Skip to main content

Is Medical Marijuana Safe and Effective? We Still Don't Know.

I’ve never subscribed to the caveat to scrub politics and religion from my discourse.  Indeed, you will find these two subjects riddled throughout this blog.  I think we need more dialogue, not less.  I do agree, however, that dialoguing is a skill.  But it’s not brain surgery.  Any of us can become adept practitioners of this seemingly lost art, if we so desire.  It requires listening with an open mind.  It implies that your view on an issue might be modified in the face of a persuasive argument.  And your responses should respond to what has just been said to you indicating that the other side has been heard.

So, now let’s talk some politics.  First, assess your political acumen by answering the following quiz question.

Which of the following issues should not be handled by elected officials?

(a) Tax policy

(b) Zoning ordinances

(c) Which chemotherapy regimen should be permitted for breast cancer patients

(d) Parks and Recreation issues

I realize that this is an extremely difficult question and many readers are probably struggling over it.  Perhaps, you might confer you with your own city council representative for some assistance. 

Well, here in Ohio and elsewhere, elected legislatures are issuing medical directives, as crazy as this sounds.  Would it make sense for elected officials to offer a bill on how best to treat diabetes, heart disease or depression?  (Hint:  No it wouldn’t). 

Politicians are not medical professionals and are wholly unqualified to offer medical advice.

Their ‘medical’ opinions would surely be tainted by political considerations.  If a pharmaceutical company, for example, was in a politician’s district, might this shape the politician’s bill?  (Hint:  It would.)

We already have a group of folks who are trained to render medical advice. Have you heard of the medical profession?

In Ohio, medical marijuana has been legal these past few years.  The state legislature – not doctors or the Food and Drug Administration (FDA) – have decided which medical illnesses are marijuana eligible. Periodically, the list of illnesses lengthens.   I hope that my points earlier in this post have convinced you of the insanity of this absurd process.  Not surprisingly, the quality of medical evidence supporting marijuana’s efficacy for nearly all of the illnesses on the list is very low.  Trust me, if the FDA’s standards of safety and efficacy were applied, the list might be reduced to zero items. (FDA assessment can’t happen now as marijuana is a Schedule 1 controlled drug and is an illegal substance.)

Medical cannabis is not a new remedy.  Medicine bottle from 1937. 

Here's the latest ‘medical news’ from our Ohio politicians.  A bill has passed the Ohio Senate that would permit marijuana use to any individual who can “reasonably be expected to benefit” from its use.  Can we agree that this designation is rather broad and could be applied to any and all medical conditions on the planet?  Let’s see if the Ohio House goes along with this scam.

I'm not against medical marijuana.  But I do think it should be vetted in the same way that all other drugs are.

Remind me, is it still illegal to practice medicine without a license?

 


Comments

Popular posts from this blog

Becoming a Part-Time Physician

Next month my schedule will change.  I will henceforth be off on Fridays with my work week truncated to Monday through Thursday.   I am excited to be enjoying a long weekend every weekend.  And while the schedule change is relatively minor, this event does feel like an important career moment for me.  It is the first step on a journey that will ultimately lead beyond my professional career.  It is this recognition that makes this modest schedule modification more significant than one would think it deserves.  As some readers know,   my current employed position has been a dream job for me.   Prior to this, I was in a small private practice, which I loved, but was much more challenging professionally and personally.   My partner and I ran the business.   Working nights, weekends and holidays were routine for decades.   On an on-call night, if I slept  through until morning, I felt as if I had won the lottery.   And w...

When Should Doctors Retire?

I am asked with some regularity whether I am aiming to retire in the near term.  Years ago, I never received such inquiries.  Why now?   Might it be because my coiffure and goatee – although finely-manicured – has long entered the gray area?  Could it be because many other even younger physicians have given up their stethoscopes for lives of leisure? (Hopefully, my inquiring patients are not suspecting me of professional performance lapses!) Interestingly, a nurse in my office recently approached me and asked me sotto voce that she heard I was retiring.    “Interesting,” I remarked.   Since I was unaware of this retirement news, I asked her when would be my last day at work.   I have no idea where this erroneous rumor originated from.   I requested that my nurse-friend contact her flawed intel source and set him or her straight.   Retirement might seem tempting to me as I have so many other interests.   Indeed, reading and ...

Will Smarter Lawyers End Frivolous Lawsuits?

How do you know if a lawyer is any good?  Of course, they've all passed the bar, but now their profession is lowering it.  While most of us strive for excellence, and raise our children to value this virtue, prominent legal educators are establishing a new quality intitiative for their profession.  Who says that lawyers can't reform themselves?  Perhaps, we physicians can follow their bold example and raise the credentials of our pre-medical students.  I’ll present the facts. You be the judge. I have written a dozen posts on tort reform on this blog, which always generate spirited and adversarial retorts from attorneys and their supporters. They accuse me and other tort reform advocates of carrying water for insurance companies. They repeatedly point out that I know nothing about the legal system and are unqualified to opine on its flaws. They deride me when I argue that effective tort reform would reduce the practice of defensive medicine, despite the re...