Monday 26 February 2018

Trump Wants Death Penalty For Drug Dealers, Report Says

















President Trump often “leaps into a passionate speech about how drug dealers are as bad as serial killers and should all get the death penalty,” five sources told news site Axios.

The president, inspired by Singapore and other countries that use capital punishment for drug crimes, “would love to have a law to execute all drug dealers,” according to the report.

He believes we’ve “got to make drug dealers fear for their lives” because a more health-focused approach “will never work,” the exclusive by Axios says.

Last year, a leaked phone transcript quoted Trump praising Philippines President Rodrigo Duterte’s bloody “war on drugs,” which has led to thousands of extrajudicial killings.

“I just wanted to congratulate you because I am hearing of the unbelievable job on the drug problem,” the American president was quoted as saying. “Many countries have the problem, we have a problem, but what a great job you are doing and I just wanted to call and tell you that.”

This month, the International Criminal Court launched an initial inquiry into that nation’s drug war killings.

Bloody Drug War At Home?

In recent weeks, Trump has delivered a series of curious comments about his vision for the U.S.’s domestic drug enforcement policies.

At a signing ceremony for a bill providing drug screening technology to border patrol agents, he ominously suggested he has a solution to drug problems in mind that he’s not sure the county is ready for yet:
“So we’re going to sign this. And it’s a step. And it feels like a very giant step, but unfortunately it’s not going to be a giant step, because no matter what you do, this is something that keeps pouring in. And we’re going to find the answer. There is an answer. I think I actually know the answer, but I’m not sure the country’s ready for it yet. Does anybody know what I mean? I think so.”


At a separate event last month, he said that other countries respond to drug issues with “very, very tough measures,” adding: “We don’t. We’re not prepared to do that, I guess, they say, as a country.”

According to the new Axios report, Trump would “love to have a law to execute all drug dealers here in America, though he’s privately admitted it would probably be impossible to get a law this harsh passed under the American system.”

During his State of the Union address last month, the president pledged to get “much tougher on drug dealers and pushers.”

Trump Used To Support Legalization

The overall sentiment clashes sharply with pro-legalization comments

“You have to take the profit away from these drug czars… What I’d like to do maybe by bringing it up is cause enough controversy that you get into a dialogue on the issue of drugs so people will start Trump made in 1990.

“We’re losing badly the war on drugs. You have to legalize drugs to win that war,” he said at the time
to realize that this is the only answer; there is no other answer.”

Presidential counselor Kellyanne Conway, who heads up anti-drug efforts for the administration, told Axios that Trump “makes a distinction between those that are languishing in prison for low-level drug offenses and the kingpins hauling thousands of lethal doses of fentanyl into communities, that are responsible for many casualties in a single weekend.”

Expect policy announcements “in the not-too-distant future” on the administration’s plans to “get tough on drug traffickers and pharmaceutical companies,” Axios said.

Although Trump repeatedly pledged during the 2016 presidential campaign to respect state marijuana laws if elected, Attorney General Jeff Sessions moved last month to rescind an Obama-era memo that has generally cleared the way for local cannabis policies to go into effect without federal interference.

Jeff Sessions' War on Marijuana May Be Validated With This New Data

Some states with legalized marijuana may have been in clear violation of the Cole memo, giving Sessions all the ammo he needs to go after the weed industry.

Sean Williams 
 
Few industries have grown with the speed and consistency of legal marijuana in recent years.

Depending on the source, the legal cannabis industry is growing at between 23% and 35% annually, with North American sales estimated to push well past $20 billion a year by 2021. With numbers this large, it's no wonder why investors have piled into pot stocks and pushed their valuations considerably higher.

Support for cannabis has also shifted dramatically in what could be considered a relatively short time period. Gallup, which has polled Americans on their perception of weed since 1969, found this past October that 64% of respondents supported the national legalization of pot. Comparatively, only 25% of respondents supported the same idea in 1995, just 22 years earlier. Other polls have all demonstrated similar support for legalization in the United States.

An indoor cannabis grow farm.
Images source: Getty Images.

Marijuana's scheduling makes life difficult for U.S.-based pot businesses

Yet, in spite of this clearly defined public support, the marijuana engine in the U.S. is stuck in neutral. Though sales have grown in the 29 states to have legalized weed in some capacity, the federal government hasn't budged on its view that marijuana is a schedule I substance. As a schedule I drug, it's deemed as wholly illegal, highly prone to abuse, and is also categorized as having no recognized medical benefits.

This bifurcation between federal law and state law creates a slew of problems for the U.S. weed industry. For instance, most cannabis companies have little or no access to financial services. They can't get loans or even open a checking account. This is because financial institutions report to the Federal Deposit Insurance Corporation, a federally created entity (and pot is illegal at the federal level). If found to have offered financial services to pot businesses, banks could face criminal and/or financial penalties.

Marijuana businesses are also financially constrained by U.S. tax code 280E, which disallows companies that sell a federally illegal substance from taking normal corporate income-tax deductions. The result, for profitable weed companies at least, is an effective tax rate that can range as high as 70% to 90%. This leaves little wiggle room to hire new workers and expand a business.

Jeff Sessions addressing an audience from behind a lectern with six people standing behind him.
Jeff Sessions addressing an audience. Image source: Jeff Sessions' Senate webpage.

Jeff Sessions brings the war on marijuana to Washington, D.C.

At the heart of this opposition is Attorney General Jeff Sessions. Sessions hasn't minced words when describing his feelings toward pot, suggesting that "good people don't smoke marijuana." He's also intimated (in summary) that marijuana is no cure for the opioid crisis. In fact, Sessions has blamed marijuana, among other illicit drugs, for giving rise to the opioid epidemic.

Last year, Sessions sent a letter to a few of his fellow lawmakers requesting that they repeal the Rohrabacher-Farr Amendment (also known as Rohrabacher-Blumenauer), which is what protects medical marijuana businesses from federal prosecution. His attempts to repeal this federal spending measure haven't been successful thus far.

However, Sessions was successful in rescinding the Cole memo, effective Jan. 4, 2018. The Cole memo, which was drafted by former Deputy Attorney General James Cole in August 2013, set out a series of "rules" that states with legalized marijuana would abide by in order to keep the federal government off their backs. Sessions' removal of this memo clears the way for state-level attorney generals to use their discretion when bringing cannabis charges against businesses and people.

Though Sessions' rescinding of the Cole memo was viewed as the first official strike in his war on marijuana, it turns out he might have a very valid reason to have made such a move.

A book on federal and state marijuana laws next to a judge's gavel.
Image source: Getty Images.

Surprise! Sessions may be validated in rescinding the Cole memo

When the Cole memo was written and implemented, it set out regulatory guidelines that states needed to follow to satiate a federal government that still deemed pot illegal. These guidelines include, as written in the memo:
  • Preventing the distribution of marijuana to minors;
  • Preventing revenue from the sale of marijuana from going to criminal enterprises, gangs, and cartels;
  • Preventing the diversion of marijuana from states where it is legal under state law in some form to other states.
Though there are eight bullet-point guidelines, these first three were far and away the most important. It could be argued that regulated weed industries have done well to keep criminal enterprises out, as well as keep adolescent use down. However, diversion does appear to be an issue, at least in Washington state.

According to a recent report from the Seattle Times, cannabis appears to be leaving Washington's borders into adjacent states. Corporal Curt Sproat of the Idaho State Police told the Seattle Times that 1,375 pounds of pot were seized last year during traffic stops where more than a pound was collected.

That was nearly triple the 507 pounds of weed recovered in 2016. By his estimation, 2018 is on track to blow what was seized in 2017 out of the water. It should also be pointed out that there's usually no clear way to trace the origin of this seized cannabis, so it could just as easily be illicitly grown, or from other sources than Washington.

Similarly, Oregon's U.S. attorney general has suggested that marijuana leaving his state is a problem, and it's one he's looking at resolving quickly.

The issue behind the diversion of legally grown cannabis to other states is overproduction. With harvests yielding more than ever as additional growers have entered the picture, wholesale prices have plunged. That could, in some regulators' eyes, push growers to move their product to illicit markets. Even though growers risk prosecution by doing so, it may still be happening, especially in Washington state, which has switched to a new, and purportedly less effective, system of tracking pot from seed to retailer in the past three months.

Regardless of people's opinion on cannabis, diversion clearly violates the Cole memo guidelines and gives Sessions full authority to reintroduce the superseding federal law.

Jars filled with cannabis stacked on each other.
Image source: Getty Images.

Blockchain may resolve diversion issues, but clear divisions remain

Interestingly enough, blockchain -- the digital, distributed, and decentralized ledger that underpins virtual currencies and is responsible for recording all transactions -- might be the solution to marijuana's often murky supply chains. Being a transparent and immutable ledger, blockchain would offer a means to track a product from start to finish in real-time. Emerald Health Therapeutics (NASDAQOTH:EMHTF), a Canadian cannabis grower with up to 5.8 million square feet of growing capacity, recently announced that it was finalizing a joint venture with DMG Blockchain Solutions, to be known as CannaChain Technologies, that'll offer supply chain solutions to the cannabis industry.

For instance, Emerald Health's blockchain solutions joint venture could offer more transparency for auditors, as well as ensure that state governments are collecting their fair share of taxes. It would also provide immutable record-keeping to ensure that no grown cannabis is leaving a state for an adjacent state.

But even with blockchain, there's no guarantee that the deep-rooted bifurcation between the federal government and states would be solved. As long as Sessions is in office, there's virtually no chance of marijuana being rescheduled at the federal level. A recently filed lawsuit may offer a glimmer of hope for change, but Sessions seems set in his ways that expansion of the industry in any form isn't an option.

Is Smoking Marijuana The Key To Happiness?

Marijuana smokers tend to enjoy the outdoors, earn higher wages and volunteer more.

Friday 23 February 2018

'The UK needs to overturn illogical laws and legalise cannabis'

Nawaz says legislation is "outdated" as a mother urges the Government to allow her six-year-old son to be treated with the drug.

Maajid Nawaz is calling for the legalisation of cannabis
Image: Maajid Nawaz is calling for the legalisation of cannabis
Cannabis needs to be legalised in the UK for both medicinal and recreational use to help the sick and undercut criminal gangs, writes The Pledge panellist Maajid Nawaz.

One of the most illogical and outdated pieces of British law that currently exists is the ban on cannabis.

Now, a mother is urging the Government to allow her six-year-old son to be treated with the drug for a rare form of epilepsy.

Alfie Dingley suffers up to 30 fits a day. But his seizures were cut in number and severity when he was treated with cannabis oil in the Netherlands.

Undated family handout photo issued by Maggie Deacon of Alfie Dingley, MPs have called on the Home Secretary to issue a medical cannabis licence to the six-year-old whose rare form of epilepsy improves after taking the drug
Image: Alfie Dingley's use of medical cannabis treatment is said to ease his seizures
But ridiculously, his mum faces a 14-year jail sentence if she gives Alfie the oil in Britain.
What is this poor mother to do?

The war on drugs has failed.

It's time to legalise cannabis - for medicinal purposes but also for recreational use. It will help the sick, raise taxes, undercut criminal gangs and keep people safe.

Fury over commons ‘filibustering’ as Labour MPs turn on each other on cannabis bill




Fury over commons ‘filibustering’ as Labour MPs turn on each other on cannabis bill

A furious debate over MPs’ behavior in Parliament has erupted after a bill on cannabis reform was narrowly avoided in the House of Commons. And Twitter has exploded.

Labour MP Paul Flynn was visibly astounded today as his colleagues – on both sides of the house – took so long to discuss other private members’ bills, they ran short of time to address the cannabis reform bill he brought forward.

Flynn, along with many Tory MPs, is calling for an urgent review of cannabis law as sick people in the UK have no access to the Class B drug which could relieve their pain. Social media users, as well as Flynn, accused MPs of “filibustering” – or talking for so long a vote or debate cannot be held.

However, when he accused his colleagues of the practice, Epping Forest Tory Eleanor Lang snapped at him from the speaker’s chair. Flynn took aim at his Labour colleague, Sandy Martin MP, who he said talked so long the bill was avoided.

Social media users were infuriated. Many are waiting to find out about cannabis reform to help with the pain suffered by loved ones.

Cannabis could be legalized for medicinal use in Britain within the next two years, a leading campaign group has claimed, as the UK parliament is set to consider a bill dealing with the class-B drug.

Despite this, there is a growing feeling among cannabis campaigners that the UK will soon pass legislation to allow for the use of medicinal marijuana. Speaking exclusively to RT, Peter Reynolds from Clear said a number of Tory MPs are now backing the use of the class-B drug to treat people with cancer and epilepsy.

“It is very unlikely the second reading will be heard, most of them never get heard because there’s simply no time for it,” he said. “[But] more Tory MPs are beginning to support cannabis law reform. 

This is not something which will happen under Theresa May, because she is talking about a ‘war on drugs.’ Once she has gone, I believe laws could be reformed within two years – perhaps within a year.”

MPs are scheduled to debate the second reading of the private members’ bill on cannabis law reform in parliament, brought by Labour’s Paul Flynn. The bill is currently at the center of a national debate after the heartbreaking story of a child with epilepsy was brought to the attention of the Commons this week.

Conservative MP for Reigate Crispin Blunt asked an urgent question about why the Home Office denied a family's request for a license to treat their son with cannabis, which reduces his epileptic fits dramatically.

The UK government argues that medicinal cannabis must go through the same rigorous testing that is applied to regular medicine. Some law makers argue legalization will increase the use of cannabis for recreation. “Cannabis medicine contains 500 different molecules, all the other medicines, around 99 percent, contain one molecule,” Reynolds explained.

“You cannot apply the same process of regulation to single-molecule medicine for a medicine with 500 molecules. This is absurd. It is simply an excuse. The difference is recognized in other countries. In Holland, they have an Office for Medicinal Cannabis (OMC). There are also separate authorities in the US.

“Here, this government is just using the excuse of regulation to push cannabis through a system of medical trials costing tens of millions of pounds. We are talking about probably the oldest medicine known to man. There is archaeological evidence we have been using cannabis as medicine for 10,000 years. That’s the longest clinical trial of a medicine in history.”

However, Reynolds was keen to assert that cannabis “is not the miracle cure that many people claim, and it does not cure cancer. It has been proven it does help with palliative patients, it does help with chemotherapy, and it does help with epilepsy. There are now tens of thousands of cases to prove this.”

Marijuana: Good or bad?



According to the National Institutes of Health, people have used marijuana, or cannabis, to treat their ailments for at least 3,000 years. However, the Food and Drug Administration have not deemed marijuana safe or effective in the treatment of any medical condition.
 
a man holding a marijuana leaf
Marijuana is being increasingly legalized in the U.S., but is it safe?
 
This tension, between a widespread belief that marijuana is an effective treatment for a wide assortment of ailments and a lack of scientific knowledge on its effects, has been somewhat exacerbated in recent times by a drive toward legalization.

Twenty-nine states plus the District of Columbia have now made marijuana available for medical — and, in some states, recreational — purposes.

A recent study published in the journal Addiction also found that use of marijuana is increasing sharply across the United States, although this rise may not be linked to the legalization of marijuana in participating states. Nevertheless, this rise in use is prompting major public health concerns.

In this article, we look at the scientific evidence weighing the medical benefits of marijuana against its associated health risks in an attempt to answer this simple question: is marijuana good or bad?

What are the medical benefits of marijuana?

Over the years, research has yielded results to suggest that marijuana may be of benefit in the treatment of some conditions. These are listed below.

Chronic pain

Last year, a large review from the National Academies of Sciences, Engineering, and Medicine assessed more than 10,000 scientific studies on the medical benefits and adverse effects of marijuana.
One area that the report looked closely at was the use of medical marijuana to treat chronic pain. Chronic pain is a leading cause of disability, affecting more than 25 million adults in the U.S.
The review found that marijuana, or products containing cannabinoids — which are the active ingredients in marijuana, or other compounds that act on the same receptors in the brain as marijuana — are effective at relieving chronic pain.

Alcoholism and drug addiction

Another comprehensive review of evidence, published last year in the journal Clinical Psychology Review, revealed that using marijuana may help people with alcohol or opioid dependencies to fight their addictions.

But this finding may be contentious; the National Academies of Sciences review suggests that marijuana use actually drives increased risk for abusing, and becoming dependent on, other substances.

Also, the more that someone uses marijuana, the more likely they are to develop a problem with using marijuana. Individuals who began using the drug at a young age are also known to be at increased risk of developing a problem with marijuana use.

Depression, post-traumatic stress disorder, and social anxiety

The review published in Clinical Psychology Review assessed all published scientific literature that investigated the use of marijuana to treat symptoms of mental illness.

a man feeling depressed
Evidence to date suggests that marijuana could help to treat some mental health conditions.
 
Its authors found some evidence supporting the use of marijuana to relieve depression and post-traumatic stress disorder symptoms.

That being said, they caution that marijuana is not an appropriate treatment for some other mental health conditions, such as bipolar disorder and psychosis.

The review indicates that there is some evidence to suggest that marijuana might alleviate symptoms of social anxiety, but again, this is contradicted by the National Academies of Sciences, Engineering, and Medicine review, which instead found that regular users of marijuana may actually be at increased risk of social anxiety.

Cancer

Evidence suggests that oral cannabinoids are effective against nausea and vomiting caused by chemotherapy, and some small studies have found that smoked marijuana may also help to alleviate these symptoms.

Some studies on cancer cells suggest that cannabinoids may either slow down the growth of or kill some types of cancer. However, early studies that tested this hypothesis in humans revealed that although cannabinoids are a safe treatment, they are not effective at controlling or curing cancer.

Multiple sclerosis

The short-term use of oral cannabinoids may improve symptoms of spasticity among people with multiple sclerosis, but the positive effects have been found to be modest.

Epilepsy

Another study published in 2017 discovered that a marijuana compound called cannabidiol may be effective at easing seizures among children with Dravet syndrome, which is a rare form of epilepsy.

Dravet syndrome seizures are prolonged, repetitive, and potentially lethal. In fact, 1 in 5 children with Dravet syndrome do not reach the age of 20.

In the study, 120 children and teenagers with Dravet syndrome, all of whom were aged between 2 and 18, were randomly assigned to receive an oral cannabidiol solution or a placebo for 14 weeks, along with their usual medication.

MRI scans of the brain
Researchers indicates that marijuana could help to treat epilepsy.
The researchers found that the children who received the cannabidiol solution went from having around 12 seizures per month to an average of six seizures per month. Three children receiving cannabidiol did not experience any seizures at all.

Children who received the placebo also saw a reduction in seizures, but this was slight — their average number of seizures went down from 15 each month before the study to 14 seizures per month during the study.

The researchers say that this 39 percent reduction in seizure occurrence provides strong evidence that the compound can help people living with Dravet syndrome, and that their paper has the first rigorous scientific data to demonstrate this.

However, the study also found a high rate of side effects linked to cannabidiol. More than 9 in 10 of the children treated with cannabidiol experienced side effects — most commonly vomiting, fatigue, and fever.

What are the health risks of marijuana?

At the other end of the spectrum is the plethora of studies that have found negative associations between marijuana use and health. They are listed below.

Mental health problems

Daily marijuana use is believed to exacerbate existing symptoms of bipolar disorder among people who have this mental health problem. However, the National Academies of Sciences, Engineering, and Medicine report suggests that among people with no history of the condition, there is only limited evidence of a link between marijuana use and developing bipolar disorder.

Moderate evidence suggests that regular marijuana users are more likely to experience suicidal thoughts, and there is a small increased risk of depression among marijuana users.

Marijuana use is likely to increase risk of psychosis, including schizophrenia. But a curious finding among people with schizophrenia and other psychoses is that a history of marijuana use is linked with improved performance on tests assessing learning and memory.

Testicular cancer

Although there is no evidence to suggest any link between using marijuana and an increased risk for most cancers, the National Academies of Sciences did find some evidence to suggest an increased risk for the slow-growing seminoma subtype of testicular cancer.

Respiratory disease

Regular marijuana smoking is linked to increased risk of chronic cough, but "it is unclear" whether smoking marijuana worsens lung function or increases the risk of chronic obstructive pulmonary disease or asthma.

A 2014 study that explored the relationship between marijuana use and lung disease suggested that it was plausible that smoking marijuana could contribute to lung cancer, though it has been difficult to conclusively link the two.

The authors of that study — published in the journal Current Opinion in Pulmonary Medicine — conclude:
"There is unequivocal evidence that habitual or regular marijuana smoking is not harmless. A caution against regular heavy marijuana usage is prudent."
"The medicinal use of marijuana is likely not harmful to lungs in low cumulative doses," they add, "but the dose limit needs to be defined. Recreational use is not the same as medicinal use and should be discouraged."

So, is marijuana good or bad for your health?

There is evidence that demonstrates both the harms and health benefits of marijuana. Yet despite the emergence over the past couple of years of very comprehensive, up-to-date reviews of the scientific studies evaluating the benefits and harms of the drug, it's clear that more research is needed to fully determine the public health implications of rising marijuana use.

marijuana
More research is needed to confirm the harms and benefits of marijuana use.
Many scientists and health bodies — including the American Cancer Society (ACS) — support the need for further scientific research on the use of marijuana and cannabinoids to treat medical conditions.

However, there is an obstacle to this: marijuana is classed as a Schedule I controlled substance by the Drug Enforcement Administration, which deters the study of marijuana and cannabinoids through its imposition of strict conditions on the researchers working in this area.

If you happen to live in a state where medical use of marijuana is legal, you and your doctor will need to carefully consider these factors and how they relate to your illness and health history before using this drug.

For instance, while there is some evidence to support the use for marijuana for pain relief, you should certainly avoid marijuana if you have a history of mental health problems.

Remember to always speak to your doctor before taking a new medicine.

10 Surprising Places Where Smoking Marijuana Is Totally Fine

By Joseph Misulonas

We like to think that America is a progressive nation with open and fair laws for everyone. But when it comes to marijuana, we still lag behind many nations. And we’re not just talking about The Netherlands and western Europe. 

Here are 10 surprising countries where marijuana use is tolerated
10. Cambodia
Marijuana use is actually pretty widespread in Cambodia. In fact, there are even places called “Happy Restaurants’ where they cook food using cannabis. Sounds like a pretty sweet place to eat.
9. Costa Rica
Costa Rica actually has decriminalized marijuana and there’s no limit on how much a person can possess at one time either. Of course you should probably limit yourself to an amount that won’t make people think you’re a drug trafficker.
8. Croatia
While selling marijuana is still illegal in the country, possession of the drug only results in a small fine. They also film parts of Game of Thrones there, so that sounds like a pretty great vacation spot.
7. Estonia
Estonia also has pretty lax marijuana possession laws. As long as you possess less than 7.5 grams, you’re good to go. But anymore could land you in prison for five years, so measure carefully.
6. Nepal
Marijuana actually has a strong cultural connection in Nepal. For centuries they’ve used the drug in religious ceremonies, whether that’s by smoking it or by infusing it in their beverages.
5. Iceland
It’s maybe not entirely surprising that people in Iceland like marijuana, but it’s more surprising how much they like it. One UN report says Iceland is the country with the highest percentage of cannabis users in the entire world!
4. Russia
As much as we like to portray Russia as an evil, authoritarian regime, nationally they actually have more relaxed laws when it comes to marijuana than the United States. It’s legal to possess up to six grams of the drug. That said, it’s best to probably not push the envelope while you’re there.
3. Uruguay
With all the attention on U.S. states and Canada legalizing marijuana, you may not know that Uruguay has actually fully legalized recreational marijuana.
2. Pakistan
Technically, using marijuana is illegal in Pakistan. But it’s largely tolerated. In fact, growing cannabis is legal in the country and is an important export for many of nation’s farmers. But we still wouldn’t recommend visiting there any time soon.
1. North Korea
Now, we 100 percent do not recommend you travel to North Korea. That would not end well. But, they do have a relaxed position on marijuana. The North Korean government does not classify cannabis as a drug and it supposedly grows openly throughout the country. Some say you can even walk into grocery stores and buy it, and there’s no taboo against it either. 

But again, do not visit North Korea.

Wednesday 21 February 2018

Meet the Lawyer Suing Jeff Sessions to End Cannabis Prohibition

Sara Brittany Somerset

Iraq war veteran Jose Belen, who takes marijuana to treat post-traumatic stress disorder, stands in front of federal court in New York. Belen is one of five plaintiffs challenging federal marijuana laws a lawsuit that claims classifying marijuana as a dangerous drug is irrational and unconstitutional. (Mark Lennihan/AP)
 
Last week, in a lawsuit that could put an end to federal cannabis prohibition, a federal judge in New York acknowledged the healing potential of medical marijuana. “It’s saved a life,” he said, referring to a Colorado girl with epilepsy. “She has no more epileptic seizures.”


The judge then turned to lawyers for the federal government, who have argued that cannabis is a dangerous drug with no accepted medical benefit. “If there is an accepted medical use,” he told them, “your argument doesn’t hold.”

The five plaintiffs have clearly obtained, and are able to maintain, a better quality of life because of cannabis.
 
David C. Holland, lead plaintiffs' attorney
The case of Washington v. Sessions has generated great interest. Five plaintiffs, including former NFL player Marvin Washington; 12-year-old Colorado medical refugee Alexis Bortell; youngster Jagger Cotte; US military veteran Jose Belen; and the Cannabis Cultural Association, a nonprofit that helps people of color benefit from cannabis in states where it’s legal, have challenged the constitutionality of the classification of marijuana under the federal Controlled Substances Act. The case, filed in 2017, finally received its first hearing in federal court last week, when US District Court Judge Alvin Hellerstein heard the federal government argue for the case’s dismissal.

Leafly sat down with David C. Holland, the lead attorney representing plaintiffs in the suit, following the Feb. 14 hearing. Holland is a litigator in New York City and the executive and legal director of Empire State NORML. He’s former counsel to High Times Magazine and a member of the New York Cannabis Bar Association.

Holland walked us through what’s at stake in the lawsuit and the significance of the government’s recent effort to dismiss it.

Leafly: Why have the plaintiffs sued US Attorney General Jeff Sessions?

Holland: The five plaintiffs have sued Sessions and the DEA to declare the classification of cannabis under the Controlled Substances Act unconstitutional on claims it violates their rights, including that to travel, to be engaged in business’ interests, and to be free from racial discrimination and in enforcement of the law against communities of color. The federal government denies those claims and has moved to dismiss the action.

What are the main components of the Controlled Substances Act? Take us through its procedural history.

In 1970, the federal Controlled Substances Act established five classifications, from Schedule I to V, ranging from prohibited to prescription, which classify and categorize drugs and how they may be researched, used, and administered. Marijuana was placed in Schedule I, the most restrictive category, based upon three criteria: high risk of abuse, no medical efficacy or use, and no ability to use or research it in a safe manner. Cannabis has never been rescheduled since 1970.

He was clearly wrestling with the reality that 30 states have already found cannabis to be a useful medical treatment, which directly contradicts one of the criteria of the CSA.
 
That Schedule I classification of cannabis can be changed by one of three ways: through an act of Congress, an act of the US attorney general, or an act of the FDA. Within the CSA is an administrative remedy where anyone can petition the FDA to have cannabis rescheduled where it would no longer be prohibited in that most restricted classification.

If anyone can petition the FDA, why haven’t more patients done so?

The petitioning process can take years, if not a decade to get an FDA determination on a rescheduling request. The FDA has repeatedly denied those petitions, as recently as 2013 (Americans for Safe Access v. FDA), and 2016 (Krumm Petition), finding that cannabis still should sit as a Schedule I substance based on those three criteria.

Tell us a bit more about the plaintiffs.

Three of the plaintiffs in the Washington case—Alexis Bortell, Jagger Cotte, and Jose Belen—suffer life-threatening or severely debilitating diseases. They are seeking to bypass the FDA’s administrative petitioning process in order to get more immediate relief, because they may not live long enough to otherwise await and hear the determination.

The CSA petitioning process does not have any realistically viable means for them to expedite review of a petition to bring relief to their life-altering and life-threatening circumstances. Therefore, for them, the petitioning process is futile. They seek relief from the federal court for the CSA’s violation of their constitutional rights, with regard to this medicine as well as redress of other violations and due process.

The government has moved to dismiss the plaintiffs’ claims on a multitude of theories rather than put in an answer to the claims and let them be heard and determined by the judge or jury.

On Feb. 14, Judge Hellerstein entertained written opposition to the motion to dismiss and heard oral argument from the parties. At the conclusion of oral argument, the judge reserved his decision and retired to his chambers to deliberate and draft an opinion about all the legal issues he was wrestling with in regard to motion.

Why did Judge Hellerstein seem so conflicted when speaking in court?

He was clearly wrestling with several legal issues pertaining to the Controlled Substances Act, and the reality that 30 states have already found cannabis to be a useful medical treatment, which directly contradicts one of the criteria of the CSA.

The first issue is referred to in legal terms as “exhaustion of remedies.” That is, the judge may be considering whether he must defer to the prior decisions of the FDA regarding the scheduling of cannabis. The government based its dismissal motion in part on a claim that the five plaintiffs had failed to exhaust their administrative remedies under the CSA. In other words, because no petition had first been filed with the FDA to reschedule cannabis, [the government argued that the court] does not have the jurisdiction to entertain the claims of the plaintiffs. Thus, their reasoning goes, the case should be dismissed.

Judge Hellerstein, however, did not seem particularly swayed by that argument. Several federal criminal cases have found that there is no requirement to file a petition to exhaust that administrative petition remedy when there are claims that constitutional rights are being violated by the enforcement of cannabis as a Schedule I drug under the CSA. That rule was upheld in late 2017 by the federal court in upstate New York, in a case known as US v. Green, which caused Judge Hellerstein to pause during the course of oral argument.

Do you think that was Hellerstein’s primary concern?   

Not really. The issues that seemed to trouble Judge Hellerstein the most about the CSA petition process was whether he, as a judge, was without jurisdiction to hear, or must defer to, the administrative agency role of the FDA and prior findings in 2013 and 2016. In those findings, the FDA determined that cannabis was properly classified as a Schedule I substance.

If he did have such jurisdiction, could he then stand in the shoes of the FDA and make his own determination about the propriety of that schedule?

He further was concerned about any restrictions on the court’s analysis of the language of the statute, and the proper evidence to be evaluated, to determine whether the three criteria of Schedule I status continues to be met by cannabis. Some of the factors he noted included the fact that 30 states have legalized marijuana for medical purposes; the federal government has filed a patent on certain cannabinoids from the cannabis plant; and the five plaintiffs have clearly obtained, and are able to maintain, a better quality of life because of [medical cannabis].

The language of the CSA regarding the three scheduling criteria seems straightforward.

It is straightforward as “conjunctive,” in that cannabis seemingly must satisfy each and every one of the three factors to qualify as a Schedule I substance. The failure to satisfy any one of those factors renders the designation void. In other words, if the plaintiffs prove that cannabis fails to meet any one of the three criteria, [then the question becomes: Is the court] required to declare the Schedule I classification null and void?

What seemed to concern Judge Hellerstein was that generally, when a federal court reviews an agency’s determinations, like those of the FDA, and that agency has repeatedly determined that cannabis satisfies the Schedule I criteria, the court must generally evaluate and disjunctively weigh all the factors in the aggregate to determine if they are satisfied with the intent of the criteria and classification.

This was a concern to the court in the Green case I mentioned earlier. It also troubled the Eastern District of California court in the US v. Picard case. In Picard, the court allowed a five-day hearing of evidence on the science behind the Schedule I classification, and then ultimately concluded that any determination to reschedule cannabis is best left to Congress.

Do you think Hellerstein will defer to Congress?

This quandary of whether to defer to Congress invokes the “political question” doctrine, which says courts should generally not make decisions that are political in nature and best left to the legislative process. It is difficult to tell where Judge Hellerstein will ultimately fall on this political question issue. But he surely will wrestle with the fact that 30 states have already legalized cannabis despite its Schedule I status. That means that as a matter of politics, the actions of Congress should already have responded to the legislative actions already taken by an overwhelming majority of the states.

One argument advanced by your lawsuit is that the Controlled Substances Act and federal law enforcement should not govern cannabis in the 30 legalized states.

That is correct. The plaintiffs argue that although Congress may regulate interstate commerce—a.k.a. the commerce clause—between the states, the state-based activity of medical marijuana in those 30 states does not impact upon interstate commerce. Judge Hellerstein seemed to dismiss the argument out of hand, citing federal case law which finds that even a negligible or de minimis impact on commerce is enough to give the federal government jurisdiction over the issue.

There was also the argument about racism and equal protection under the law. While the history of cannabis prohibition, ignited by former federal drug czar Harry Aslinger, wasn’t addressed in court, President Nixon and his administration’s racist motivations for instituting the Controlled Substances Act were definitely called into question. Hellerstein seemed dismissive of the Nixon argument. How is Nixon’s racism still a contributing factor to the Controlled Substances Act? 

It is unclear how Judge Hellerstein will rule on this “as applied” claim of the Cannabis Cultural Association (CCA). The CCA brought a claim on behalf of their members of color, who were disproportionately targeted for prosecution for marijuana offenses under the CSA. People of color unequally suffered collateral consequences stemming from those convictions as a result.

Judge Hellerstein seemed unpersuaded by statements of President Richard Nixon and his advisor, John Ehrlichman, which made clear that the criminalizing of marijuana under the CSA was done as a means to suppress minorities and social dissent against the Vietnam War. Judge Hellerstein suggested that any racist tendencies of the Nixon administration were not attributable to Congress under the separation of powers doctrine—where the powers of one branch of government are not affected by the actions of another. While there are compelling arguments to the contrary, which were not heard during the hearing, the plaintiffs hope that the issue is revisited in Judge Hellerstein’s opinion. Since so much of that claim seems to be a question of fact that will require lots of discovery and information to be tendered by the government, however, it’s unlikely to be the primary focus of the judge’s anticipated decision.

It seems that there are various possible outcomes. Do you think Hellerstein will dismiss the case? He hinted that he was going to kick the case to the Second Circuit Court.

There are three possible resolutions to the federal government’s motion to dismiss. Firstly, there is the potential dismissal of the claims. Secondly, Judge Hellerstein could deny the motion, and all claims will proceed to trial. Or, lastly, some mixture of the two.

Based on the comments and concerns [expressed by the] court, there is a possibility that the court will follow the precedent of the district courts in Picard and Green and find this to be a political question.

However, if Judge Hellerstein finds that there are some claims that may be dismissed but [that] others are tenable, then there is a strong possibility that the court will berate both the FDA and Congress for failing to reschedule or deschedule cannabis, especially in light of the fact that 30 states have found that there is medical validity to marijuana. After all, as he openly stated, the plaintiffs are the best evidence of the effectiveness of cannabis as a medical cure.

For now, we will just have to wait and see. A ruling is expected as soon as this coming week.

Weed Or Booze? Scientists Finally Settle Which Is Worse For Your Brain

By Madison Dapcevich

Potheads and boozehounds have been duking it out for ages, and scientists have finally settled the age-old debate of whether marijuana or alcohol use is worse.

Drum roll, please.
Sorry boozers. It turns out, marijuana may not be as damaging to the brain as previously thought.

Researchers examined the brains of more than 1,000 participants of varying ages by looking at neurological imaging data from MRI scans. Specifically, they used the data to examine the types of tissues that make up the brain: gray and white matter. Gray matter includes cell bodies that, among other things, enable functionality, while white matter allows everything to communicate. A loss of either would mean the brain isn’t working properly.

The team found that marijuana and cannabinoid products did not have long-term effects.

Alcohol, on the other hand, was significantly associated with a decrease in gray matter size and white matter integrity, especially in adults with decades of exposure. The findings are published in the journal Addiction.

Yes, booze brain is a thing. The negative impacts of alcohol on the brain have been known for years, and it was assumed cannabinoids were damaging to long-term brain health as well because of their immediate psychoactive effects.

"With alcohol, we’ve known it’s bad for the brain for decades," said co-author of the study Kent Hutchison in a statement.  "But for cannabis, we know so little.”

A lot of past research studying the negative effects of marijuana came up with differing results said Hutchison, who is a professor of behavioral neuroscience at the University of Colorado (CU) Boulder.

"The point is that there’s no consistency across all of these studies in terms of the actual brain structures,” he said.

Don’t go running to the nearest dispensary just yet. Researchers say this doesn’t mean pot is better for you or that the study proves any health benefit of toking up. It just means the impacts of lighting up might be less than what was previously believed.

"Particularly with marijuana use, there is still so much that we don't know about how it impacts the brain," said Rachel Thayer, a graduate student in clinical psychology at CU Boulder and the lead author of the study. "Research is still very limited in terms of whether marijuana use is harmful, or beneficial, to the brain."

The researchers say the study could help to better inform potential alternative pain treatments in the face of the ongoing opioid epidemic.

Monday 19 February 2018

Government REFUSES to allow epilepsy lad suffering '30 fits a day' vital cannabis meds

A SIX-YEAR-OLD boy who suffers from an extreme form of epilepsy has been refused permission by the Home Office to use cannabis oil to ease his symptoms.

Hayley Coyle


Alfie Dingle  
Maggie Deacon/PA Wire
REFUSED: The government will not issue Alfie with a licence to use cannabis oil 
 
The family of little Alfie Dingle, who sometimes has up to 30 seizures a day, feel the oil has changed his existence from a “death sentence” to a “normal life with school, friends and fun”.

He has been taking it in the Netherlands, where it is legal.

Yesterday MPs called on the Home Office to issue him with a licence to use cannabis oil after learning how drastically it has improved his condition.

But the government has ruled out allowing Alfie’s parents to bring the drug into the UK.
Alfie Dingle with his mum Heather Deacon
Maggie Deacon/PA Wire
MEDICINAL: The oil prevents Alfie from having 30 fits a day
 
In a statement, a Home Office spokesman said: "We recognise that people with chronic pain and debilitating illnesses are looking to alleviate their symptoms.

"However, it is important that medicines are thoroughly tested to ensure they meet rigorous standards before being placed on the market, so that doctors and patients are assured of their efficacy, quality and safety.

"Cannabis is listed as a Schedule 1 drug, as in its raw form it is not recognised in the UK as having any medicinal benefit and is therefore subject to strict control restrictions.

"This means it cannot be practically prescribed, administered, or supplied to the public in the UK, and can only be used for research under a Home Office licence.”
Alfie Dingle playing with his mum
Maggie Deacon/PA Wire
POORLY: Alfie's mum believes that if he keeps on taking steroids his organs will fail
“We've found something that makes him happy and now we've got to take that away.”
Hannah Deacon, Alfie's mother
Last September, Alfie went to the Netherlands to take a cannabis-based medication prescribed by a paediatric neurologist, and saw his seizures reduce in number, duration and severity.

But the family have since returned to the UK because they have run out of money and want to continue fundraising for the campaign and to lobby for the licence to be granted.

At one point while in the UK Alfie, from Kenilworth, Warks, had 3,000 seizures and 48 hospital visits in a year.

Alfie’s mum Hannah Deacon said: "He's just a six-year-old boy, he deserves a happy life. We've found something that makes him happy and now we've got to take that away."

Hannah said Alfie's cannabis dose was "very small" and he was taking only three drops of the oil.
She also said that the steroids he takes in hospital could eventually cause his organs to fail if he keeps taking them at the rate he is and added: "He doesn't know any different, he's had a very traumatic life. He's held down and injected.”

Conservative MP Crispin Blunt, co-chair of the All-Party Parliamentary Group, said Home Secretary Amber Rudd can grant a special licence for Alfie to get the drug he needs.

"It would be heartless and cruel not to allow Alfie to access the medication," he added.

Good news on cannabis


It has been proven that cannabinoids can alleviate certain kinds of pain, and stimulates appetite.

The pending legalisation of access to medical cannabinoids [or cannabis] in South Africa is opening up a host of research opportunities that the medical sector should embrace, City Buzz reports.

This is according to Dr Sean Chetty, deputy head of anaesthesiology and critical care at the University of Stellenbosch.

Chetty said a combination of tetrahydrocannabinol (THC) and cannabidiol (CBD), two of the active components in cannabis, may offer new ways to alleviate suffering as a result of certain neurological conditions. “The effects of cannabinoids on the body’s nervous system have already been documented, and the fact that it can alleviate certain kinds of pain and stimulate appetite have already been proven.
“What we need to do now is explore the possible applications that THC and CBD may have in treating and managing the symptoms of certain conditions. I believe that it is important for the medical community to start changing its mindset regarding this controversial substance so that in-depth studies can take place.”
Wouter Lombard, brand manager of neuropsychiatry at Cipla, a global pharmaceutical company, agrees that the opportunity to research the possible applications of cannabis in the medical field should be taken as soon as it becomes viable.

In March last year, the Western Cape High Court gave Parliament two years to rectify the laws and this has opened possibilities for legislation allowing the cultivation and use of medical cannabis, among others.
“Throughout the human body, there are cannabinoid receptors which are involved in a variety of physiological processes, including appetite, pain sensation, mood and memory,” explained Chetty.
“These receptors are activated by cannabinoids generated naturally in the body, as well as by substances such as THC and CBD, which stimulate the body’s receptors.”

The doctor noted that in the case of multiple sclerosis, it is understood that there is no real cure for the condition, but doctors should be looking for better ways to manage the symptoms.

There are, however, several major drawbacks to using THC in its natural form, and Chetty said he sees a number of challenges with so-called ‘medical marijuana’ at the moment, which means that he cannot advocate its use as medicine.

The first problem has to do with consistency, said Chetty, adding that various strains of cannabis have various levels of active components and before the medical community even considers prescribing cannabinoids as a treatment, there should be controls in place to ensure that the patient receives the correct doses and quality.

“The side effects of THC use have also been documented, and include depression, paranoia and problems related to long-term memory. The possible side effects of the other chemicals found in cannabis in its natural form also need to be taken into account.”

If cannabis is correctly administered to a patient, as doctors, they cannot recommend that patients smoke it.

“I believe that the medical community is still a long way away from being able to ethically prescribe and administer cannabis,” Chetty concluded.

Comfortably numb – why some older people turn to cannabis for pain relief

What's Worse for Your Brain — Alcohol or Marijuana?

By

Credit: Shutterstock
Alcohol may take a greater toll on the brain than marijuana does, especially for teens, a new study finds.

Specifically, researchers found that chronic alcohol use is linked to decreases in the brain's gray matter — which consists of brain cell bodies and synapses — in both teens and adults. In adults, alcohol use was also linked to declines in the integrity of the brain's white matter, which is made primarily of the long nerve fibers that zip messages through the nervous system. Cannabis use, on the other hand, was not associated with either gray- or white-matter declines.

"The difference between the alcohol and the cannabis is pretty dramatic," said lead study author Kent Hutchison, a professor of psychology and neuroscience at the University of Colorado Boulder. [7 Ways Marijuana May Affect the Brain]
The research shouldn't be taken as the be-all and end-all in the great

But the study fits in with a body of work that has found mixed results regarding marijuana and the brain. Some animal research, for example, hints that at least some cannabinoids, the compounds in cannabis, may be protective for the neural system, Hutchison said. Studies in humans, on the other hand, have returned varied results, and many have been too small-scale to draw firm conclusions.

One large study published in 2016 failed to find changes in gray matter after marijuana use but found that the drug was linked to declines in white-matter integrity, or the quality of connections between brain cells, especially for people who started using the drug at a young age.

Part of the problem is the challenge of untangling marijuana use from the use of other substances, especially alcohol, Hutchison said. Another problem is determining whether the drug actually causes the brain changes that are observed. One large study of twins published in 2015 found that brain differences between pot users and nonusers predated the marijuana use rather than being caused by it; pot smokers might have genetic or environmental factors that predispose them to cannabis use, the researchers concluded.

The new study had the advantage of a large sample size. The researchers looked at brain scans from about 850 substance-using adults ages 18 to 55 and about substance-using 440 teens ages 14 to 19, all of whom reported varying levels of alcohol and cannabis use. Alcohol was more common than pot as a substance of choice, with 487 adults (57 percent) and 113 teens (26 percent) reporting that they'd used only alcohol in the past six months, and 5 adults (0.6 percent) and 35 teens (8 percent) saying they'd used only cannabis in the past six months. Others used both.
Hutchison and his team were able to statistically control for the use of alcohol while looking for the effects of cannabis, and vice versa. What they found for alcohol use was not surprising, considering booze is a known neurotoxin, Hutchison said: Heavier alcohol use led to greater declines in gray matter and declines in the quality of connections in white matter.

In contrast, "we don't see any statistically significant effects of cannabis on gray matter or white matter," Hutchison said.

The findings have public health implications, he said. There are limited funds in the public coffer for minimizing the damage of people's recreational substance use, so focusing on the substance that does the most damage might make sense, Hutchison said. But there are also many more research questions to answer, and future studies could look at the long-term impacts of cannabis use by following the same people over time, the researchers wrote.

There is also a need for more research into the interaction between alcohol and cannabis, Hutchison said, especially because people who use these substances tend to use both.

Friday 16 February 2018

Is Marijuana the World’s Most Effective Treatment for Autism?

By




It’s morning in Nahariya, a tiny Israeli town near the Lebanese border, and 4-year-old Benjamin is repeatedly smashing his head against the wall. He spins wildly in circles, screeching at full volume. As his mother tries frantically to calm him, he pulls down his pants and defecates on the floor.



When they leave their apartment, Benjamin wrestles free of her hand and nearly runs into oncoming traffic. Sharon attempts a trip to the supermarket but leaves before she finishes shopping because her son is screaming while he picks up items and throws them to the floor.
That was in October 2016, and typical of most days at the time. Sharon, a single mother who moved to Israel from the United States one year earlier, was alone and losing control. Benjamin was taking Ritalin, a drug usually associated with attention deficit hyperactivity disorder (ADHD), which he did not have. He’d also tried the antipsychotic ziprasidone and a mix of antidepressants and anti-anxiety drugs. None of them helped, and he often became more hyperactive as they wore off.

All that changed a year ago, when Benjamin started taking marijuana. In the little apartment he shares with his mother, mornings are now relaxed and orderly. His transformation may signal the arrival of a long-awaited and desperately needed healing for the many others just like him: children living with severe autism.

Autism spectrum disorder affects about 1 percent of children around the world, with disproportionately high rates in developed countries. In the United States, the Centers for Disease Control and Prevention estimates that one in 68 children has been identified as having ASD, a wide-cast net of a diagnosis that encompasses several complex brain disorders that make communication and other interactions difficult. Children with milder “high-functioning” autism are often uninterested in making friends, feel uncomfortable when touched and have a hard time making eye contact or reading social cues. These individuals face challenges but can usually navigate building a life within their society.

But in cases of severe “low-functioning” autism like Benjamin’s, the symptoms are more pronounced and often violent. Children engage in repetitive and sometimes harmful behaviors, like rocking and head-banging, and are hypersensitive to sound and light, with exposure often triggering tantrum-like meltdowns. They can’t sleep. They have rages. Some of these children never learn to speak, or they reach their teen years uttering only a few words.



ASD has no cure, and most children’s symptoms are treated with medications approved for depression, anxiety or ADHD. As was the case with Benjamin, these drugs often cause their own set of obsessive behaviors and insomnia, along with weight gain. For many children with severe autism, the drugs help for just a few hours; once they wear off, symptoms like hyperactivity become even more extreme.

A Last Option

By October 2016, Sharon was desperate. She gave birth to Benjamin alone and chose to move to Israel to be part of a close-knit community. But his condition was isolating. She was lost, alone, exhausted, frustrated. More than all that, she was sad for her child.

One day, while filling Benjamin’s regular prescription for Ritalin, Sharon vented about the side effects to the pharmacist. He responded with a surprising suggestion. She should contact Dr. Adi Aran, he said, a pediatric neurologist in Jerusalem who had begun experimenting with medical cannabis as a treatment for children like Benjamin.


Sharon balked at first. Benjamin wasn’t even in first grade. And wasn’t marijuana a dangerous and illegal drug? But at the same time, he was living in a home filled with locks and padded furniture. She couldn’t go shopping or visit friends without worrying that her child would become violent. She had tried every option that conventional medicine had to offer. In other words, she had nothing to lose.  
In Israel, cannabis use is legal in a small number of medical cases, such as epilepsy, severe chronic pain and certain forms of cancer. Aran, who directs the pediatric neurology unit at Jerusalem’s Shaare Zedek hospital, had been recommending cannabis for some of the epileptic children he treated. At the end of 2015, he began an informal study of medical cannabis for severe pediatric autism.



In online forums for parents of children with ASD, Sharon read about some new forms of cannabis that were created specifically for young children. She watched an Israeli documentary from that year that showed children with ASD transformed by medical marijuana. The more she learned, the more determined she became to enroll Benjamin in the Israeli study. She sent Aran an email begging him to consider treating him, and he invited the mother and son to Jerusalem.


It was a fraught trip. Sharon doesn’t own a car, and the five-hour journey, by bus and train, included several violent outbursts and meltdowns. At the hospital, Aran reviewed Benjamin’s medical history and observed his behavior. Seeing the severity of his symptoms and the long list of medications that had already been tried without success, the doctor agreed that he was a good candidate. Sharon was sent home with a prescription for an oil made from a specially calibrated strain of Israeli cannabis, along with paperwork to chart her son’s progress.

Autism and Epilepsy: The Overlap

Aran’s colleagues in the global pediatric community were still calling for caution in 2015. The American Academy of Pediatrics, which is staunchly opposed to legalization of marijuana, had just issued a policy statement opposing medical marijuana outside the regulatory process of the U.S. Food and Drug Administration (FDA). (The AAP still maintains that stance.)


But Aran was starting to see evidence in his favor. His first inkling that cannabis could work for autistic kids came from anecdotal reports of parents who had used the drug to treat children with epilepsy. The rationale behind the treatment, and the reason it worked, came down to the marijuana plant’s two primary chemicals: the psychoactive agent tetrahydrocannabinol (THC) and the antipsychotic cannabidiol (CBD).

The brain is filled with cannabinoid receptors, which are named after the plant and function like special locks to which THC is the key. When THC binds to cannabinoid receptors in the brain, several sensations flood the body, what marijuana users call “the high.”


CBD works differently, and often with opposite effects. It doesn’t bind directly to cannabinoid receptors, it’s not psychoactive, and it doesn’t alter how the brain functions. Instead, CBD interacts with the brain indirectly. That process, called modulation, combats psychosis, depression, inflammation, anxiety and depression. While it’s THC that gets people stoned—and poses a potential danger to immature brains—it’s the plant’s CBD that relaxes them and counters anxiety, making it relevant to epilepsy and autism.
 

A healthy human brain runs on a balance of excitation and inhibition, a push and pull that regulates information as it flows through the chemical synapses in our head. With excitation, cells fire, transmitting information and signals. Inhibition keeps that flow of traffic in check. Like high-pressure water flowing through a narrow hose, these two systems work together to distribute information without overloading the system.

People with epilepsy suffer from reduced inhibition, which causes seizures. Over the past five years, a handful of successful studies on the use of cannabis, all employing specialized strains with little to no THC, have shown CBD is a legitimate treatment for certain forms of severe pediatric epilepsy.

Doctors believe the drug works because CBD increases inhibition, thus helping to prevent the firing of seizure-triggering neurotransmitters, the brain’s chemical messengers. And because CBD does not cause a high, it’s believed that it presents little risk to the developing brain of a child when administered on its own.

Israel has been at the forefront of medical marijuana research since modern health care began considering its merits. Raphael Mechoulam, who studies medicinal chemistry at Hebrew University in Jerusalem, first identified THC and CBD by studying 5 kilos of Lebanese hashish in the early 1960s. He was eager to unlock its chemical components in the same way that researchers had studied and mapped cocaine and heroin in the past, and in 1980 his research led to the very first trial on the use of CBD for epilepsy.


The results were promising, but the stigma of marijuana as a dangerous psychoactive drug was too strong to lead to immediate change. The U.S. Drug Enforcement Administration classifies it as a Schedule 1 controlled substance, meaning it’s considered addictive and unsafe and lacks medical use.

Still, Mechoulam and other scientists continued to quietly research CBD and its effects.

Partly influenced by their work, which showed marijuana to be a potent pain reliever, California legalized medical cannabis in 1996, with a number of other states following. But it took an 8-year-old girl to convince the medical community that weed is a legitimate treatment for sick children.

Charlotte Figi, who lives in Colorado, has life-threatening epilepsy. Since infancy, she suffered up to 300 grand mal seizures a week. By the age of 5, her heart had stopped several times, and she couldn’t walk or eat on her own. In 2013, her desperate parents convinced a Denver doctor to prescribe cannabis oil for their daughter. The compound, a special strain of cannabis with a 20-to-1 ratio of CBD to THC, saved her life.

Charlotte is now 11. Every day, she takes two doses of cannabis oil, with that same 20-to-1 ratio, in her food. Her seizures have nearly ceased. She is healthy and thriving. Her recovery is so remarkable that a special high-CBD and low-THC strain of medical cannabis produced in Colorado was named Charlotte’s Web.

Last year, a London-based pharmaceutical company brought Epidiolex, a CBD-based drug, to the FDA for approval. In a study released last month, that drug helped slash epileptic seizures by 41 percent, compared with 14 percent among patients taking a placebo. Epidiolex could be approved by the FDA as early as this summer; if that happens, it will be the first time the agency has opened the regulatory gate to a marijuana-derived drug.

When Charlotte’s case came to light in 2013, Aran was one of a handful of neurologists prescribing cannabis to young people with epilepsy. But nearly one-third of children with autism also suffer from epilepsy. As Aran watched his epileptic patients suffer fewer seizures, he noticed that for those who were also autistic, repetitive behaviors, communication difficulties and frustrations with social interactions also improved. Case studies in medical journals across the world noted the same overlap.

“We [in the medical community] saw children with epilepsy and autism really improve, not just in their epilepsy but also in their behavior,” says Aran. “Sometimes, it was only the autism symptoms that improved.”

Aran, 47, was well versed in Mechoulam’s research on CBD and epilepsy, but he began to wonder: Could CBD work in cases where the patient suffered only from autism?

A Trial Run

The parents of his autism patients read online message boards and Facebook posts telling stories of how CBD worked across the epilepsy-autism overlap, and they hammered Aran to try cannabis on their children.

He spent two years hesitating. “At first, I didn’t think it was worth exploring,” he says, sitting at his cluttered desk in his modest Jerusalem office. “Yes, this form of severe autism is a real problem, and the patients and families and the education system are all suffering. But in medicine we have to be cautious.”

It’s the medical community’s role, he says, to protect patients from being swayed into false treatments, especially those that could prove harmful. He was curious about trying CBD for his severely autistic patients, but he wasn’t certain it was the right move ethically.

In Israel, a small country with informal customs, it’s typical for a parent to call a doctor’s personal cellphone to beg for a prescription. Gradually, after talking to dozens of persistent parents, Aran changed his mind, he says. In December 2015, he started the world’s first open-label study on the use of cannabis for pediatric autism, prescribing the drug to a few of his most severely affected children, ranging in age from 5 to 20, and charting and monitoring the results. Benjamin joined this study several months later.

Geography worked in Aran’s favor. In America, despite the legalization of marijuana in a number of states, possession of the drug is still a federal crime. Wide-scale research and cultivation is impossible for American marijuana growers, and the lack of federal regulation means doctors who wish to prescribe marijuana to patients in states like California and Colorado have little control over the product the patient receives from a dispensary.

But in Israel, a nascent medical marijuana industry is thriving. The country’s combination of year-round sunshine and high-tech resources puts it in a unique position to grow and manufacture a number of cannabis-based drugs.
 
The nation’s Ministry of Health sees Israel becoming a global leader in medical marijuana and has taken dramatic steps to make that happen. In 2016, Yaakov Litzman, an ultra-Orthodox rabbi then serving as the nation’s minister of health, allowed the dispensing of cannabis, similar to what’s done with all other medications. He also joined a commission that opened the Israeli medical marijuana market to export, a move with the potential to inject billions into the country.

Israel is now one of three nations, alongside Canada and the Netherlands, to have a government-sponsored cannabis program. With the global medical marijuana market now surpassing the $30 billion mark, this tiny country of only 8 million people is poised to gain a major chunk of that profit.

The cannabis Aran prescribes for autism and epilepsy is a special strain originally produced for epilepsy patients, with the 20-to-1 ratio of CBD to THC that worked so powerfully for Charlotte Figi.

So far, he has prescribed it only for his most severe patients: children who had never responded to traditional autism medications, were mostly nonverbal and quite violent, and whose parents were desperate. He has no interest, he says, in prescribing cannabis to children who suffer from other subtypes of autism, like Asperger’s syndrome, that potentially respond to therapy or traditional drugs. Cannabis, he says, is a last resort.

Aran ultimately enrolled 60 children between the ages of 5 and 21 in that first study. He tracked the results of each patient for six months through a series of parent questionnaires and in-office visits.
A paper that will be published later this year in the journal Pediatrics summarizes the results.

Most parents said their children improved from the treatment. Nearly half saw a marked reduction in the core symptoms of autism, and nearly a third said their children either started speaking for the first time or were communicating nonverbally. One child said, “I love you, Mom”—for the first time in his life.

As for Benjamin, within two weeks of filling the prescription from Aran, Sharon says, he was calmer.

He responded when she spoke to him. He could sit still and make eye contact. If she took him with her to visit friends, she could sit with the adults drinking tea while he played quietly in the other room. Within months, he was doing so well that his teachers recommended he leave his special-needs school for a standard classroom. “It’s like a miracle. I can leave the house and go out with him and not worry,” says Sharon. “I can breathe.”

The Need for Data

And yet, despite what parents like Sharon were documenting, Aran remained cautious. Parents have touted plenty of other drugs as miracle autism cures over the years—and all have consistently failed to pan out under testing. And the design of his first trial allowed for the possibility that parents would document the changes in their children that they expected to see, a phenomenon known as confirmation bias.

His next step—a larger, double-blind, placebo-controlled study—would address these concerns.

Launched in 2017, the trial is the first of its kind in the world. Aran and his team enrolled 150 new patients for the seven-month study. The children receive cannabis oil for three months and a placebo for three months, with a four-week period in between for the first treatment to taper off and the second to start up. Of the cannabis oil the children receive, there are two possible options: an oil made from the whole cannabis plant, including extracts and impurities, or an oil that is 20 parts pure CBD and one part pure THC. The results are expected later this year.

Because the study is blinded, Aran doesn’t know which patients have received which of the three options. But he admits it’s hard not to think the study is on the verge of a breakthrough. He has treated thousands of autistic patients—patients who break furniture, tear out their hair and cannot control their bodily functions. The changes he has seen since he began prescribing cannabis have shocked him. 
 
“I keep seeing the same thing,” he says. He doesn’t know which children are taking the placebo, but the people in their lives seem to. Every time the dose tapers off, he receives calls from parents and schools asking for the child to be put back on the drug. “We decrease the treatment, and suddenly we have a crisis.”

David, a burly, 6-foot-1-inch 20-year-old who spent most of his appointments with Aran wearing physical restraints, became gentle enough to hug his sister. He smiled and said her name out loud for the first time in his life. Eitan, a nonverbal 11-year-old who was obese, after years of medications for his tantrums caused compulsive eating, has lost the weight. Aran can’t be sure yet that these changes are related to CBD, and any data will require an extensive peer review before publication. Still, he says, “something is working.”

The Autism Market

Doctors and parents aren’t the only ones eager to have the study blindfolds removed. The major Israeli cannabis companies, locked in a race for dominion over a market estimated to reach $4 billion in the coming year, are also watching.

Three companies have dominated the fast-growing Israeli cannabis market, each scrambling for dominion. Tikun Olam became the first medical cannabis supplier in Israel when it launched in 2005.

Breath of Life is now the world’s largest production, research and development facility for medical cannabis, with 1 million square feet of cultivation fields and 30,000 square feet of labs and greenhouse space. Better is Israel’s only 100 percent organic medical cannabis company. All three are running their own private studies to produce data that will help sell their drugs. (Aran is currently using cannabis from Breath of Life, which created a 20-to-1 strain called Topaz specifically for this study and provided it for free.)

These companies have their eyes on the study in part because it will resolve a debate surrounding what’s known as the entourage effect. That term, first introduced by Mechoulam, refers to the idea that the many compounds in cannabis—THC, CBD and others—work together. Take any part out, and the plant fails to have an effect. Whether that effect is real is unknown. Aran’s trial, which includes an isolated-compound oil and a whole-plant oil, will answer that question.

Breath of Life is hedging its bets, growing whole-plant cannabis and doing laboratory work that extracts pure CBD for pharmaceuticals. Its goal is to bring a cannabis product to the FDA that can be approved for American children with autism. Once the data resolve which oil, if any, works, the company can focus its resources on that version exclusively.

“If the whole plant proves to be statistically significant over the clean version, that means there is an entourage effect, and we understand where we as researchers are going,” says Tamir Gedo, CEO of Breath of Life. “But either way, we are going to take it to the FDA.”

Research in the United States

Since Aran began his research, physicians in the United States have begun to warm up to cannabis as a potential autism treatment as well.

Dr. Eric Hollander, director of the Autism and Obsessive Compulsive Spectrum Program at New York’s Montefiore Medical Center, announced last year that he is running his own study on medical cannabis in pediatric autism—the first in the U.S. to explore cannabis for pediatric autism. “There’s a big unmet need,” he says.

But unlike in Aran’s study, Hollander’s patients are receiving a treatment that contains neither THC nor CBD. They will receive pure cannabidivarin, or CBDV, a cannabinoid derived from the cannabis plant that is very similar in chemical makeup to CBD. It also has a similar track record to CBD in terms of medical application. In studies among patients with epilepsy, CBDV has also been effective in reducing seizures.

The U.S. Department of Defense is funding Hollander’s study. After realizing that military families with autistic children struggle with relocation and placement in remote locations, the department began an active program on autism research. A cannabis grower based in London is providing the drug, administered in capsule form. The goal of his study is to see if CBDV alone can combat the core symptoms of autism.

Whatever the results, change is still a long way off. For American parents hoping to give cannabis to their severely autistic children, it could be several years before any autism drug, either from Israeli or American research, is readily available to them. In the United States, doctors in only three states—Georgia, Oregon and Pennsylvania—can legally prescribe cannabis to autistic children. A law on the books in Minnesota will grant access to doctors in July.

Hollander will start recruitment for his study in March 2018 but won’t have results for another three years. If they show a statistically significant difference between CBDV and the placebo in treating the symptoms of autism, he will likely run a Phase III study, a necessary step toward bringing the drug to market. At that rate, he says, it will be at least six years before the drug he is testing reaches the U.S. market.

But the global medical community is interconnected, and Aran’s study might put pressure on the FDA to speed up the process, or at least approve off-label applications for epilepsy CBD drugs like Epidiolex. Hollander believes if the data out of Jerusalem in late 2018 proves that transformations like Benjamin’s are not rare among patients with severe autism, and if the possible side effects are mild and manageable, some states might amend their medical marijuana laws to grant parents greater access.

In the meantime, Aran stresses the need to change the anti-marijuana stigma that still pervades American medicine and drug regulation. “Giving marijuana to children is unthinkable, but CBD is not marijuana,” he says. “It’s not a drug. It’s a medication.”