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To: Howard, Paul, Steve and Rob
From: Bernie Ellis, MA, MPH
Subject: We can do so much better re: med pot in Tennessee than what is
now before us
I want to thank Steve Cohen and Rob Briley for introducing medical
marijuana bills in Tennessee. (I prefer the term "cannabis" and will use
it interchangably.) Just to have an open conversation about medical
marijuana in Tennessee again is a good (and very important and very big)
step and I applaud them for that. There is much to agree on in their
bills, particularly the breadth of the eligible medical conditions that
are to be included within their medical cannabis program. However, if
you will look at my attached critique of the MPP model bill that you
used to construct your bill (that was attached to my last email and is
re-attached to this one), you will see that some of the well recognized
weaknesses and deficiencies in the proposed MPP bill still remain.
To set a plant count that is unrealistically low and that fails to
recognize basic biological issues in cannabis production (i.e., ignoring
the "sex" of plants) is not useful; nor is setting a "dry plant matter"
amount equivalent to one week's supply for someone using two to three
joints per day (not an unusual amount for several of the conditions to
be covered). Furthermore, having a bill that includes marijuana leaves
within the patient's allowable cannabis weight, when leaves are
universally discarded as medically useless by knowledgeable cannabis
users and producers, makes no sense and places almost any medical
cannabis producer (patient or caregiver) in violation of the law
immediately and unnecessarily.
Bottom line: For a supposed savvy and well-connected group like the
Marijuana Policy Project, it is astounding to still see many of the same
old blatant weaknesses and ill-informed limitations and restrictions
that have been pointed out continuously still remain within MPP's (and
thus Tennessee's) bill at this 2005 junction in the medical marijuana
movement. And these problems don't even begin to address the fundamental
problem that I will continue to raise until I can't raise it anymore.
We need to have a way to provide medical cannabis to sick people
(Howard's brother, Paul's wife) beginning in the week or so after their
initial medical diagnosis. The MPP model law you are proposing for
Tennessee makes no provision for someone in Paul's wife's shoes -- or my
father's, for that matter, who lived three months between diagnosis with
bladder cancer and death -- or the middle Tennessee woman whose doctor
shared her story with me, who was diagnosed and entered a rapid,
metastatic downward spiral -- dying within eight months of her
diagnosis. Those are the people we should be thinking about as this law
is amended -- Paul's wife, my dad and that woman (and the others) that I
helped anonymously. I support the concept of a Tennessee medical
cannabis program because I want us to set up a process whereby access to
medical cannabis by people like those three people -- like the rest of
our families and friends -- is not restricted unnecessarily.
Aside from the small (but needed) adjustments that are included in my
attached critique, this fundamental access issue is the fatal flaw that
will prevent us from ever moving medical cannabis to a place of
acceptance and appropriate medical usage. Without solving the "immediate
access to cannabis for eligible patients" challenge, our medical program
will be underutilized by those patient populations who would stand to
gain the most benefit from its usage. This challenge is solvable in this
day and age, and successful models do exist (and once again, I'm happy
to discuss them with you or facilitate your visiting these models.)
Thus, for Tennessee to strive to pass a law that reflects no awareness
of the fundamental biology of cannabis production and the pharmacology
of its use, and that fails to consider what would make the law
meaningful for truly sick people who would benefit from legal cannabis
tomorrow -- that course of action suggests that we don't know better.
Well, the fact of the matter is that we do know better -- and your bills
would be better if someone (anyone) involved in writing them knew
anything about the issues we have raised. Why, when we are finally
engaged in discussing the realities of re-establishing a medical
cannabis program in Tennessee, would we want to be less than forthcoming
about the realities of cannabis production, processing and distribution
as we know them and as the world now knows them? Why indeed? The
Washington folks may consider us backwards, but we are anything but.
Steve and Rob both know this. All I am asking is that our proposed laws
look like it -- that they pay some respect to the knowledge base around
this issue that exists worldwide instead of accepting a "cookie cutter"
piece of now outdated and insufficient piece of off-the-shelf
legislation for Tennessee.
I hear what you're saying, Howard, that anything's better than nothing.
That we need to be happy with whatever we get. Well, you know I don't
even think you believe that yourself when you triy to apply that
attitude to other issues that affect you directly. If we're finally
stepping up to the plate in Tennessee around medical cannabis, we might
as well aim for what we want and what we know is needed and not settle
for just any old uninformed, inexperienced, unrealistic and now
discredited (though still being pushed as the "model"
program that's
put in front of us. I expect more creativity and critical input from a
Vanderbilt classmate of mine, which Steve was. What I am proposing is
not difficult,but it does take some thought and discussion.
I'm reattaching my critique of the MPP bill (again) so you can see the
range of my concerns about this "off the shelf" bill that Steve and Rob
have put forth. Again, some of the issues that I pointed out last June
have been addressed in their bills, but not nearly all of them. I think
there's lots that can be cleaned up and made more realistic (or at least
better informed) than the current language. But I'm about done holding
my breath. Either we have some opportunity for input on these issues on
these bills -- or we don't. If we do, then let's get on with it right
now. If we don't, then let's get off the pot (so to speak).
Again, I'm always going to be supportive of re-instituting a medical
cannabis program in Tennessee in whatever form; but I favor an informed,
reality-based, practical approach to medical cannabis legislation.
Anything short of that doesn't get me up from in front of the computer
screen to work hard for a half-assed, uninformed bill. No offense anyone
--either we talk to each other and work together, or we do not. I
believe we are the ones we have been waiting for to achieve meaningful
medical cannabis access in our lifetimes. I haven't got time for the
pain or the displeasure of a less-than-worthwhile approach. We can do
better.
As ole Miz Kelley used to say to me on her (now my) farm, "If you're
waitin' on me, you're backin' up!!" I've about stopped asking to have a
meaningful conversation on these issues, but I've not stopped being
willing to have a conversation aboutthem sometime soon. Good luck to
all of you. Bernie Ellis, MA, MPH ( http://www.bernardellis.com/