Source: Boston Globe (MA) Contact: http://www.boston.com/globe/ Copyright: 1998 Globe Newspaper Company. Pubdate: Fri, 30 Oct 1998 Author: Louise D. Palmer, Globe Correspondent MEDICINAL MARIJUANA GAINS SUPPORT WASHINGTON - It's one thing for California, with its cannabis clubs and pungent green fields of Humboldt County hemp, to legalize marijuana as medicine. It's another in the nation's capital. The Republican-controlled Congress so hated the idea that it sneaked a provision into the fiscal 1999 budget bill to kill the District of Columbia's medical marijuana initiative, creating a local uproar that has only fueled public support for the measure. The White House is worried as well, and not just about the effort in its back yard. Bankrolled by big-money donors like New York financier George Soros, such initiatives are gaining momentum from Washington to Maine and will be on the ballot in six states and the District on Tuesday. If these proposals succeed, it would bring to eight the number of states that have cast a vote for the controlled medical use of marijuana. And it may signal a subtle shift in public debate away from the punitive war on drugs that emphasized criminality to legislating a more tolerant attitude toward drug use. ''The ultimate goal is to change federal policy,'' said David Fratello, spokesman for Americans for Medical Rights, a Los Angeles-based organization funded by Soros, Phoenix businessman John Sperling, and Peter Lewis, a Cleveland insurance executive. State, federal battles After their successful voter drive in California in 1996 - now stymied by an ongoing battle between state and federal officials over distribution - the organization went national, identifying states with high levels of popular support for medical marijuana. Washington, Oregon, Nevada, and Alaska all have medical marijuana ballot initiatives on Tuesday. Arizona's initiative, which is not funded by Americans for Medical Rights, would reinstate marijuana provisions passed in 1996 and overturned by the state Legislature. Colorado's referendum is being challenged in court. And in the District, votes will be cast but may not be officially counted until courts decide whether Congress can legally tamper with the election. In the next round of elections, Illinois, Ohio, Maine, and Florida are likely to launch initiatives, according to the National Organization for the Reform of Marijuana Laws. The apparent appeal of these measures has prompted a last-minute attempt by the White House Office of National Drug Control Policy to dampen public support. This week, former presidents George Bush, Jimmy Carter, and Gerald Ford issued a ''Dear citizen'' letter at the request of drug czar Barry McCaffrey in which they oppose the ballot measures because they say the measures would undercut public confidence in the authority of the Food and Drug Administration. The drug office also dispatched deputy director Dr. Donald R. Vereen Jr. to states with the ballot measure. Vereen will make the case that there is no scientific basis for prescribing marijuana for people with AIDS, cancer, glaucoma, and other illnesses to help stimulate appetite and control nausea and pain. He will also stress it is unsafe and irresponsible to allow patients to take a drug that has not been tested and approved by the FDA. Voting for medical marijuana sets a ''dangerous precedent,'' Vereen warned at a rally against the initiative in the District last week. McCaffrey and other antidrug activists also believe the ballot measures are simply the first move by ''legalization forces'' toward the ultimate goal: making it legal to buy and smoke pot. Patients' access Americans for Medical Rights rejects that claim and says its initiatives are narrowly focused on helping people with AIDS or cancer patients on chemotherapy. ''We're not about promoting marijuana but patients' access,'' insisted Wayne Turner, of ACT UP, the group sponsoring the District initiative. Medical opinion is divided on the health effects of marijuana, but the medical community has been mostly quiet on the issue. ''The only group that has really come out against us is law enforcement, turning this into a battle of patients' rights versus law and order,'' noted Geoff Sugarman, director of the initiative in Oregon. But in the District, where there is a high concentration of both AIDS and drug abuse, the issue of whether to make marijuana available medically goes beyond patients' rights. ''I represent a ward where open-air drug markets are thriving and where there is open warfare between drug dealers,'' said Sharon Ambrose, a city councilwoman. ''I'm not willing to do anything that sends the message that we are relaxing our war on drugs, even though that is not what the initiative is about.'' - --- Checked-by: Richard Lake