Source: Orange County Register (CA) Contact: http://www.ocregister.com/ Copyright: 1998 The Orange County Register Pubdate: 9 Nov. 1998 Author: Alan W.Bock A MAN CAUGHT IN A KAFKAESQUE TRAP The Situation:Register senior columnist Bock is closely following the trial of Marvin Chavez in connection with Proposition 215,the medical marijuana law approved by California voters. The main reason Marvin Chavez is standing trial before Judge Thomas J.Borris in Orange County's West Court in Westminster this week is that the government failed-in most cases quite stubbornly and in conscious and purposeful defiance of the people's will-to do its job. If this were a world imbued with some Platonic ideal of justice, Dan Lungren, Brad Gates and others would be sitting at defense tables with their lawyers desperately trying to explain how the actions they took, presumably in good faith, did not constitute willful violations of the law. There are other reasons, of course, that the implementation of Proposition 215, which made it legal for patients with a recommendation from a licensed physician to use, possess and cultivate marijuana, has been difficult in California. The initiative was imperfectly drafted, with ambiguities and omissions that have since given fits to courts and medical marijuana advocates alike. Some of those who have tried to implement the law have made mistakes, some owing to problems in the law and some owing to an excess of enthusiasm. And not all those who have tried to form a medical cannabis distribution system for patients with a doctor's recommendation have acted ethically or wisely. But the main reason has been the government's failure - except in a few cities, such as Oakland and Arcata - to even try to implement the law responsibly. Among the purposes of Prop. 215, right there in the language of the initiative, was "to encourage the federal and state governments to implement a plan to provide for the safe and affordable distribution of marijuana." That's not an absolute mandate, but the responsible thing to do in light of that language and the passage of the initiative would have been to accept the will of the people (however reluctantly) and either set up or facilitate an ethical distribution system for those with a certified need. Perhaps it could have been sold through existing pharmacies. Perhaps the government could have started a small growing plot itself, set up a system of ID cards and protocols to govern private organizations seeking to fulfill the distribution function. Instead Dan Lungren, as state attorney general, at first urged the federal government to pull the licenses of physicians who recommended marijuana, based on the fact that marijuana was (and still is) illegal under federal law and has been placed on Schedule 1 in the pharmacopeia, which means it can't be prescribed. Then he issued a set of restrictive guidelines - not for those who sought to furnish marijuana but for law enforcement officials determined to discourage and harass them. Then he declared war against existing cannabis clubs, a war the Clinton administration cheerfully joined and then took over. Even if they had not faced outright law enforcement hostility, patients and their families and friends would have faced serious problems. Prop. 215 (now Section 11362.5 of the California Health and Safety Code) specifically created a defense for patients and primary caregivers against charges of possession, use and cultivation. It did not create an explicit defense against charges of sales, furnishing or transportation, which were and are still illegal under California state law. (Although appellate court decisions have acknowledged the need for some leeway in enforcing these laws in light of 11362.5, they still haven't offered specific guidelines.) And nobody really knew what a "primary caregiver," the term used in the new law, was or how the courts would define or refine the term in the future. For various reasons, many patients who were now legally entitled to have and use cannabis had no practical way to acquire it. It takes about six months to grow cannabis from seed to usable bud, and not everyone knows how to grow it or acquire seeds. There's a flourishing black market, of course, but acquiring it that way is still illegal. Doctors were now authorized to recommend cannabis. But except for a handful, physicians in the United States know almost nothing about the real or alleged therapeutic effects, side effects or consequences of cannabis use. The caution growing from that lack of knowledge was reinforced powerfully by the federal government's announcement that it would pull the licenses or the authority to write prescriptions from doctors who were so bold as to try to implement California's new law. Even though a restraining order now prevents the feds from doing this, very few doctors are willing to stick their necks out and write recommendations for cannabis, even if they believe it would help some of their patients. Prop. 215 had been written by people who ran a cannabis club in San Francisco, so it should have been logical to assume that it authorized such clubs. But the drafters were not lawyers. Subsequent court decisions suggest rather strongly that they failed to write it in such a way as to authorize their own operations or to define themselves as "primary caregivers." But nobody knew this at the outset. For all these and other reasons, people like Marvin Chavez were fated to go through a long and difficult process of trial and error. Chavez, who now lives in Santa Ana, had discovered a few years ago that cannabis relieved the pain of a rare genetic spinal disorder (ALS) more effectively and with fewer debilitating and depressive side effects than the boatload of prescription drugs he had been taking. Using cannabis also helped him to come out of his shell - he had been a virtual recluse for years - and he became an activist on behalf of Prop. 215 and took the first steps toward forming an Orange County "cannabis co-op." When the initiative passed, he hoped he would be in a position to work cooperatively with local officials to facilitate the distribution of cannabis to patients who needed it and to educate patients and doctors about cannabis cultivation and use. He set up the Orange County Doctor Patient Nurse Support Group, paid for and got a business license from the of Garden Grove, made contact with a few doctors and nurses who agreed to help and started holding regular educational and support meetings. He created forms and agreements among patients and the group. He set up a group of nurses to check on the validity of doctor recommendations. He started growing a few plants and acquired marijuana wherever he could. He wrote to Sheriff Brad Gates to offer cooperation and ask for guidelines to avoid operating outside the law - - and got no response, he tells me. Aware that some "patient" groups with sites on the Internet and elsewhere were charging higher-than-black-market prices, he adopted a policy of not selling cannabis, but giving it to certified patients and suggesting a donation of $20 per quarter-ounce. He gave some away with no donation ever received and got some donations unconnected to marijuana transfers. He acknowledges that he made some mistakes along the way, but says he was trying as conscientiously as he knew how to operate ethically and within the law. In an ideal world, local officials would have worked with him, going over his forms and contracts and suggesting changes to make sure they were really legal, inspecting his premises from time to time to see how things were working and perhaps to offer suggestions so he could make changes before he ran afoul of the law, warning him in advance of potential pitfalls. But it's not an ideal world. Instead of working with Chavez, local law enforcement officials arrested him. Now he could be found guilty of selling marijuana and go to prison. It's hard to see how that will move Californians any closer to careful, responsible and ethical implementation of Prop. 215 by creating a small "white market" - the number of patients who can truly, unambiguously get therapeutic benefit from cannabis is fairly small, but for most of them the improvement in the quality of their lives is dramatic - for medical cannabis. - --- Checked-by: Rich O'Grady