Source: Rolling Stone (US) Copyright: 1999 Rolling Stone Pubdate: 24 Dec 1998 - 7 Jan 1999 Page 111 Author: William Greider Contact: http://www.rollingstone.com/ Forum: MEDICAL MARIJUANA - The Six-State Sweep The American people want marijuana Legalized for medical use. Why isn't W A S H I N G T 0 N listening? NEWT GINGRICH AND THE Republicans were not the only losers in Washington, D.C., in this fall's elections. The War on Drugs took a big hit, too. Voters approved every pro-medical-marijuana measure put before them: in Washington state, Oregon, Arizona and Alaska. In two other states and the District of Columbia, technical matters have hung up electoral victories -- legal snarls voided the Colorado win; in Nevada, voters will have to pass the measure again in 2000, when the state amends its constitution. In the District of Columbia, a medical-marijuana referendum promoted by ACT UP Washington and the Marijuana Policy Project won easily but not officially. Though ballots had already been printed, right-wing Republicans in Congress inserted a nasty little rider in the omnibus budget bill, passed in October, that prohibited District of Columbia election officials from spending any funds to tally votes and report the outcome. This is possibly the first time in U.S. history that the federal government has tried to stop voters from finding out how they voted in their own election. The medical-marijuana campaign, however, paid for an election-day exit poll that showed D.C. voters overwhelmingly ratifying medical uses of marijuana by sixty-nine percent to thirty-one percent. Altogether, with California's 1996 approval, voters in seven states and D.C. have now endorsed this drug-use reform. It's like a citizens' guerrilla army marching on the nation's Capitol from the West (with one squad attacking from behind enemy lines). Bill Zimmerman, a Los Angeles political consultant who is the national head of the movement, summarizes the political meaning: "More than one-fifth of the American electorate has now voted in the majority to give patients the right to use marijuana. If the federal government doesn't respect that vote and change its attitude, we're fully prepared to go to the rest of America with this issue." Most of the people working to legalize medical marijuana are neither hippies nor radicals. In Seattle the statewide campaign was led by a young hospice physician, Rob Killian, who sees cancer and AIDS patients wasting away and suffering every day--suffering that can be alleviated by smoking a joint. "I saw I had to prescribe marijuana for my patients, and I saw that it worked," Killian says simply. "All drugs have dangerous side effects, but as physicians, we are trained to administer pharmaceuticals in a safe, appropriate manner. My patients who are suffering and dying are not criminals." During the campaign, Killian debated with local prosecutors across the state but says he felt all along that he was "really running against the federal government." Or at least against organized conservative interests, which have portrayed medical-marijuana initiatives as being gateways to overall legalization. For instance, in the run-up to the election, the Partnership for a Drug-Free America's famous fried-egg commercials ("This is your brain on drugs.. . .") were broadcast frequently. The measure's leading opponent was Brad Owen, Washington's lieutenant governor, who received a $190,000 drug-awareness grant from the Office of National Drug Policy. His efforts were also aided by money from presidential hopeful Steve Forbes, which was used to broadcast anti-initiative messages on radio stations. In the end, Washington voters legalized medical applications of the long-demonized drug by a margin of fifty-nine percent to forty-one per-cent. At press time, the initiative had carried thirty of thirty-nine counties in the state. In Arizona, where the issue won more narrowly, the "medical rights for marijuana" campaign was called The People Have Spoken. Arizona Voters had already approved the proposition back in 1996, but the state legislature overruled them. This year they went back to the polls and stuffed the legislature, fifty-seven percent to forty-three percent. "The opposition used every trick in the book and they still lost," says campaign leader Sam Vagenas of Phoenix. "They used schoolchildren a props at their press conference. Their group called itself Arizonans Against Heroin. It mentioned every Schedule One controlled substance -- heroin cocaine, LSD, PCP. Can you imagine voters looking at that? Yet fifty-seven percent of them saw through it." IF THIS YEAR'S OUTCOME TURNS out to be an important turning point, one explanation may be that the 1998 referendum proposition were different. They were designed be law-enforcement friendly, and the included new regulatory rules that avoid much of the legal ambiguity and conflict that followed California's decriminalization vote in 1996. One problem with the referendum passed by California voters was that while authorizing medical use of marijuana, it included no provision for addressing the overall legal status of the drug. Thus, police arrested some patients for possession. The Feds raided marijuana clubs set up to sell the stuff. At a Washington, D.C. press conference in late 1996, heavy hitters from Bill Clinton's Cabinet threatened reprisals against doctors who prescribed cannabis to their patients. Doctors might lose their licenses, officials warned, or become ineligible to receive Medicare reimbursements for their services. "You can imagine the impact this had on California doctors," Zimmerman says. "They were being threatened with losing their livelihoods." The new measures approved in states like Washington solve many of these problems for doctors and law enforcement officers. State-issued ID cards will be required for patients entitled to use marijuana. Doctors must provide a diagnosis justifying the prescription for victims of cancer, AIDS glaucoma, multiple sclerosis or epilepsy. The patient then takes that to state health agency and receives credentials to purchase the drug (though this process doesn't entirely settle the question of who can legally produce or sell it). "If federal agencies try to block implementation, as they did in California, they will have to take on state agencies rather than marijuana clubs," Zimmerman explains. Dr. Ethan Nadelmann is a leading authority on banned drugs and an architect of the medical-rights campaign, largely financed by George Soros' Open Society Institute. Nadelmann -- director of the Lindesmith Center, a drug-policy institute -- expects each referendum victory to produce more new ideas and practical solutions for regulating sales and use. Each victory also puts more elected leaders on the spot. "Those politicians who thought there was no cost to indulging in drug-war demagoguery may now find themselves in an argument with their own voters," Nadelmann says. "They don't want to face up to that, but the American people will no longer be duped by such inflammatory language." BACK IN WASHINGTON, D.C., the drug czar, Gen. Barry McCaffrey, responded in muted terms to this new setback for his war. He reminded everyone that state referendums do not change the fact that marijuana possession is against federal law. Still, the statement from his Office of National Drug Policy sounded almost conciliatory: "The U.S. medical-scientific process has not closed the door on marijuana or any other substance that may offer therapeutic benefits. However, both law and common sense dictate that the process for establishing substances as medicine be thorough and science-based." McCaffrey's opposition is not impressed. They speak in two different voices," Nadelmann says. "One ridicules medical marijuana, the patients and doctors. The other approach is to say, 'Let the science prevail' Yet any time the medical-marijuana studies come up through their system of scientific review and gain legitimacy, they are cut off by political decisions." McCaffrey's spokesman, Bob Weiner, denies this, but he then argues that if research ever establishes marijuana's medical benefits, the results might take the advocates somewhere they don't want to go. "What they don't want to hear is that smoke is not a medicine and has never been approved as a way to deliver medicine," Weiner says. A better delivery method for medical pot, he playfully suggests, might prove to be suppositories. Independent scientific studies that seem to confirm benefits or refute negative complaints have had zero impact on drug-war politics so far. That's why grass-roots activists started the campaign. They see no prospect of the Republican Congress (or the Democratic president, for that matter) allowing the Federal Drug Administration or the National Institutes of Health to do a genuine, thorough investigation of what doctors and patients already know from their own experience. "When I started in this campaign, I began to meet patients with AIDS and cancer who told me marijuana saved their lives," says Zimmerman, who with two physicians co-authored Is Marijuana the Right Medicine for You?, a book published this year. "I was skeptical at first. Then I learned that one-third of cancer and AIDS patients drop out of their chemotherapy treatment because they can't stand the side effects. They were willing to risk death instead. A lot of these people told me how marijuana would instantly stop the pain and nausea. They returned to treatment and survived." One living example is Keith Vines, an assistant district attorney in San Francisco. "He was wasting away with AIDS, started using marijuana to stimulate his appetite, gained forty pounds and then was admitted to the drug-therapy program," Zimmerman reports. "Today he's fully functioning as a prosecutor. He attributes his life to marijuana." Law-enforcement officers are correct in their suspicions, of course. The medical issue will help to soften the image of pot, which, in turn, may create a political climate for relaxing the criminal laws aimed at the drug. Many advocates think that the consumption of cannabis, regardless of the user's purpose, should be regarded in the same way as the consumption of alcohol -- dangerous only if it is abused. Not all advocates entirely agree. George Soros has donated millions to campaigns against the nation's unduly harsh drug laws and for medical use of marijuana, but he is explicitly opposed to full legalization. Californians who voted for medical marijuana in 1996 were asked in a survey whether they favored legalizing pot: Sixty-one percent were opposed. Meanwhile, despite the grass-roots counterattack, the War on Drugs rolls forward at both state and federal levels, employing prison as its mightiest weapon against drug abuse. From 1991 to 1995, Nadelmann points out, the number of marijuana arrests doubled, more than half of them for possession alone. In 1996, 642,000 Americans were arrested for marijuana offenses. This larger battlefield is much more formidable, but citizen guerrillas are also winning some victories here. In Oregon, for instance, the state effectively decriminalized pot in the early 1970S -- minor offenses were treated more or less like traffic tickets. Last year, however, the state legislature re-criminalized marijuana by a two-thirds majority. In the October elections, Oregon voters reversed the legislature's action - -- approving a referendum that repealed the re-criminalization law. The vote was sixty-six percent to thirty-three percent. "What this says to me," Nadelmann reflects, "is that people feel we have over-criminalized marijuana. We're supposed to spend millions of dollars to go after small amounts of marijuana. The people in Oregon said, `No, we don't want that.' " THE REPUBLICAN FLAME-throwers in Congress, led by the lately departed Newt Gingrich, have always blamed the Sixties for whatever ails the republic -- the moral decay launched by drugs, sex and rock & roll. Wouldn't it be a hoot if the Sixties wins the pot debate just as Newt gets pushed offstage by his own conservative colleagues? Alas, the political struggle to establish rational laws on drugs and drug abuse is a long way from resolution. While state voters were introducing a touch of reason to the debate, the federal government was ginning up for another expensive attempt at drug interdiction. The new budget provides at least $690 million more for quasi-military efforts to block cocaine from entering the country through Latin American. That buys lots of high-tech hardware to police our vast borders -- surveillance planes, ships and helicopters -- but drug importers have always found a way around them. That money might have opened a lot of new treatment centers instead - a less sexy solution to drug abuse but one that demonstratably works. The government is not yet ready to declare such an armistice, but sane voices from popular campaigns -- and especially their score card of victories -- make it harder and harder for politicians to blink away the contradictions and injustices of the drug war. If the federal government does not rethink its hard-line policy against medical marijuana, then the campaign will move on to more states and collect more victories. Zimmerman says that Maine citizens are expected to vote on the issue in 1999. In 2000, Colorado and Nevada must vote again to complete adoption. The groundwork is being laid to put medical marijuana on the ballot in Massachusetts, Michigan, Ohio and Florida. Florida will be tough. In national polling on the subject, medical marijuana draws majority support in every region except one - the South. If it can win in Florida, the matter will be virtually decided. The issue, in other words, raises the same question that both parties are now pondering about national politics: Has the Republican "Southern strategy" finally run out of steam? Targeting Southern voters and states has proved a great success for the GOP, the key to its congressional majority. But it also has tripped the party into dominance by hard-right attitudes that moderate voters are now rejecting. Does it make sense to allow the nation's most conservative politicians to dictate their reactionary social values and public policy to the rest of us? Republicans will have to answer that question for themselves, but so will two other successful Southern politicians: Bill Clinton and Al Gore. - --- MAP posted-by: Richard Lake