Source: USA Today Section: Editorial - Our View Pubdate: Fri, 30 Oct 1998 Copyright: USA TODAY, a division of Gannett Co. Inc. Contact: http://www.usatoday.com/ A WAY TO EASE SUFFERING Two years ago, stirred by tales of relief from patients and physicians, not potheads, California and Arizona voted to let marijuana be used as a treatment for pain and suffering. But it never happened. In California, state and federal officials trumped voters by threatening doctors with the loss of their licenses or prosecution. They also persuaded judges to close cooperatives where patients could get quality-controlled pot. In Arizona, lawmakers overrode their own constituents, barring doctors from prescribing such drugs without federal approval. In both cases, opponents of the initiative feared any tolerance of marijuana would weaken the drug war. Now, supporters are counterattacking. Medical marijuana initiatives have multiplied threefold: They're on the ballot Tuesday in five more Western states and the District of Columbia. And Arizonans will vote yet again: on whether to affirm or repeal the legislature's roadblock to the 1996 initiative. The anecdotal evidence is compelling: Thousands of patients use pot in small doses to relieve the side effects of AIDS and cancer treatments or to treat chronic pain and glaucoma symptoms. Critics say such claims are unproved scientifically and a manufactured substitute is available. But a significant number of desperately sick people, and their doctors, say they find dosage problems in using the pharmaceutical version and the herbal form works far better for them, often in smaller amounts. The medical literature affirms the dilemma, and a 1991 Harvard survey of oncologists found almost half had recommended marijuana to some patients. By any standard, marijuana is less dangerous than amphetamines or cocaine, both of which can be prescribed in small quantities. The New England Journal of Medicine, a respected and conservative publication, has correctly labeled the government "hypocritical in forbidding doctors to prescribe marijuana while letting them prescribe morphine and (Demerol)." Physicians are leading the efforts to change the law in Washington and Oregon. The No. 1 argument against medical use of marijuana is that any opening will be exploited by those seeking to legalize drugs generally and that it sends the wrong message to youth. Unquestionably, the promoters of these initiatives include people whose real agenda is drug legalization. But that doesn't justify a needlessly rigid ban on a doctor's sincere effort to do what's best for a suffering patient. The thumping votes for change in Arizona and California and the favorable pre-election polls in most places where it's on the ballot this year suggest the public is sending an important message: "Just say no" is no answer to suffering people and compassionate physicians. - --- Checked-by: Richard Lake