@Aedes,
Quote:At least with marinol you don't need to worry about hypogonadism, lung cancer, COPD, asthma, or addiction.
I'm familiar with the fact that chronic long term marijuana use can cause a reduction in sperm production, but I wasn't aware that use could lead to permanent defects. Any handy info around?
As for lung cancer, I've never seen anything that links marijuana use to lung cancer. However, I have seen a number of claims closer to this:
Marijuana Cuts Lung Cancer Tumor Growth In Half, Study Shows
Not to say that marijuana does not contain carcinogens - it certainly does, including one shared with tobacco that is supposed to be especially close to lung cancer. But I have never seen a study that links marijuana use with an increased risk for lung cancer.
When we talk about COPD and asthma, I think we have to remember that ideally a doctor would be involved in the patient's use of marijuana. For example, maybe marijuana shouldn't be suggested to someone who smokes cigarettes because cigarettes are known to exacerbate these problems.
As for addiction, you know well that many FDA approved drugs are easily abused. And Marinol also has potential for abuse; you can get high off the stuff. If addiction is possible for marijuana, addiction is possible for marinol.
I'd also like to mention the issue of cannabanoids apart from THC once again. Specifically, cannabidiol and cannabichromine, an anti-convulsant and an anti-inflamatory, both suspected of playing an important role in the therapeutic effects of marijuana. I'd like to see more study on the matter, but throwing marinol into the discussion as a replacement for marijuana doesn't seem to hold up - marinol does not seem to have all of the medical benefits of marijuana.
Quote:And we have a regulatory process called the FDA that evaluates therapies for safety and efficacy. This is basically impossible with smoked marijuana unless you make it a standardized dose, like in a metered-dose inhaler.
You would know better than I would, but they do manage to standardize doses for research without the use of such inhalers.
But I see the concern. I would suggest the use of vaporizers to better regulate the dose. That way we can dose patients based on the strength of the marijuana and amount of marijuana. Should work beautifully with a decent machine.
As for the FDA:
Inter-Agency Advisory Regarding Claims That Smoked Marijuana Is a Medicine
If smoked marijuana has no medical value, then marinol could not have medical value. But being honest, apparently, is just too much.
Big pharma lobbies on behalf of the drug war. No surprise.
Quote:They did until the purified compounds were available. Oh, by the way, Chinese wormwood is STILL the only source of artemisinin compounds for the treatment of malaria, though people are working hard at synthesizing it.
Then it's high time we get a purified compound out there with more than just THC.
Quote:No, doctors recommend it. It cannot be prescribed according to the DEA certification that we are all required to carry.
That doctors recommend smoked marijuana is enough to make my point.
"Why aren't you making the same argument for growing cinchona trees to treat malaria instead of buying quinine, Chinese wormwood instead of buying artemisinin, and willow trees instead of buying aspirin?"
Because doctors do not recommend all of these to patients, but they do recommend smoked marijuana.
There is also the concern of costs. Especially in this country, prescription drugs are not cheap - but growing a plant is. We can trust people to take aspirin on their own, even though if you eat enough of them you'll die. To my knowledge, marijuana overdose is impossible.
Quote:And complaining about the inappropriateness of the ban does not make it "terrorizing" or "oppressive" when people get caught violating that law. Come on, it's marijuana we're talking about. It's not like the government has banned water.
If the law is a violation of rights, and the law is enforced, the law is oppressive.
I think we also need to look at the government's use of propaganda to support it's policy. Racism and xenophobia. Certain government elements still have no problem simply lying about the drug. Take a look around here:
Office of National Drug Control Policy
Absolute falsehood next to fact is terribly dangerous.
Quote:Yup. And unlike the marijuana discussion, that actually WAS terrorizing and oppressive.
So the United States government does oppress and terrorize it's own citizens. Remarkable.
Quote:And if you don't appreciate that it's ILLEGAL for doctors to prescribe it and ILLEGAL for patients to smoke it, then I'm not sure you have much respect for the whole idea of a law.
Nope, no respect for unjust laws.
Anyway, on a state level, the use and recommendation of marijuana by a doctor is not illegal. It's that nasty Federal law I'm particularly concerned with.
Quote:Furthermore, you keep blurring the line between the habits of dumb college kids who like to get stoned medical "needs" of patients. Would you be content if the prosecution of people who used medical marijuana stopped provided they met strict evidence-based criteria -- but the crackdown on pot addicts continued? And I put medical needs in quotations because the medical benefit of marijuana, though real, is very small.
That would be an improvement, so sure. But I'm still not convinced that the government has any right, much less any reasonable justification, for the current nature of marijuana regulation. I support a degree of regulation, but not the current status.
As for the medical benefit of marijuana - the benefit seems significant when marijuana could replace extremely expensive medications that some people simply cannot afford. Most people can afford to water a plant, though.
Quote:Thanks to the supremacy clause in the Constitution. Would you like to have a constitutional convention to change that?
No, I'd like to know what constitutional convention gave the government the right to ban marijuana.
Quote:As for your litany of other offenses by the US government, I completely agree. I am no apologist for our government and its policies. But as for marijuana, you don't get a sympathetic ear from me. And I'm an infectious disease specialist, taking care of AIDS patients is my job, and I understand the issue quite well.
Then we're in agreement - the US government uses terror tactics and oppresses the American people.
As for marijuana, the issue is two fold. First and foremost, because I support people having access to whatever medicine their doctor determines is best, is the medical issue regarding marijuana. I know your credentials and have nothing but respect for your medical knowledge, but other doctors who 'understand the issue quite well' disagree with you and see immense potential in medical marijuana. Whatever the case may be, I think we can both agree that there is need for more research on marijuana.
The second and more fundamental issue regarding marijuana laws is whether or not the government can or should maintain the current policy. I'd argue the government needs a Constitutional Amendment to ban the drug without violating the Constitution. I'd also argue that the government does not have any justification for such a measure; we're not facing a national marijuana crisis - well, unless you see things my way and consider the current laws to be a crisis, a crisis for the sick, a crisis for people who don't like to drink, and a crisis for the American tax payer who let's the government burn their tax dollars every year to feel the high of inflated departmental funding.
I am glad the initial issue has been resolved.