The Medical Marijuana Ruse

America is having something of a libertarian moment. At a

time when we are being governed by a statist administration that takes its own

word for law, young Americans are finding their way to the libertarian cause.

In one sense, this is a great thing. Someone needs to defend

free markets, free expression, free enterprise and even free will. If young

people do not do so they will suffer the consequences.

In another sense, they risk, as I wrote in my book, The Last Psychoanalyst, confusing

freedom for responsibility with freedom from responsibility. After all, if you

want to see what freedom from responsibility looks like you need only look to

the White House.

In the proper circumstances, free will, which has lately

been under attack by behavioral economists does not lead to a free-for-all.

One understands that young people are flocking to

libertarianism because they like the Republican Party but do not like social

conservatism. They consider it intrusive and inhibiting.

And yet, true freedom does not lie in the other extreme.

True freedom is not a synonym for debauchery.

Riding the wave of libertarianism is the movement to

legalize marijuana possession. Without taking sides on the issue, it is worth

examining Catherine Saint Louis’s excellent New

York Times report about the campaign to legalize week. In it, she explains

that those who are arguing that marijuana has distinct medical benefits are, as

the saying goes, blowing smoke.

If marijuana contributes to debauchery and if young people

want to debauch themselves without fear of punishment, they might say so. To

pretend that marijuana should be legalized because it is a medicinal agent

appears to be largely a ruse.

Saint Louis explains this well:

New

York moved last week to join 22 states in legalizing medical marijuana for

patients with a diverse array of debilitating ailments, encompassing epilepsy

and cancer, Crohn’s disease and Parkinson’s. Yet there is no rigorous

scientific evidence that marijuana effectively treats the symptoms of many of the

illnesses for which states have authorized its use.

Instead,

experts say, lawmakers and the authors of public referendums have acted largely

on the basis of animal studies and heart-wrenching anecdotes. The results have

sometimes confounded doctors and researchers.

The

lists of conditions qualifying patients for marijuana treatment vary

considerably from state to state. Like most others, New York’s includes cancer,

H.I.V./AIDS and multiple sclerosis. Studies have shown that marijuana can

relieve nausea, improve appetite and ease painful spasms in those patients.

But New York’s list also

includes Parkinson’s disease, Lou Gehrig’s disease and epilepsy,

conditions for which there are no high-quality trials indicating marijuana is

useful. In Illinois, more

than three dozen conditions qualify for treatment with marijuana,

including Alzheimer’s

disease, lupus, Sjogren’s syndrome,Tourette’s

syndrome, Arnold-Chiari malformation and nail-patella syndrome.

She is not saying that marijuana is never helpful for any

patient at any time. She is saying that we need to rely more on science and

less on PR:

Patients

with rheumatoid arthritis, for instance, qualify for marijuana treatment in at

least three states.

Yet

there are no published trials of smoked marijuana in rheumatoid arthritis

patients, said Dr. Mary-Ann Fitzcharles, a rheumatologist at McGill University

who reviewed

the evidence of the drug’s efficacy in treating rheumatic diseases. “When

we look at herbal cannabis, we have zero evidence for efficacy,” she said.

“Unfortunately this is being driven by regulatory authorities, not by sound

clinical judgment.”

New York

considered including the chronic inflammatory disease on its list, a

development that astonished Dr. Mary K. Crow, an arthritis expert at the

Hospital for Special Surgery, in Manhattan. People with rheumatoid arthritis

have higher rates of certain respiratory problems, she noted.

That’s right. Our solons want to make it possible for

patients with rheumatoid arthritis to smoke weed… even though they notably have

respiratory problems.

It does happen, Saint Louis explains, that marijuana

sometimes helps:

Amanda

Hoffman, 35, an information technology specialist in Basking Ridge, N.J.,

struggles with ulcerative colitis, an inflammatory bowel disease. She has tried

steroids and Remicade, an intravenous infusion, but no drug has given her as

much relief from frequent daily diarrhea and abdominal pain as her homemade

cannabis caramels.

And then there is glaucoma. One often hears that marijuana

is a good treatment for that condition.

Saint Louis puts the argument in proper scientific context:

Since

at least 2009, for instance, the American

Glaucoma Society has said publicly that marijuana is an impractical

way to treat glaucoma. While it does lower intraocular eye pressure, it works

only for up to four hours, so patients would need to take it even in the middle

of the night to achieve consistent reductions in pressure. Once-a-day eye drops

work more predictably.

Yet

glaucoma qualifies for treatment with medical marijuana in more than a dozen

states, and is included in pending legislation in Ohio and

Pennsylvania. At one point, it appeared in New York’s legislation, too.

The moral of the story is that the public debate about

marijuana legalization is filled with false scientific claims. In many ways it

would be better if we were debating whether or not we want to legalize a party

drug.

But then we would have to address the real question: how

much harm does it do to growing and developing brains? If a fourteen-year-old

does not care about whether he is damaging his brain by smoking weed, ought he

to have the freedom to do so?

Source

The Medical Marijuana Ruse