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Tuesday, February 9, 2010

Rip Torn Heading To Rehab After Arrest


There is nothing humorous about the disease of addiction, as funny as circumstances may sound - at the bottom of every drunk-a-log is an alcoholic suffering. Long before Rip Torn decided to break into a Connecticut bank his life had begun spiraling out of control, an alcoholic history had been established. He has had DUI arrests in the state of New York and just last year he was given probation in Connecticut for another drunk driving case. The icing on the cake when it comes to Torn's rap sheet came when the "Men in Black" actor broke into a Litchfield Bancorp branch in Salisbury; court records stated he was carrying a loaded gun when he committed the crime, Torn was so intoxicated he thought he was home, which is why he took off his hat and boots placing them by the door upon entering the bank. Torn smelled like alcohol when he was asking the State Troopers arresting him why they were taking him out of his home. What seems almost comical is just another example of the loss of control that comes with alcoholism. Rip Torn may be heading to rehab after this arrest!

"Officers found a loaded .22-caliber revolver in Torn's pocket, according to court records, and a breath test showed his blood-alcohol content as 0.203 percent - more than twice the 0.08 legal limit for driving in Connecticut", the AP reported.

Rip Torn's list of charges:

  • criminal trespass
  • carrying a gun without a permit (His permit to carry a firearm in Connecticut had expired in October 2007)
  • carrying a gun while intoxicated
  • burglary
  • criminal mischief

A. Thomas Waterfall, Torn's attorney said, "The history here is clear that there's an alcohol issue that needs to be addressed", to Bantam Superior Court Judge John W. Pickard on Monday. Waterfall couldn't be more on point, Rip Torn is in desperate need of treatment. It seems like that will be part of his sentence along with heavy fines, community service, and even some possible jail time. It seems pretty clear from the reports that Torn had no malicious intent when committing the crimes that he probably doesn't remember anything about. Torn is scheduled to return to Litchfield Superior Court on Feb. 17; the 78 year-old actor needs help and maybe this event will encourage him to surrender - finally.

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Tuesday, December 8, 2009

Cannabis Could Help Combat Substance Abuse

A new study at the University of California, Berkeley showed interesting results regarding marijuana and what it could be used for. The study showed that many people are using marijuana to keep themselves from drinking alcohol or doing other illicit drugs. It seems counter intuitive to use a drug to stay off other drugs, but, in these studies researchers have found that cannabis could help combat substance abuse. The study consisted of a 350 cannabis users at a cannabis dispensary the Berkeley Patient's Group. Out of the 350 patients, 40 percent claimed that marijuana helped control their alcohol. 66 percent of the group used cannabis as an alternative to prescription drugs and 26 percent used it to replace hard drugs like heroin and cocaine. These findings are rather alarming but not surprising, addicts have been substituting one drug for another for a long time; marijuana may be less harmful than other drugs but the disease is still present and thriving.

There is no question that marijuana is a better alternative than a lot of different chemicals out there, but, the disease of addiction is being fed by smoking weed and a person's problems are far from being dealt with. Amanda Reiman heads up this study and feels that marijuana could be an effective treatment for other addictions; she may be right, as far as the detoxification process goes. However, this proposed treatment method will not show the addict a better way of life, just another way to blanket one's problems. Marijuana may be an effective medication for certain ailments, I'm not sure that the disease of addiction is one of them.

We can be sure that all the new studies that are taking place will generate the need for more research into the medical benefits of cannabis. The times are changing with regard to marijuana and its new found acceptance, according to Reiman, The Independent reports: "The economic hardship of the Great Depression helped bring about the end of alcohol prohibition. Now, as we are again faced with economic struggles, the US is looking to marijuana as a potential revenue generator. Public support is rising for the legalization of recreational use and remains high for the use of marijuana as a medicine".

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Tuesday, November 3, 2009

Genetic Pathways and Genes Associated with Levels of Alcohol Consumption

A new study has given scientists a better understanding of the genetics of alcoholism. The amount you drink does not necessarily mean you have the genes for alcoholism, in fact there are many different genes operating; how much a person drinks is associated with one set of genes and another set are responsible for predisposition towards alcohol dependence. On the other hand, an alcoholic can drink very little and still have the predisposition towards the disease. It's common to identify alcoholics as binge drinkers, but, that is not always the case, there are many who carry the gene for alcoholism who are not heavy drinkers. Medical News Today reported, "BMC Biology's research was published in the open access journal, pinpoints genetic pathways and genes associated with levels of alcohol consumption but not with alcohol dependence in rats and humans".

The research team was led by Boris Tabakoff, Laura Saba, and Paula Hoffman from the University of Colorado, Denver, USA. Rats where used to identify the genetic pathways affecting drinking behavior. It was determined that the pleasure and reward pathways in the brain and the genetic systems that control satiety and appetite for food were linked to the rats drinking behavior. Using two male study groups, one from Montreal and the other from Sydney, human genes were directly compared with rat genes involved in these alcohol-associated pathways to identify common genetic factors linked to alcohol use across species.

According to Tabakoff, "We know that high levels of alcohol consumption can increase the risk of becoming alcohol dependent in those who have a genetic make up that predisposes to dependence. This is a case of interaction between genes and environment. Indeed, in our study we found that, higher alcohol consumption in humans was positively correlated with alcohol dependence. However, because different sets of genes seem to influence the level of alcohol consumption, as opposed to propensity for alcohol dependence, we are confronted with great variation in humans. Individuals with a set of genes that predisposes them to drink moderate amounts of alcohol may still have the genetic predisposition to lose control over their drinking behavior, and perhaps become alcohol dependent. Conversely, individuals with a genetic predisposition to drink high amounts of alcohol may not have the genes that predispose them to become dependent."

Each advancement in the study of alcohol genetics brings us closer to understanding how we can better manage it. There is much still not understood regarding the variation found in humans and why people drink the way they do. Fortunately, there are many researchers working very hard to paint a clearer picture of alcoholism and the disease of addiction.

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Tuesday, October 13, 2009

Telltale Symptoms of Alcohol Addiction

How do you tell if you or someone you know is abusing alcohol? In many cases an alcoholic knows that there is something wrong without being told that they are an alcoholic. There are many alcoholics that are high functioning, they have jobs, families, and are able to appear like nothing is wrong. It can be hard at times to see patterns of unmanageability in one's life which can allow the disease of addiction to go on unchecked. In most cases, it is only a matter of time before one's disease catches up with them; hopefully they can realize they have a problem before the trail of damage becomes too long. The National Institute of Health has designed questions to identify symptoms of alcohol abuse and dependence; the NIH created a questionnaire that may help a person determine whether of not he/she has a problem. According to the NIH, if you answer yes to one question it could mean that someone is abusing alcohol, answering yes to three or more could suggest alcohol dependence or alcoholism.

The Questionnaire created by the National Institute of Health is short and easy to take. We encourage anyone who is unsure about themselves or someone they know to answer these questions. It could potentially help determine whether or not help is needed. The quicker a problem is identified, the sooner a life could be potentially saved. The questions below are telltale symptoms of alcohol addiction.

In the past year, have you:

Had times when you ended up drinking more than you intended?

More than once wanted to cut down or stop drinking, but couldn't?

More than once gotten into situations while or after drinking that increased your chances of getting hurt -- such as driving or having unsafe sex?

Had to drink much more than you once did to get the effect you want or found that your usual number of drinks had much less effect than before?

Continued to drink even though it was making you feel depressed or anxious or adding to another health problem, or after having had a memory blackout?

Spent a lot of time drinking or getting over the aftereffects of drinking?

Continued to drink even though it was causing trouble with your family or friends?

Found that drinking -- or being sick from drinking -- often interfered with taking care of your home or family, or caused job troubles or school problems?

Given up or cut back on activities that were important or interesting to you in order to drink?

More than once gotten arrested or had other legal problems because of your drinking?

Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart or a seizure?

(Source: National Institutes of Health. Questions are based on symptoms for alcohol use disorders in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM) of Mental Disorders, Fourth Edition.)

If you answered yes to one or more of these questions, then you should discuss this with your doctor.

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Thursday, October 8, 2009

Vaccines For Drug Addictions Are Showing New Promise

The disease of addiction is a biological disorder in the brain that affects the award system and is in no way a moral failing by any means. Science has shined a new light on addiction and has given us the ability to understand what is operating in the human brain. Addiction is inherited and is not something that anyone asks to have, new developments in science have shown us that it may be possible to create a medical solution to the disease. Vaccines for drug addiction are showing new promise; it may not be long before we have a vaccine for all addictive substances. A report in the LA Times stated, "Vaccines to help people recover from such addictions as nicotine, cocaine, heroin and methamphetamines now appear scientifically and medically achievable after doctors reported Monday that a vaccine to treat cocaine dependence had produced a large enough antibody response to reduce cocaine use in 38% of addicted individuals". 38% is an amazing number and one that reaffirms the promise of these kinds of scientific pursuits.

A vaccine for addiction will not work the same way as normal vaccines. If you are born with a hereditary disposition towards drugs and alcohol there is no way to reverse it. However, a vaccine could potentially keep drugs that enter the body from reaching the brain thus preventing the high from ever being experienced. The vaccines stimulate the body's immune system to create binding antibodies that will attach themselves to the drug preventing them from ever reaching the brain. Unfortunately, creating vaccines does not equate to dollars for pharmaceutical companies to create these vaccines. They can make a lot more money from addiction maintenance than they could off a vaccine. This problem makes it very hard for certain studies to take place because of the lack of much needed funding which is in the 100's of millions. An ethical dilemma is clearly visible and I am sure will be addressed in the coming years.

Studies with the goal of creating a vaccine is a huge step in modern science and shows us that with understanding we can treat the most baffling of diseases. In the coming years we will see what role vaccines for drug addiction will have around the world and whether the pharmaceutical companies will set greed aside and hop on board. I encourage you to watch a Dr. Nancy Snyderman video on the subject:


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Thursday, October 1, 2009

Ph D Died After Apparently Injecting Herself With Buprenorphine

What does a drug addict look like? Society has placed stigmas and stereotypes on the appearance of addicts and alcoholics over the years. When someone utters the word "Junkie" a picture usually pops into one's head of a withering human, perhaps on their last breath who would do anything to get their fix. Unfortunately, the majority of addicts have the ability to hide their addiction from their friends and family; they hold full time jobs and it appears like they are functioning members of society. It can be hard to imagine that someone who has been successful both in education and business could be suffering from an addiction that is in many ways invisible. Doctors, lawyers, and politicians are just as susceptible to drugs and alcohol as those living on the streets. Some of the last people that you would ever think of are in the grips of a terrible drug addiction. On Sunday in Baltimore Maryland, a Ph.D died after apparently injecting herself with buprenorphine while trying to get high with her boyfriend. Carrie Elisabeth John earned a doctorate in physiology and pharmacology and was a postdoctoral fellow at the University of Maryland School of Medicine studying the effects of drug addiction when she died from an overdose.

The police said, Carrie and her boyfriend Clinton Blaine McCracken grew marijuana inside their home and used narcotics purchased over the Internet from a Philippine pharmacy that shipped pills hidden inside stuffed animals. "John and McCracken led a life that the young woman's mother never saw. McCracken told authorities that he and John injected themselves with buprenorphine and morphine. Police said they had turned their unkempt house into an indoor marijuana farm, with grow lights and fans vented with aluminum dryer hoses. Police said they found pills in bags, at least 20 bongs, 30 marijuana plants growing up to two feet high and more packed and stored in Mason jars", according to the Baltimore Sun. The police are going to charge McCracken with many different charges related to everything found in the couple's home. McCracken believes that John did not overdose, rather, it was a bad batch of drugs that led to the death - toxicology reports are still pending.

Whatever the case may be, Carrie John died needlessly in the prime of her life. She never had the opportunity to seek help and no one seemed to have a clue about her struggles with addiction. It is surprising that the University of Maryland did not drug test their employees, especially the ones working in John's department; they had had constant contact with addictive drugs on a daily basis. I imagine they will start testing after this terrible incident. It just goes to show that most addicts and alcoholics go undetected through life until something horrific happens.

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Tuesday, September 15, 2009

'Basketball Diaries' Author and Punk Icon Carroll Died

Basketball Diaries Punk Icon Carroll Dies

Jim Carroll, author of the famed Basketball Diaries, died on Friday of a heart attack. Carroll's life was forever shaped by his extensive Heroin use which is what most of his prose consisted of. Despite dying at, what many would consider, a young age, 60, he left behind a legacy that we all can cherish. He gave the world a close up, in depth, view of the trials and tribulations of an addict. In the 1970s, Jim Carroll played a major role in the New York art scene, where he mixed with artists such as Andy Warhol, Patti Smith, Larry Rivers and Robert Mapplethorpe. The 'Basketball Diaries' author and punk icon died from a heart attack at his home in Manhattan, his ex-wife Rosemary Carroll told The New York Times.

Carroll's poetry and other works were amazing, but, it was his gritty autobiographical tale of growing up in New York and ultimately becoming a drug addict, who went so far as to prostitute himself, that drew the most attention. "The book, which began life as a journal, was first published in 1978 and then became even more popular, particularly on college campuses, when it was issued as a mass-market paperback two years later", according to the NPR. It was adapted into a film in 1995 and it starred Leonardo DiCaprio. I always will remember the story as giving, arguably, the best portrayal of the progression of the disease of addiction; moreover, it showed people there was a way out if one so chose to do what was needed.

Jim Carroll starting writing poetry at a very young age. "Carroll was in his teens when he first received recognition for his poems, especially "Organic Trains" in 1967 and then "4 Ups and 1 Down" in 1970. Among his other works are collections such as The Book of Nods (1986), Fear of Dreaming (1993) and Void of Course: Poems 1994-1997 (1998)" reports the NPR. You can feel the pain in his words and you can hear his cries for help. So many pop icons have passed away this year it is almost unbelievable. However, it is uplifting to know that Carroll, unlike so many suffering from this disease, remained a productive member of society until the end of his days.

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Thursday, September 10, 2009

Prison System Falls Short In Treating Drug Addiction

US Prison System Treating Drug Addiction
The United States is literally sick with the disease of addiction. Every day countless numbers of people are sentenced to jail when they belong in drug treatment facilities. The U.S. prison system does not appropriately address the needs of people withdrawing from drugs and people are put through what could only be described as a form of torture. It is estimated that a quarter of a million people that are addicted to heroin are imprisoned each year in the United States. That number is only a fraction of all the people incarcerated that are addicted to various narcotics. Sadly, very few state run prisons offer, let alone provide, any form of detoxification or any type of treatment. A recent Science Daily article addressed this problem and had many interesting facts worth noting. Simply, the U.S. prison system falls short in treating drug addiction.

The Miriam Hospital at Brown University and their affiliated Center for Prisoner Health and Human Rights did a study and their findings are almost hard to believe. "Just half of all federal and state prison systems offer ORT (opiate replacement therapy) with the medications methadone and buprenorphine, and only in very limited circumstances. Similarly, only twenty-three states provide referrals for some inmates to treatment upon release from prison. These policies are counter to guidelines issued by both the World Health Organization (WHO) and the Centers for Disease Control and Prevention, which say prisoners should be offered ORT for treatment of opiate dependence". There is no doubt that providing inmates with the option of ORT and referring prisoners to drug treatment centers, upon release, would dramatically decrease recidivism and ultimately would give people a chance at starting a new life. In turn this would make the streets safer for everyone and this would reduce the taxpayers' burden by keeping addicts from returning to jail over and over.

"Opiate addiction, like all forms of addiction, causes long-term changes to the structure and functioning of the brain, which is why it is classified as a disease. Addiction requires treatment just as other chronic diseases, like diabetes and cancer, do. Unfortunately, there is a large gap between the number of prisoners who require addiction treatment and those who actually receive it," added senior author Josiah Rich, MD, MPH, co-director of the Center for Prisoner Health and Human Rights at The Miriam Hospital and Alpert Medical School. If an inmate were diagnosed with cancer they would receive proper medical treatment for the disease and the same goes with any illness. Why, then, is the disease of addiction overlooked and thrown under the bus time and time again? The science is clear and the facts have been posted on the wall, but, nobody wants to read them - let alone believe them.

"In spite of overwhelming scientific evidence demonstrating that pharmacological treatment for addiction has greater health and social benefits than abstinence-only policies, many prison directors are philosophically opposed to treating substance use. Most prisons also do not provide referrals for substance use treatment for prisoners upon release. These trends contribute to high re-incarceration rates and have detrimental impacts on community health. Our interviews with prison medical directors suggest that changing these policies may require an enormous cultural shift within correctional systems", stated Amy Nunn, ScD, the studies lead author and an assistant professor of medicine (research) at The Warren Alpert Medical School of Brown University. It is hard not to see Amy Nunn's point, real change and the destruction of the social stigmas that come along with addiction are ever so important. If prisons continue to view the disease of addiction as a question of willpower of weak moral fiber, then there will always be hundreds of thousands of people returning to prison as repeat offenders. Over 10 million people go to jail in America every year, most of which have or have had a substance abuse problem. The tools are available for curbing those numbers; however, we are failing to utilize them.

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Thursday, August 27, 2009

Edward Moore "Ted" Kennedy Died

Edward Moore Ted Kennedy with his brothers Jack and Bobby

The world lost another great man this week, a man who had traits that we could all hope to have. In May of 2008 Edward Moore "Ted" Kennedy (February 22, 1932 - August 25, 2009) was diagnosed with a malignant brain tumor which limited his appearances in the Senate. He died on August 25, 2009, at his home in Hyannis Port, Massachusetts. According to Wikipedia, "Kennedy played a major role in passing many laws, including laws addressing immigration, cancer research, health insurance, apartheid, disability discrimination, AIDS care, civil rights, mental health benefits, children's health insurance, education and volunteering. In the 2000s, he led several unsuccessful immigration reform efforts. At the time of his death, he was continuing to work on universal health care legislation, which is often described as his 'life's work'".

Ted Kennedy was the champion of many great causes in the United States; the mistakes he made in his early life are now overshadowed by his great deeds. Over the years, it has been said, Teddy had his struggles with alcohol, as did his son Patrick Kennedy; both of them fought for the rights of addicts as well as the rights of all. We owe a lot to the Kennedys for the legislative changes they were responsible for during their lifetimes; our younger generations are truly not aware of most of their great deeds. The blood, sweat, and tears that the Kennedy family gave and is still giving is absolutely amazing and something to marvel over!

Representative Patrick Kennedy (RI) has been a champion for the cause of alcoholics and addicts; he himself suffers from Bi-Polar disorder and the disease of addiction. Patrick worked tirelessly for the bill HR1424 (known as the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008) and it was finally passed in 2008 as part of Emergency Economic Stabilization Act of 2008. The bill ensures that people who suffer from the disease of addiction and mental disorders can get a fair shake from their insurance companies. According to then Republican Senator Pete Domenici of New Mexico: "This bill targets insurance plans that cover more than 50 employees. About 113 million people, we figure, are in group insurance plans that have, as part of their health care, mental health coverage. All of those, now, will have imposed on their insurance policy by operation of law that the insurance company will pay for mental health treatment in exactly the same way they cover physical ailments — the same amount of days in the hospital, the same amount of co-pay, and all the other technical words will be equal. And that's not what it used to be, and not what it is today. Insurance companies were already moving in that direction, but now we've made it so they can't slide backwards"(Time.com).

I encourage everyone to watch this video of Rep. Patrick Kennedy testifying concerning mental health parity at a House of Representatives Committee on Education and Labor Subcommittee on Health, Employment, Labor and Pensions hearing on July 10, 2007. This is a powerful video and it helps to clarify the "disease of addiction." I look forward to hearing your thoughts.

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Tuesday, July 21, 2009

If Marijuana Is Legal, Will Addiction Rise?

Marijuana legalization has been a hot button topic for many years and is one that has serious implications. America's prohibition on "Weed" has many people wondering if legalization would do more good than the current laws have done. If Marijuana is legal, will addiction rise? I have found many great arguments on both sides of the table, this topic is one that should be discussed in depth for the fact that the question at hand is an American problem; more Marijuana is consumed in the US per capita than any other country. I can see positives and negatives for the legalization of Marijuana, I am attempting to get the conversation started on this delicate subject.

I do believe the question at hand is one that most adults have asked themselves at one point or another, whether or not legalization would do more good than criminalization has? The argument that "Pot" is just like every other illegal drug does not hold as much water as it used to. That is the danger with putting all illegal drugs in the same category for the fact that it is simply illegal raises social stigmas with the uninformed; which, in turn, has impacted how the government treats people who have dealings with Marijuana. The writing is on the wall and whether or not we choose to read it greatly affects us as a nation. In many cases trying Marijuana in America has been a right of passage since the 60's, the amount of people who continue to smoke marijuana is very low. A very small percentage of all that have tried "weed" continue smoking it on a regular basis; most people become social smokers, meaning they can take it or leave it. The small group of people that smoke daily are more than likely people with addictive personalities and perhaps the disease of addiction. Norm Stamper, who was Seattle's police chief from 1994 to 2000 said in a New York Times Article, "Any law disobeyed by more than 100 million Americans, the number who've tried marijuana at least once, is bad public policy. As a 34-year police veteran, I've seen how marijuana prohibition breeds disrespect for the law, and contempt for those who enforce it... Let's make policy that helps, not handcuffs, those who suffer ill effects of marijuana or other drugs, a policy that crushes the illegal market - the cause of so much violence and harm to users and non-users alike."

With the economy spiraling out of control and doctors stating that Marijuana is no more harmful or addictive than alcohol, many people argue that legalization could be one of the answers to boosting the economy. People have been growing, selling, and smoking Marijuana despite strict laws right here in the United States; legalizing it and putting government control over the substance would allow it to be taxed, thus decreasing the black market activity exponentially. Is it a coincidence that the many of the banks in America with liquid money are in Northern California? A professor at the University of Washington, Roger Roffman, believes this could be done one of two ways. "Surveys indicate increasingly positive attitudes in the U.S. for liberalizing marijuana policies. Two ways of doing this are: (1) legalization, which would involve lawful cultivation and sale of marijuana, and (2) decriminalization, which would retain criminal penalties for cultivation and sale while removing them for possession of small amounts."

Many who have experimented with Marijuana have suffered greatly, but not necessarily regarding their health. Legal policies have, in some cases, done more damage to a person's life than the side-effects of the drug. "I support finding alternatives to criminal penalties for marijuana possession. Those penalties have costs (being jailed, having a criminal record, barriers to employment, loss of scholarships, to name a few) and may accomplish little in deterring use."(Roger Roffman) Justification for this level of punishment has yet to be seen, nor has any good argument been clearly stated for why Marijuana is illegal and not Alcohol or Cigarettes. Why?

In this post I have tried to present a non-biased view of a subject that is at the forefront of social politics. I am not sure what the right answer to this problem is, if any at all; what I do know is that change needs to be considered regarding Marijuana policy in America. If legalization does come to fruition, policy makers need to be careful in the way it is done; there would need to be stringent rules in the way it is marketed and the way it is distributed. I do believe Americans can find a way to meet in the middle on this subject but it will take people on both sides being honest and realistic in the way we proceed. The idea is to lower drug related crimes and keep our children educated and informed of the possibility of addiction with Marijuana and all drugs for that matter. What we don't want is people getting rich off "pushing" the disease of addiction, that is promoting a product that can be addictive, as the cigarette marketers did for so many years. "Telling marketers they can get rich by creating disease is dangerous." - Mark A.R. Kleiman, Professor of Public Policy at U.C.L.A.

Our Whiteside Manor Blog seeks to be topical in the areas of addiction and recovery. As California considers new law, let us know your thoughts on this important subject...

In the meantime, I invite you to watch Dr. Nancy Snyderman of NBC News, as she discusses with a panel "Should Marijuana be Legal?"


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