Pubdate: Mon, 06 Jul 2015 Source: StarPhoenix, The (CN SN) Copyright: 2015 The StarPhoenix Contact: http://www.canada.com/saskatoonstarphoenix/letters.html Website: http://www.canada.com/saskatoonstarphoenix/ Details: http://www.mapinc.org/media/400 Author: Lucas Richert Note: Richert is a sessional lecturer at the University of Saskatchewan and the author of Conservatism, Consumer Choice, and the Food and Drug Administration during the Reagan Era: A Prescription for Scandal. Page: A6 PROVINCE CAUGHT IN MIDDLE OF POT PREDICAMENT It has become clear in the past few months that we're in the midst of a pot predicament. And Saskatchewan citizens, health authorities and elected representatives have a lot to ponder. The Supreme Court of Canada ruled on June 11 that Canadians with a valid prescription could consume medical marijuana in other ways besides just a dried form. In short, the court enlarged the definition of medical marijuana, meaning that legal restrictions on extracts and derivatives are now gone, and brownies, cookies, teas, chocolate bars and shakes, among various other products, are no longer illegal. The Canadian government wasn't pleased. Federal Health Minister Rona Ambrose scolded the Supreme Court and told the press that she was "outraged" by the ruling. "Let's remember, there's only one authority in Canada that has the authority and the expertise to make a drug into a medicine and that's Health Canada," she said during a news conference. Ambrose also asserted that the court's decision "normalizes" medical marijuana, something that she and the Conservative government would continue to fight. This response isn't a surprise. Ambrose has been at the forefront of the Conservatives' anti-drug strategy, and the court ruling could be interpreted as a rebuke of the Tories' approach. Yet, barely a year ago, it was the Conservative Party and Health Canada that introduced the Marihuana for Medical Purposes Regulations (MMPR), which was intended to provide reasonable access to pot and required patients to buy medical marijuana from licensed producers. With this, medical marijuana was officially opened for business. And the new rules generated a craze as dozens of new entrants jumped into the marketplace. Thus, Ambrose has strangely castigated the Supreme Court decision to expand the meaning of medical cannabis even as the Conservative government has promoted the commercialization of marijuana within the health sector. Then, on June 23 - about two weeks after the court decision - the first Health Canada-approved clinical trial of medical marijuana began patient recruitment in Saskatchewan. The trial, which studies osteoarthritis, is being run by CanniMed, a Saskatoon-based company. Brent Zettl, the president and CEO of Prairie Plant Systems that owns CanniMed, said: "In order for medical cannabis to become a true medicine, it requires carefully conducted trials to provide hard data." The following day, it was announced that Bedrocan and Tweed Marijuana, two of Canada's largest medical marijuana firms, would amalgamate in a roughly $60-million deal. Bedrocan has strengths in clinical research, while Tweed's consumer-oriented assets made the deal a good fit. As reported by the National Post, the merger was a "game changer" and would create a "dominant domestic player and reshape the fledgling industry." Still, even as the industry blooms, the medical establishment in Canada continues to grapple with the stigmatization and lack of evidence surrounding cannabis. At the 147th annual meeting of the Canadian Medical Association in Ottawa last August, many doctors expressed serious reservations about prescribing marijuana. Some doctors said they felt threatened or intimidated into signing prescriptions, whereas others felt as though patients were shopping for doctors. Worst of all, there were reported cases of malfeasance, where doctors charged patients a fee for a prescription. The result of this is that the CMA remains divided over - if not outright opposed to - being the gatekeeper of medical marijuana. When added up, these mixed messages from all sectors of society amount to a massive question mark. And one can excuse the general public for being a little confused. Combined with student Michael Wileniec's groundbreaking human rights complaint about being denied medical marijuana at Nutana Collegiate, it appears Saskatchewan has a number of firsts, meaning its people have much to contemplate. As the federal election in the fall grows nearer, the cannabis issue - - and the use of pot in the medical marketplace - will surely become heightened. The Liberals, led by Justin Trudeau, have advocated an evidence-based approach to marijuana and are promoting its legalization and controlling access. Here in Saskatchewan, though, the government must weigh the national picture and take into consideration consumer protection and drug regulation, commercial considerations and its responsibility to protect citizens from shady businesses, including dispensaries and head shops. Instead of simplifying the issue, the Supreme Court's decision, along with a number of other changes, has complicated our pot predicament. - --- MAP posted-by: Jay Bergstrom