Pubdate: Sun, 11 Jul 2010
Source: Record Searchlight (Redding, CA)
Copyright: 2010 Record Searchlight
Contact:  http://www.redding.com/
Details: http://www.mapinc.org/media/360
Author: Ryan Sabalow
Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal)

OTHER STATES ALSO CONFRONTING PROLIFERATION OF MEDICAL MARIJUANA DOCTORS

Allegations of profiteering pot doctors aren't unique to California.

Lawmakers in Montana are looking at changing the state's medical 
marijuana laws in response to "cannabis caravans" in which doctors 
and marijuana advocates travel around the state giving out medicinal 
marijuana cards.

The caravans have helped swell the number of medical marijuana 
cardholders in Montana in one year from about 3,000 to 15,000, 
according to The Associated Press.

Facing similar complaints in Colorado, the state's legislature late 
last month passed laws geared at reining in prolific pot physicians.

One doctor reportedly gave out 3,500 recommendations in a two-day 
period, said Dr. Christian Thurstone, a child psychiatrist and 
addiction specialist at Denver Health Medical Center. He said five 
doctors in Colorado account for half of all of the recommendations 
given to the state's medical marijuana patients.

Thurstone said he lobbied for the new restrictions after seeing a 
spike in the number of teens coming to his addiction practice saying 
they'd gotten marijuana from those legally able to possess it.

Among other requirements, the laws in Colorado now mandate that a 
doctor issuing medical marijuana must have an unrestricted medical 
board license, they can't have a financial stake in a medical 
marijuana dispensary and they can't hold clinics inside a marijuana dispensary.

In California, there are no such laws, although the state's medical 
association advises doctors to abide by similar rules.

Unlike some other states that have legalized medical cannabis, 
officials in California don't have any way of accurately tracking how 
many medical marijuana patients there are or the identities of the 
doctors who are giving the recommendations.

Although patients are encouraged to obtain county-issued medical 
marijuana user identification cards, it's not required.

Just 215 people in Shasta County have asked for one of the cards 
since voters approved Proposition 215 in 1996, said David Reiten, 
deputy director of the Shasta County Health and Human Service 
Agency's adult services branch.

Under the law, doctors are allowed to recommend medical marijuana to 
their patients, but they can't legally prescribe the drug.

Doctors may face sanctions from the Medical Board of California if it 
is found that a doctor went against what a "reasonable and prudent 
physician would follow when recommending or approving any other medication."

According to the medical board's website, that includes:

Having a patient's history and providing a good-faith examination.

Development of a treatment plan with objectives.

Provision of informed consent, including discussion of side effects.

Periodic review of the treatment's effectiveness.

Proper consultation.

Proper record keeping that supports the decision to recommend the use 
of medical marijuana.

"If a physician complies with these six requirements, it's highly 
unlikely he or she will be disciplined by our board," said Candis 
Cohen, a medical board spokeswoman.

Cohen said that just 11 doctors in California have been disciplined 
by the medical board for medical marijuana-related issues.

Even the most ardent supporters of legalized marijuana say that 
doctors looking to make huge profits by exploiting loopholes in 
medical marijuana laws hurt their own cause.

"When there are stories like this, it threatens the legitimacy of 
these laws," said Mike Meno, the communications director for the 
Marijuana Policy Project, which advocates nationally for marijuana legalization.
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MAP posted-by: Jay Bergstrom