Getting In The Weeds
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Transcript of Getting In The Weeds
MARIJUANA’S IMPACT ON SOCIETY
Getting In The Weeds
Marijuana Status (Medicinal)- 23 States and DC
California – 1996
Alaska – 1998
Oregon – 1998
Washington – 1998
Maine – 1999
Colorado – 2000
Hawaii - 2000
Nevada – 2000
Montana – 2004
Vermont – 2004
Rhode Island – 2006
New Mexico - 2007
Michigan – 2008
Arizona – 2010
DC – 2010
New Jersey – 2010
Delaware – 2011
Connecticut – 2012
Massachusetts - 2012
Illinois – 2013
New Hampshire – 2013
Maryland – 2014
Minnesota – 2014
New York - 2014
Medicinal Use Recreational Use
23 States and DC11 – Voter Initiative10 – General AssemblyLimitsAlaska – 1 oz. & 6 plantsOregon – 24 oz. & 24
plantsTaxes4 states – no tax8.1% tax – NevadaFees cover the program
Colorado and Washington
Limits vary by state
Marijuana Legalization
Marijuana Status (CBD) - 10 States
AlabamaFloridaIowaKentuckyMississippiMissouriSouth CarolinaTennesseeUtahWisconsin
Cannabidiol Medications
Children with Seizure IssuesCharlotte’s Web (Charlotte Figi)Epidiolex (GW Pharmaceuticals)Mixed Success with EpidiolexScant results with Charlotte’s WebEpilepsy Foundation – Need for more
testing
Georgia and CBD
HB885 – Haleigh’s Hope Act (Rep. Allen Peake) Haleigh Cox – severe form of epilepsy Moved through House but defeated in Senate
Moved forward with medical marijuana study GW Pharmaceuticals and Georgia Regents Allows for a study of cannabis on children with seizure
disorders
Marijuana Status (Recreational)
ColoradoWashington
Moral Issue vs. Policy Issue
Moral
Individually based Effective – based on
personal level
Policy
Public safety
Public health
Society focus
The Art of Persuasion
The CommunicatorCredibility – Is the communicator credible?
Broken bone – Dr. has qualifications and background.Knowledgeable – Does the communicator
understand the subject? Leaky refrigerator – Do you go to your Dr.?
Similar – Do the communicator and I share experiences, cultural background, lifestyle, etc.? Politicians going door to door with the sleeves rolled
up.
Top Communicators of 2012
Michelle Obama Marco Rubio
• Uses personal stories• Exposes vulnerability• Remains clear and
confident in her message
• Uses personal stories• Confident and authentic• Uses humor in
messages
Worst communicators of 2012
Francesco Schettino Todd Akin
Was silent and evasiveFrantic and disheveledLied about the situation
• Legitimate rape comments – insensitive and no basis
• Failure to admit miscue• Polarizing comments
The Art of Persuasion
The MessageHow does this effect me?
Cincinnati Reds fanIs it based on emotional or a rational argument?
Which story carries more “umph?”Is the message repeated?
The more times a message is repeated, the more believable it becomes.
Messages are best when using emotion first and then backing it up with stats
Who else endorses this belief? What do other people I admire/respect think?
The Art of Persuasion
The AudienceIdentify high involvement vs. low involvement
audiencesYour audience might not just be the person
sitting in front of youListen to the audience and not just prepare
for your next pointMeet them where they are at
High Involvement vs. low involvement
High involvement Low involvement
High involvement product – cars and shampoo
Bought into the positionThe argument really
matters to them on a personal level
Possible large financial or time commitment involved
Low involvement product – gum and tissues
Does not regularly think about the subject
Does not think it affects them personally
Little to no reason to buy in
High involvement vs. low involvement
About 20-30% are high involvementThat means 70-80% are low involvementLow involvement tend to go with the crowdEmotion is strong influencerBrand recognition or the number of times
something is heardStories or stories plus stats are the best way
to persuade
Marijuana Lobbying Groups
National Organization to Reform Marijuana Laws (NORML)
NORML's mission is to move public opinion sufficiently to legalize the responsible use of marijuana by adults, and to serve as an advocate for consumers to assure they have access to high quality marijuana that is safe, convenient and affordable.
Marijuana Policy Project
1. Increase public support for non-punitive, non-coercive marijuana policies.
2. Identify and activate supporters of non-punitive, non-coercive marijuana policies.
3. Change state laws to reduce or eliminate penalties for the medical and non-medical use of marijuana.
4. Gain influence in Congress.
Marketing Natural – It grows from the
ground. Medicinal – Shrinks tumors and
treats migraines. There are actual health benefits.
Doctors would love to have the ability to prescribe it.
No one has ever died of an overdose.
Marijuana Messaging
In the late 19th and early 20th Century, tobacco marketers used these tactics.
Natural – Tobacco was a natural product. It was from the ground.
Medicinal – Health benefits of smoking included asthma, head colds and all diseases of the throat.
Doctors Use it. The product must be ok.
No one has ever died of an overdose.
Is History Being Repeated?
Ohio Marijuana Marketing
God Approves Safer Than Peanuts
Is Marijuana Medicine?
Components of marijuana have promise...
Marinol - able to be prescribed
Sativex - final stages of FDA process
Epidiolex – Orphan Drug Law designation
DEA – Over 400 studies about marijuana
What is Medicine?
No one chews willow bark for aspirin...
Smoking opium not used for pain relief...
Compound in viper venom used for blood pressure…
Who Is Impacted? Addiction Services – Maintain Healthy Lifestyle (Prevention,
Treatment and Recovery) Business – Bottom line Children’s Services agencies – Parent readiness and safety of
child Colleges – Financial aid and retention Education – Student testing requirements Healthcare Professionals – Marijuana safety and efficacy Law Enforcement – Public safety and officer/employee issues Legislators – Budget/jobs and then “election-time” issues
Marijuana Policy Project Model Language
Section 4. Protections for the Medical Use of Marijuana. (a)A registered qualifying patient shall not be subject to
arrest, prosecution, or denial of any right or privilege, including but not limited to civil penalty or disciplinary action by a court or occupational or professional licensing board or bureau, for the medical use of marijuana pursuant to this chapter, if the registered qualifying patient does not possess more than:
(1)Six ounces of usable marijuana; and
(2) 12 mature marijuana plants and 12 seedlings, if the qualifying patient has not specified that a designated caregiver will be allowed under state law to cultivate marijuana for the qualifying patient.
Marijuana Policy Project Model Language
Section 4A and 1B – IssuesWhat is a “qualifying patient”?
Definition of “qualifying patient” in Section 3(m) - "Qualifying patient" means a person who has been diagnosed by a practitioner as having a debilitating medical condition.
Will children be allowed to be a “qualifying patient”?
How Much Pot?
Six ounces of marijuana – 6 ounces X 54 joints = 324 jointsNormal high is 4-6 hours (420 Magazine)
Continuous high for 54 days12 plants per patient
2-5 pounds per plant (420 Magazine)
Potentially – 20,736 joints3,456 days of continuous high = Almost 9 ½ years of high!
Youth Perception of Marijuana
•"It is harmless and natural, it is only an herb, and it won't affect me long-term"
•"It is not addictive"
•"It doesn't hurt me as much as smoking tobacco"
•"It makes me feel calm"
•"It doesn't affect my thinking or my grades"
•"It's safe because it is used as medicine for cancer and other diseases“
•“Marijuana is safer than sugar.”
New Zealand StudyLoss of 8 IQ Points – Irreversible Peer Reviewed
Realities of Marijuana – Brain Function
Northwestern University
Northwestern Medicine at Northwestern University1. December, 2013 – Brain Abnormalities with Chronic
Use “The younger drug abuse starts, the more abnormal the brain.” Of schizophrenia patients surveyed, 90% used before
schizophrenia set in
2. April, 2016 – Casual Marijuana Use Linked to Brain Abnormalities
Changed the volume, shape and density of gray matter in brain – effects on decision making
“I’ve developed a severe worry about whether we should be allowing anybody under age 30 to use pot unless they have a terminal illness and need it for pain.”
Marijuana Addiction
Is Marijuana Addictive?•1 in 11 adults become addicted•1 in 6 children become addicted (if start under the age of 15)•Nationally – 4 million people addicted to drugs and alcohol
1.2 million addicted to marijuana alone•Psychological addiction•Short term effects of heavy marijuana use include: memory and learning problems, distorted perception, poor problem solving ability, loss of motor skills, etc.•Long term effects of heavy marijuana use include permanent physical changes to the brain and its functions.•Anxious and irritable
Grades and Retention
Maryland School of Public Health (June, 2013)
• Study followed 1200 college students over 10 years
• College students skipped more classes, earned lower grades and dropped out more often
• Unemployment rates higher after college• 15 times or more per month – twice as likely to
have experienced “discontinuous enrollment”
What Can Colleges Do?
Communication strong on campus policiesStudent Life and Residence LifeStudent Health CenterCan students use off campus?Task Force to Look at Marijuana PoliciesStudents joining the workforce – DF Workplace
Marijuana Policy Project Model Language
Section 3f – Designated Caregiver(f) "Designated caregiver" means a person who:
(1) is at least 21 years of age;(2) has agreed to assist with a patient's medical use of marijuana;(3) has not been convicted of a disqualifying felony
offense; and(4) assists no more than five qualifying patients with
their medical use of marijuana.
If my math is right…5 patients who can have 12 plants = 60 plants
2-5 pounds per plant (420 Magazine)120 pounds of potPotentially – 103,680 joints
Section 3d(1-3) and Section 7
(1) cancer, glaucoma, positive status for human immunodeficiency virus, acquired immune deficiency syndrome, hepatitis C, amyotrophic lateral sclerosis, Crohn's disease, agitation of Alzheimer's disease, post-traumatic stress disorder, or the treatment of these conditions;(2) a chronic or debilitating disease or medical condition or its treatment that produces one or more of the following: cachexia or wasting syndrome; severe, debilitating pain; severe nausea; seizures; or severe and persistent muscle spasms, including but not limited to those characteristic of multiple sclerosis; or(3) any other medical condition or its treatment added by the department, as provided for in section 7.
Section 7. Addition of Debilitating Medical Conditions. Any citizen may petition the department to add conditions or treatments to the list of debilitating medical conditions listed in section 3(d). The department shall consider petitions in the manner required by department regulation, including public notice and hearing. The department shall approve or deny a petition within 180 days of its submission. The approval or denial of any petition is a final decision of the department subject to judicial review. Jurisdiction and venue are vested in the _____ Court.
Marijuana Policy Project Model Language
Section 3d(1-3) and Section 7 – IssuesIs it easier to delve into what isn’t eligible?What issues does this play into reacting with other medicines?
Is the pain masking a greater disease?What dose is good for which ailment?Who is on the committee to decide what other ailments are eligible?
Marijuana Policy Project Model Language
Marijuana and Rx Drug Overdose Deaths
AMA Journal
Study showed that mm states had 25% lower death rate from opioids
Direct Link?
Study didn’t consider:Opioid treatment admissions Implementation of Naloxone
programsPolicies to reduce opiate
overdoses?
Who are the Patients?
Cancer? HIV?
Who are the Patients?Other StatesMichigan – 128,441 patients and 26,875 caregivers.Arizona – 37,598 patients and 46% of all marijuana patients have been certified by 10 physicians.California – 3% of state population are cardholders.
Approximately 1,000,000 people67% reported daily use
Who Are the Cardholders?
Less than 5% of all patients have the life threatening issues
90-95% use for chronic pain – Not about the 5%
Average cardholder - 32 year old white male with no history of chronic illness and a history of substance abuse
Section 6 – Discrimination Prohibited (a) Except as provided in this chapter, a registered qualifying patient who uses marijuana for medical purposes shall be afforded all the same rights under state and local law, including those guaranteed under ______ [the state’s disability rights law], as the individual would have been afforded if he or she were solely prescribed pharmaceutical medications, as it pertains to:(1) any interaction with a person's employer;(2) drug testing by one's employer; or(3) drug testing required by any state or local law, agency, or government official. (b) (1) The rights provided by this section do not apply to the extent that they conflict with an employer’s obligations under federal law or regulations or to the extent that they would disqualify an employer from a monetary or licensing-related benefit under federal law or regulations.(2) No employer is required to allow the ingestion of marijuana in any workplace or to allow any employee to work while under the influence of marijuana. A registered qualifying patient shall not be considered to be under the influence of marijuana solely because of the presence of metabolites or components of marijuana that appear in insufficient concentration to cause impairment.
Marijuana Policy Project Model Language
Section 2G – IssuesIf metabolites are taken away, how do we measure impairment?
Scientific testing is undefined.Roadway safetyEmployers – how safe is their workforce?Crane operators, bus drivers, teachers, etc.
Marijuana Policy Project Model Language
Drug Use Impacts:increased absences, tardiness, accidents, workers' compensation claims, productivity and job turnover3.6 times the accidents on the job5 times the accidents off the job
Which then effects - BWC ratesInsurance coverageHR responsibilities
Marijuana Policy Project Model Language
Discrimination
• Michigan – Joseph Casias sued his employer
– Case dismissed by Sixth Circuit Court of Appeals
• Maine – Brittany Thomas sues Adecco
– ACLU is taking this case up• Colorado – Brandon Coats sued Dish
Network
– Court ruled wasn't illegal firing because marijuana is an illegal drug federally
• WSJ article - "Medical Marijuana Poses Litigation Risk to Employers." (August 15, 2013) – Cost employers between $69,000 and $107,000 in costs, not including any award.
• New Mexico – Employer must pay for pot?
Section 5a(4) – Operating a Motor Vehicle (4) Operating, navigating, or being in actual physical control of any motor vehicle, aircraft, or motorboat while under the influence of marijuana, except that a registered qualifying patient or visiting qualifying patient shall not be considered to be under the influence of marijuana solely because of the presence of metabolites or components of marijuana that appear in insufficient concentration to cause impairment.
Marijuana Policy Project Model Language
Section 5a(4) – IssuesIf metabolites are taken away, how do we measure impairment?
Scientific testing is undefined.Roadway safetyBiggest problem in pro-pot statesCrane operators, bus drivers, truck drivers, etc.2 ng to 15 ng/ml40% increase in THC in drivers in Washington
Marijuana Policy Project Model Language
Marijuana and Driving
Marijuana is the most prevalent illegal drug in impaired drivers, fatally injured drivers and motor vehicle crash victims. (NHTSA)Fatally injured drivers – 4.2% in 1999 to 12.2% in 2010. (NHTSA)Colorado – 27% of blood tests for impaired driving showed THC. (Colorado Public Safety)3 times as many HS seniors reporting driving after marijuana than after drinking alcohol. (Monitoring the Future)
Teen Driving
Liberty Mutual/SADD survey
• 19% admitted to driving after smoking marijuana
• 36% - marijuana smoking no distraction while driving
• 34% who admitted to smoking while high said it made them a better driver
Marijuana and Driving
NIDA - After alcohol, THC (delta-9-tetrahydrocannabinol), the active ingredient in marijuana, is the substance most commonly found in the blood of impaired drivers, fatally injured drivers, and motor vehicle crash victims.
British Medical Journal - Drivers who smoke marijuana within a few hours of driving are almost twice as likely to get into an accident as sober drivers.
Section 18 – Local Ordinances Nothing shall prohibit local governments from enacting ordinances or regulations not in conflict with this chapter or with department regulations regulating the time, place, and manner of registered compassion center operations and registered safety compliance facilities, provided that no local government may prohibit registered compassion center operation altogether, either expressly or though the enactment of ordinances or regulations which make registered compassion center and registered safety compliance facility operation unreasonably impracticable in the jurisdiction.
Marijuana Policy Project Model Language
Marijuana and Public Safety
ER Admissions374,000 ER visits due solely to marijuana – ER visits increase nationally more than 50% from 2004 to 2011.Between 2005-2011, states with marijuana decrim. laws increased by 30%.Children’s Hospital of Colorado – 2.3% of all poisonings of children under 12 were marijuana-related.
Marijuana and Heart Attacks
-University Hospital of Toulouse in France
Small study – 2006-2010
3x the risk
20 heart attacks and 9 deaths
Caution: In half the cases, the afflicted pot users already had risk factors for heart disease such as high blood pressure or high cholesterol
June, 2014– Harvard Medical School
5 Times Increase of Heart Attack Risk Average Increase Smaller increase if
younger/Larger increase if older “Marijuana causes increased
heart rate, fluctuations in blood pressure, and a decreased ability for the blood to carry oxygen. The heart is both working harder and getting less oxygen, a situation that increases heart attack risk.”
Pot Pharmacies?
The Real Medicinal Pot Store
Center for Sick and Dying
Center for Sick and Dying
Not Just Smoking…
Marijuana Edibles
Up to 70% THCMore potent than smoking (11% THC)THC Levels are inconsistent, even with packagingMarch 9, 2014 Denver Post – testing showed that labels didn’t match actual THC level
Meet Claude…
Black Cherry Gummy BearTHC Infused100 milligrams of THC per bearColorado law – 10 mg per servingFoot = one serving10 bears per bag
Wyoming College Student
Levy Thamba Pongi – Northwest CollegeAte one marijuana cookie – recommended serving size was 1/6 of a cookie.Jumped out of windowAutopsy – marijuana intoxication was a “significant contributing factor.”
Kristine Kirk
• Husband ate a marijuana candy• Started hallucinating• Told wife to shoot him• On phone with 911, he shot her
Questions?
Contact information
Tony Coder
Drug Free Action Alliance
6155 Huntley Road, Suite H
Columbus, OH 43229
614-540-9985
www.DrugFreeActionAlliance.org/marijuana