SACRAMENTO, Calif. -- A large and respected association of physicians
is calling on the federal government to ease its strict ban on
marijuana as medicine and hasten research into the drug's therapeutic uses.
The American College of Physicians (ACP), a 124,000-member group that
is the nation's largest for doctors of internal medicine, contends
that the rancorous debate over marijuana legalization has obscured
good science that has demonstrated the benefits and medicinal promise
of cannabis.
In a 13-page position paper approved by the college's governing board
of regents and posted Thursday on the group's Web site, the ACP calls
on the government to drop marijuana from Schedule I, a classification
it shares with illegal drugs such as heroin and LSD that are
considered to have no medicinal value and a high likelihood of abuse.
The declaration could put new pressure on lawmakers and government
regulators, who for decades have rejected attempts to reclassify
marijuana. Bush administration officials have aggressively rebuffed
all attempts in Congress, the courts and among law-enforcement
organizations to legitimize medical marijuana.
Clinical researchers say the federal government has resisted full
study of the potential medical benefits of cannabis, instead pouring
money into looking at its negative effects.
A dozen states have legalized medical marijuana, but federal
prohibition has led to an enforcement tug-of-war. Given the
conflicts, most mainstream doctors have steered clear of medical marijuana.
The ACP position paper calls for protection of both doctors and
patients from criminal and civil penalties in states that have
adopted medical-marijuana laws.
"We felt the time had come to speak up about this," said Dr. David
Dale, a University of Washington medical professor and the ACP's
president. "We'd like to clear up the uncertainty and anxiety of
patients and physicians over this drug."
Medical-marijuana advocates embraced the position paper as a
watershed event that could help turn the battle in their favor.
Bruce Mirken, a San Francisco spokesman for the Marijuana Policy
Project, said the ACP position is "an earthquake that's going to
rattle the whole medical marijuana debate." The ACP, he said,"pulverized the government's two favorite myths about medical
marijuana -- that it's not supported by the medical community and
that science hasn't shown marijuana to have medical value."
But officials at the White House Office of National Drug Control
Policy said calls for legalizing medical marijuana are misguided.
"What this would do is drag us back to 14th-century medicine," said
Bertha Madras, the drug czar's deputy director for demand reduction."It's so arcane."
She said guidance on marijuana as medicine ought to come from the
U.S. Food and Drug Administration, which is unlikely ever to approve
leafy cannabis as a prescription drug. Two oral derivatives of
marijuana's psychoactive ingredient, THC, have won FDA approval, and
the agency is also in the early stages of considering a marijuana spray.
The largest association of physicians, the American College of Physicians (ACP), is calling on the federal government to ease its strict ban on cannabis as medicine and hasten research into the drug's therapeutic uses. In a 13-page position paper the organization, which has 124,000 members, calls on the government to drop cannabis from Schedule I of narcotic drugs, a classification it shares with illegal drugs such as heroin and LSD. Narcotics of Schedule have no medicinal value and a high potential of abuse. In their paper the ACP expresses the following five positions:
Position 1: ACP supports programs and funding for rigorous scientific evaluation of the potential therapeutic benefits of medical marijuana and the publication of such findings.
Position 2: ACP encourages the use of nonsmoked forms of THC that have proven therapeutic value.
Position 3: ACP supports the current process for obtaining federal research-grade cannabis.
Position 4: ACP urges review of marijuana's status as a schedule I controlled substance and its reclassification into a more appropriate schedule, given the scientific evidence regarding marijuana's safety and efficacy in some clinical conditions.
Position 5: ACP strongly supports exemption from federal criminal prosecution; civil liability; or professional sanctioning, such as loss of licensure or credentialing, for physicians who prescribe or dispense medical marijuana in accordance with state law. Similarly, ACP strongly urges protection from criminal or civil penalties for patients who use medical marijuana as permitted under state laws."
The paper is available on the website of the American College of Physicians at:
http://www.acponline.org/acp_news/medmarinews.htm or from our website, click here.
(Sources: Los Angeles Times of 14 February 2008, website of
the ACP)