Pubdate: Sunday, 11 October, 1998 Source: Seattle Post-Intelligencer (WA) Contact: I-692 A PROPER USE FOR MARIJUANA There are two simple motives for voting yes on Initiative 692 Nov. 3. They are compassion and common sense, two solid virtues possessed by the majority of Washington voters. Initiative 692 would decriminalize the medically approved use of marijuana by people with terminal or debilitating diseases. Its passage would mean that people who pursue this widely recognized surcease from pain and suffering would no longer be criminals in the eyes of the state. Its passage would require the state to see them in the same way most of us do: as people who deserve to be helped, not prosecuted. It's important that voters not make the mistake of confusing this initiative with the vastly different one that Washingtonians so soundly - and correctly - trounced at the polls in 1996. The opposition campaign has in fact adopted the slogan "We said No!" in reference to the former effort. That is too clever by half. The new initiative, I-692, is narrowly and specifically drawn. It applies to those who have medical need and physician's approval for possessing, producing and consuming marijuana, the physician who gives that approval and to those who help the patients. Under I-692, no physician is required to authorize the use of marijuana. Health insurance providers aren't required to pay for it. Employers aren't required to accommodate marijuana use at work. Driving under the influence of marijuana is not exempted from prosecution. Public consumption is not permitted. Those who use fraud to take advantage of the new law would face felony prosecution. The case for medical use of marijuana is compelling. In 1988 the federal Drug Enforcement Agency commissioned Administrative Law Judge Francis Young to review the medical efficacy of marijuana. Young ruled that marijuana did not meet Schedule I criteria. That is, it did not belong in the same category as heroin and cocaine. Young wrote: "The evidence in this record clearly shows that marijuana has been accepted as capable of relieving the distress of great numbers of very ill people and doing so with safety under medical supervision. . . . " In January of last year, The New England Journal of Medicine editorialized in favor of allowing doctors to prescribe marijuana for medical purposes, calling the threat of federal government sanctions against patients and physicians in states that had legalized medical marijuana "misguided, heavy-handed and inhumane. . . . Whatever their reasons, federal officials are out of step with the public," wrote Dr. Jerome Kassirer, the journal's editor. The medical community is, or course, hardly unanimous on the efficacy or risks of marijuana. Critics of the initiative in the medical community argue that it contains no controls or safeguards over the dosage, potency or purity of the drug patients might consume. They point out that marijuana has not has not passed FDA evaluation and would not be issued by prescription but by "authorization" by the physician, with no liability. While possession and consumption of marijuana would be decriminalized under state law, sale would still be illegal, and the federal laws against sale, possession and consumption would remain in place. But the fact is that some patients and physicians have found help for nausea, loss of appetite, glaucoma and intractable pain in the use of a substance that has been legally and politically demonized. Removal of marijuana from the DEA's Schedule 1 list would be sensible federal policy. In the meantime, decriminalizing the medical use of marijuana is sensible policy for Washington state. Decisions involving personal health and private suffering are best made by patient and physician, not police, politicians and prosecutors. I-692 would help put those decisions where they belong. - --- Checked-by: Patrick Henry