Source: The News Tribune (Tacoma, WA.) Pubdate: Sunday, Jan. 25, 1998 Contact: Email: Mail: The News Tribune, P.O. Box 11000, 1950 S. State St., Tacoma, Wa. 98411 Website: http://www.tribnet.com/ LEAVE MEDICAL POT ISSUE TO SCIENCE The overwhelming defeat of Initiative 685 last November should have settled the question of whether Washington State ought to circumvent the U.S. goverment's drug-review process by legalizing "medicinal" marijuana. But some cannabis proponents are still trying to fight this battle in the political arena rather than deferring to the scientific deliberations of the U.S. Food and Drug Administration or the National Institutes of Health. State Sens. Jeanne Kohl and Pat Thibaudeau, both Seattle Democrats, have introduced a bill that would let "seriously ill patients" smoke marijuana with permission of a doctor. Backers of the failed I-685 are talking about putting yet another initiative on the ballot if the Legislature rejects the Kohl-Thibaudeau bill, as it would be wise to do. The push for summary approval of therapeutic marijuana serves as a good reminder of why this country long ago opted to let hard research and cautious reviews - not anecdotes and emotional testimonials - govern the legalization of potent drugs. Marijuana activists are quite accurate in asserting that pot can ease the nausea of chemotherapy, stimulate the appetites of AIDS patients and relive the symptoms of several other conditions. But they tend to minimize the hazards of smoking marijuana - which include addiction, lung damage, accelerated heart rates and potential impairment of the immune system. And they rarely acknowledge that the same symptoms that marijuana treats can also be treated - usually more effectively - by other medications, including a new generation of anti-nausea drugs and a synthetic form of THC, the chief active ingredient of marijuana itself. The use of crude marijuana as a medicine thus raises complex scientific and clinical questions that are best answered by such reputable research organizations as the National Cancer Institute, the National Neurological Disorders and the FDA. Cannabis ought to be compared to state-of-the-art alternative treatments in well-designed studies, as the National Institute of Health concluded last August, marijuana shows some therapeutic potential - - but it should be subject to the same risk-to-benefit tests that other drugs must pass before they are widely prescribed. Initiative campaigns and legislative votes are no substitute for sober scientific review that ought to take place before dope-smoking is dignified with the status of legitimate therapy. Such a review appears to be on its way; in December, the Drug Enforcement Administration asked the Department of Health and Human Services to conduct a "scientific and medical evaluation" of marijuana as a potential medicine. There will be a scientific verdict on medicinal marijuana. Those who want to rush legalization through the political process give the distinct impression they are afraid of what that verdict will be.