cannabisnews.com: Some Doctors Slow To Recommend Pot





Some Doctors Slow To Recommend Pot
Posted by FoM on June 28, 2001 at 07:26:30 PT
By Karen Auge, Denver Post Medical Writer
Source: Denver Post
 Earl Thomas thinks smoking marijuana might help him regain some of the weight he's lost to AIDS. His doctor thinks it might help, too, Thomas said. And state law says it's OK. But Thomas' doctor won't sign the recommendation Thomas needs to get a state-issued card entitling him to use medical marijuana until his doctor's employer, Kaiser Permanente, gives the go-ahead. "It is a very difficult position as a doctor," said Dr. Miguel Mogyoros. He said he is waiting for word from Kaiser on its policy. 
Kaiser hasn't told its doctors not to sign the recommendation, said Jacque Montgomery, Kaiser spokeswoman. Rather, the HMO's attorneys have said don't sign yet, she said. "We support this physician's discretion while our legal advisers assess statements made by Colorado's attorney general," Montgomery said. The day before Colorado's new law allowing medicinal marijuana use was to take effect, Colorado Attorney General Ken Salazar warned doctors they could face federal prosecution for recommending marijuana to patients. Salazar issued the statement after a May 14 Supreme Court ruling that there is no exception in federal anti-drug laws that would allow marijuana to be used for medical purposes. The ruling upheld federal prosecutors' right to shut down an Oakland, Calif., cannabis buyers club, and it cast doubt on whether Colorado's law would stand. Nevertheless, so far in Colorado, 28 patients have found doctors willing to sign the recommendations and have turned in completed applications, said Carol Garrett of the state health department. Of those, 24 have been approved so far, Garrett said Wednesday. Acting U.S. Attorney Richard Spriggs has said Salazar should not "engage in unfounded speculation" about federal prosecutions arising from doctors recommending marijuana use. And in California and Oregon, the threat of federal prosecution has not been a problem for those using the drugs to ease medical conditions, officials in those states said. In Oregon, where the law has similar wording to Colorado's, no one with a medicinal marijuana registration has faced federal prosecution charges, nor have any doctors been in trouble, said Jim Kromenberg, associate executive director of the Oregon Medical Association. California's law is much different than Colorado's. California has no licensing program to determine who is legitimately sick enough to take medical marijuana, and various cannabis-provider clubs have been set up statewide for patient-users. Nothing of the sort is legal in this state. Federal prosecutors in California don't bother with small amounts or "nickel bags on the corner," said Thom Marzek, spokesman for the Los Angeles district of the U.S. attorney's office. Kromenberg said his advice to doctors is to treat the matter as strictly a medical decision. "I can understand in Colorado the doctors there are more antsy because the law is so new. But we don't think the big, bad feds would come to Oregon to make a test case." Meanwhile, Thomas is angry and impatient for his application to land on that pile at the health department. "I don't understand this. The voters approved this," Thomas said. "I'm trying to do anything I can to put on weight. But I can only drink so many protein drinks. I want food," he said. Denver Post staff writer Allison Sherry contributed to this report.Source: Denver Post (CO)Author: Karen Auge, Denver Post Medical WriterPublished: Thursday, June 28, 2001Copyright: 2001 The Denver PostContact: letters denverpost.com Website: http://www.denverpost.com/Related Articles:Medical Pot Remains Pipe Dreamhttp://cannabisnews.com/news/thread9977.shtmlLawmakers OK Marijuana Billhttp://cannabisnews.com/news/thread9973.shtmlFeds: Pot Law Is State's Problem http://cannabisnews.com/news/thread9954.shtmlPot Law Passes Muster, But Doctors Risk All http://cannabisnews.com/news/thread9925.shtml
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Comment #3 posted by Thinker on June 29, 2001 at 11:31:04 PT
Kaiser nurse speaks out
This is very sad to say the least. Unfortunately with HMOs and today's tendency toward lawsuits doctors hands are tied on many levels of patient care. Working as an RN 'I've seen it a number of times up close. I think it is ridiculous that a MD can't determine what the best treatment for his/her patient and then implement it without fear of prosecution. It is also ludicrous that our government officials believe they are the experts on medical issues. What makes them think that they know more than a scientist or a doctor who has a decade or more of education and experience just to begin practicing in the field of medicine.  In my opinion having a background in law and politics makes you a lay person when it comes to science and medicine. I don't think lay persons should be making such important decisions about our medical care.My two cents.
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Comment #2 posted by Dan B on June 28, 2001 at 18:03:15 PT:
Kaiser-Permanente
Kaiser-Permanente conducted one of the largest studies in America on marijuana and mortality, finding no statistically significant differences between marijuana users and non-users in terms of mortality (plenty of evidence was found, however, for higher mortality in tobacco and alcohol users).So that particular HMO should have no problem letting its doctors sign recommendations for marijuana for patients who need it.Dan B
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Comment #1 posted by J.R. Bob Dobbs on June 28, 2001 at 09:29:36 PT
What the card does and does not do
  Not having the card doesn't mean the patient isn't going to smoke marijuana. Not having the card means they can continue to arrest and harass him. The card is simply an exemption from the police. Why do they think someone would need to go to jail for medical reasons?
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