with increased risk of cancer, lung damage, bacterial pneumonia, and poor pregnancy outcomes." Also: "Although the long-term effects of smoked marijuana may not be relevant for patients with terminal illnesses or debilitating symptoms, the residual effects of smoked marijuana are prohibitive for long-term medical use." In other words, you don't get healthy by smoking bud. Sorry to spoil the party, dudes. What the ACP actually advocates is the development of pure, precisely dosed pharmaceuticals -- not smoke from burning leaves -- that deliver the medically useful compounds in cannabis like, well, real medicine. And since the dope-smoking lobby is cherry-picking from this report, let's pick a couple cherries of our own: - - In "medical marijuana" states like Washington, marijuana cigarettes are sometimes recommended for chronic conditions (see "chronic effects" above). These include glaucoma and epilepsy. But the ACP is highly skeptical of marijuana's much-touted power to treat these conditions. - - The high-inducing tetrahydracannabinol (THC) in marijuana does relieve pain at lower doses. But it intensifies sensitivity to pain at higher doses -- another good reason for controlled doses. The ACP does fall in with High Times in calling for the federal government not to threaten doctors or patients with prosecution in states that allow medical marijuana. The problem here is that criminal drug-dealing syndicates have been concealing themselves among good faith medical marijuana operations. On the science, the College is dead on. On the realities of law enforcement, maybe not so much. - --- MAP posted-by: Derek