While Colby Cosh's call for compassion is well motivated, it is misguided, perhaps due to a lack of pharmaceutical knowledge. There is certainly a growing body of evidence for the use of cannabinoids (the active ingredient in marijuana) in pain management and perhaps in other areas of relief of suffering. Nabilone is one of two cannabinoids which have been available to physicians for prescription for many years. While traditionally it is used for the prevention of nausea during (cancer) chemotherapy, its "off label" use in chronic pain management is growing. It is manufactured to pharmaceutical standards, i.e., without impurities. [continues 100 words]