Pubdate: 21 Mar 1999 Source: Bulletin, The (OR) Contact: http://www.bendbulletin.com/ Section: Editorial Page: E-2 CONGRESS SHOULD HEED POT REPORT A sure sign that the Institute of Medicine's report on the therapeutic value of marijuana should be taken seriously is the fact that it provides neither encouragement to those who consider pot a miricale drug on the order of aspirin and penicillin, nor to those who think smoking a single joint is enough to turn the average, law-abiding American into a deranged junkie snatching purses and mugging schoolchildren to buy his next fix. To be sure, the report, released last week, notes that " marijuana smoke, like tobacco smoke, is associated with increased risk of cancer, lung damage, and poor pregnancy outcomes." However, it also points to an absence of conclusive evidence that pot is a " gateway " drug casually linked to the use of other, harder drugs. Marijuana, the report states, is uasally the first illicit drug people try merely because it is the easiest to get. If the report pooh-poohs the more extreme claim's of pot's perils, it falls short of recommending that people turn their living rooms into hydroponic nurseries. In fact, the authors were less than overwhelmed by the plants healing qualities. Though evidence indicates that the active ingredients in marijuana-- cannabinoids--can help alleviate pain, control nausea, and stimulate appetite, the report notes that the " effects of cannabinoids on the symptoms studied are generally modest, and in most cases there were more effective medications." Marijuana, the report continues, is most likely to be of use to " a subpopulation of patients who do not respond well to other medicines." Miricale drug, indeed. Meanwhile, the institute of Medicine's chosen delivery system for cannabinoids is not a bong, but an inhaler. Thus can the dose be closely monitored and the unhealthy effects of marijuana smoke be eliminated. Until such a device is created, the report favors distributing smokable marijuana on a short-term basis less than six months to people who cannot be helped by other medications. Congress should take these recommendations seriously for two reasons. First, it is wrong to allow politics to stand between sick people and whatever drugs might alleviate their suffering. The medically significant substances in marijuana should be studied, isolated and prescribed to those who need them. Second, lifting the federal classification of marijuana as a therapeutically useless drug will preclude awful ballot initiatives like Oregon's which makes pot available to just about anybody who feels he needs it for medical reasons. - --- MAP posted-by: Mike Gogulski