Pubdate: Wed, 31 Mar 2004
Source: Province, The (CN BC)
Copyright: 2004 The Province
Contact:  http://www.canada.com/vancouver/theprovince/
Details: http://www.mapinc.org/media/476
Author: Susan Martinuk
Bookmark: http://www.mapinc.org/mjcn.htm (Cannabis - Canada)
Bookmark: http://www.mapinc.org/mmj.htm (Cannabis - Medicinal)
Bookmark: http://www.mapinc.org/decrim.htm (Decrim/Legalization)

GOV'T WRONG TO PUSH MEDICAL MARIJUANA

Government-certified marijuana is coming to a pharmacy near you. Mind you, 
it's not exactly topnotch stuff and it's not clear that it has any medical 
benefit.

About 700 Canadians currently have a doctor's OK to use marijuana for 
chronic pain, nausea or to stimulate appetite. But the government is 
convinced there are even more people who would use it -- if it provided 
better access and reduced regulation. Hence, the weed goes to drugstores 
and prescriptions aren't necessary.

Canada is the second country to push medical marijuana. Not surprisingly, 
Netherlands is the other -- a land notorious for its expansive population 
of drug users and abusers. Logic suggests it isn't the best country to 
serve as a model for our drug policies.

There are reasons galore to re-consider this policy. The government 
acknowledges that the pot is of uncertain potency. It's not standardized, 
so Health Canada is essentially pushing potential safety issues aside and 
putting an unapproved drug on the market. Isn't that what government 
regulations are supposed to prevent?

Nor is it clear medical marijuana offers benefits not found in other drugs. 
The British Medical Journal stated cannabis is no more effective in 
treating pain than traditional painkillers and, when used to treat nausea 
and vomiting, the side effects outweigh the benefits. The U.S. Supreme 
Court rejected legalizing medical marijuana because of a lack of 
demonstrable benefits.

Even if we dismiss concerns about regulation, safety and effectiveness, as 
well as where unregulated, unprescribed marijuana could end up, we still 
have to ask why we're pushing pharmacies and pharmacists to the front of 
the battlelines for controversial drug policies?

A few years ago, B.C. handed pharmacists the controversial morning-after 
pill for distribution without a prescription. It was an abrupt shift in our 
demands on pharmacists -- suddenly, drugs weren't being dispensed to heal 
disease, but to end a life.

Oregon pharmacists now are having to fill record numbers of prescriptions 
for lethal drugs used in state-sponsored, physician-assisted suicides.

And in Britain, over-the-counter genetic screening tests were launched in 
drugstores, only to be removed later due to concerns about consumer 
protection and a lack of regulations governing use. We don't have such 
regulatory laws either, yet it's just a matter of time before euthanasia 
drugs and genetic tests are for sale here.

A combination of new drugs and lazy legislators has put pharmacists in 
ethical minefields where they face morally questionable situations. Handing 
over death drugs and non-standardized, unproven drugs is contrary to 
professional codes and to many personal consciences.

Even more troubling is that druggists haven't been forced into these 
situations because of medical consensus, legislation or public discussion 
- -- but because of an Ontario court ruling.

Some pharmacists are forced to violate their personal consciences, 
religious beliefs and professional ethics -- just to do their daily jobs.

But personal convictions shouldn't be rendered moot just to make government 
policies more convenient. If the government is pushing its undone business 
on the shoulders of pharmacists, they must be given freedom of conscience 
- -- that is, the freedom to say no. It's only fair.

Susan Martinuk is a Vancouver broadcaster and freelance writer.
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MAP posted-by: Jay Bergstrom