the marijuana movement - butler health system...pros and cons of (medicinal) marijuana legislation...
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The Marijuana Movement
Ryan West, MS, CFI
Corporate Trainer
Speaker:
is marijuana addictive? effects on the brain and body
pro’s and con’s of medical marijuana legislation
PA’s “medical marijuana” act
The Marijuana Movement
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Pronounce the following word correctly…
Cannabinoid
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How many cannabinoid receptors have been identified in the
human body?
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How many endogenous cannabinoids have been identified in the
human body?
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How many medical conditions are covered under PA’s MM law?
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What is the primary cannabinoid with the greatest medical
potential at this time?
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for me?
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for me?
Can marijuana cause physical dependence?
Can marijuana cause psychological dependence?
Does marijuana contain medicinal properties?
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National Institutes of Health
More than 100 controlled clinical trials since 1975 (as of 2012)…
Findings led to several synthetics, indicated for:
Chronic Pain
Spasticity
Nausea
AnorexiaTourette’s
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Plant Properties
Resin Glands
Cannabinoids
Terpenes
EffectsBehavioral
Short-term memory issues
Learning /Problem-solving
difficulty
Speech slowed
Visual Distortion = Accidents
Paranoia
Severe Anxiety
“Munchies” – Raid vending
machines / steal lunches
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FRONTAL LOBE
Executive functions, thinking, planning,
organizing, problem solving, emotions, behavior
and impulse control, personality
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National Institutes of Health
More than 100 controlled clinical trials since 1975 (as of 2012)…
Cannabis use linked to…
Schizophrenic psychosis
Adult-onset bipolar d/o
Severe memory impairment, esp. long-term
Addiction/withdrawal
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Pros and Cons of (Medicinal) Marijuana Legislation
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Pros
Revenue generation
Decreased support for the black market
Improvement in law enforcement efficiency
Effective against intractable diseases
Alternative to pain management
Considered by many to be a victimless crime
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JAMA Internal Medicine
Research by the University of Pennsylvania found that states with MM laws (1999 – 2010)…
Had fewer opiate OD deaths,
averaging 20 percent after first year
and 33 percent decrease after 5th year
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FBI UCR
From 1990 to 2006, crime in all 50 states was analyzed and compared to the 11 states where
medical marijuana had been legalized…
No significant increase in the following crimes
was noted:
murder, rape, assault, robbery, burglary, larceny,
auto theftThe Marijuana Movement
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National Vital Statistics System
Examined the effects of legalizing medical marijuana and suicide rates (1990 – 2007)…
States with MM laws experienced a 10.3%
average reduction in men in their 20s and 30s.
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Cons
Destigmatizing a federally-illicit substance
Many argue that it is addictive
Changes behavior, alters perceptions
Use may lead to other, more dangerous drugs
Risk of diversion by children increased
Exposure to second-hand smoke
Damage to brain, lungs, and heart
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National Institute on Drug Abuse
Analyzed drunk-driving data (May 2015)…
- 12.6% of drivers test positive for THC
- Nearly impossible to control and test
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Rocky Mountain High Intensity Drug Trafficking Area
2015 report
- From 2011 – 2013, Marijuana-related ER
visits increased 57%
- Marijuana-related school suspensions and
expulsions up 30%+
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Pennsylvania’s “Medical Marijuana” LawAct 16, Public Law 84, Title 35
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How to get a medical marijuana card in California
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14 Chapters
89 Sections
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Chapter 1 – Preliminary Provisions~
Section 102 – Declaration of policy
“The General Assembly finds and declares as follows:
Scientific evidence suggests that medical marijuana is
one potential therapy that may mitigate suffering in
some patients and also enhance quality of life.”
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Chapter 3 – Program~
Section 303 – Lawful use of medical marijuana
Patients MUST…
Receive certification from their healthcare practitioner
Have a “serious medical condition”
Possess a valid ID card
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“Serious Medical Conditions” covered
~
ALS
Autism
Cancer
Crohn’s Disease
Chronic, intractable pain
Epilepsy
Glaucoma
HIV/AIDS
Huntington’s Disease
IBD
Intractable Seizures
Multiple Sclerosis
Neuropathies
Parkinson’s Disease
PTSD
Sickle cell anemia
Spinal cord damage
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Routes of administration….
Pill
Oil
Topical gels, creams, ointments
Vaporization or nebulization
Tincture
Liquid
Smoke Illegal
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Chapter 4 – Practitioners~
Section 401 – Practitioner registration
Physicians MUST…
Apply for registration
Have the proper credentials
Take a 4-hour course
Access Rx drug monitoring program prior to issuing cert.
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Practitioners can NOT….
- Hold a direct interest in a MM organization
- Advertise their services
- Issue certification to a patient w/o “serious medical
condition”
- Issue cert. for their own use or a family or household
member
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Chapter 5 – Patients~
Section 501 – Identification cards
Cards valid for 1 year
Can be further restricted by physician
Under 18 must have a caregiver
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Chapter 5 – Patients~
Section 505 – Prohibitions
A patient may NOT…
Operate the following “under the influence” with more than
“10 ng/ml of active THC” in the blood:
- Chemicals that require a permit
- High-voltage electricity
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Chapter 5 – Patients~
Section 505 – Prohibitions
A patient may NOT…
Perform employment duties at heights or confined spaces
Life-threatening tasks deemed by employer
Public health or safety risk deemed by employer
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Chapter 6 – Medical Marijuana Organizations~
Section 601 – Medical marijuana organizations
- Growers/processors (up to 25)
- Dispensaries (up to 50)
*Both must submit applications
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Chapter 7 – Medical Marijuana Controls~
Section 704 – Laboratory
Growers/processors and dispensaries MUST…
- Contract with independent laboratory to test MM produced
- Set reasonable price-per-dose for MM
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Chapter 8 – Dispensaries~
Section 801 – Dispensing to patients and caregivers
Dispensaries MUST…
- Have a physician onsite during business hours
- Provide no more than a 30-day individual-dose supply
- Not be located within 1,000 ft of schools or day-care centers
- Provide safety insert and warning statement
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Chapter 9 – Tax on Medical Marijuana~
Section 902 – Medical marijuana program fund
All fees discussed previously
5% tax on gross receipts of grower/processor, paid quarterly
40% of revenue to state dept. operations
15% to cover patients with hardships who need MM
10% to DDAP for D&A abuse and prevention
30% to research into MM
5% to Law Enforcement
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Presented By:
Ryan West, MS, CFI724.825.1101 cell
Questions ???