Becky DeKeuster of Berkeley Patients Group

On December 17th, our post dealt with the State of Maine setting up their medical marijuana program. A few days later we received a comment on our post via Live Journal from Becky DeKeuster of Berkeley Patients Group. We shared Becky DeKeuster's comments with you on December 31, 2009, and we promised to respond to Ms. DeKeuster. Please see below our comments.

Dear Ms. DeKeuster,
Thank you for taking the time to respond to my post and for so eloquently sharing important information. I understand that you needed to correct my statement: "The same people who are helping Maine set up a medical marijuana program are also trying to have full on legalization voted on in the next year in California." I will agree with you this statement is rather broad. Without enough research, I implied, based on an assumption from the news articles that the Berkeley Patients Group would be in favor of full legalization. I did not mean to imply that you have or would take an official stand on legal or recreational use of cannabis. After all, as far as legal use, medicinal legal use was passed in California in 1996 and Berkeley Patients Group was founded in 1999. I understand now that recreational legalization is not part of BPG's agenda.

I have now visited your web site and read your mission statement. I have also taken the time to read the PDF "Declare Saturday, October 31 2009, 'Berkeley Patients Group Day' In the City Of Berkeley." This declaration was very informative, providing a historical review of Proposition 215 and Berkeley Patients Group activities over the past 13 years.

I appreciate your clarification and your wish for a "do-over" regarding the wild-west metaphor. I, too, have been following this topic for a number of years and I recognize that each state finds they must individually navigate these waters very carefully and diligently. I am frequently amazed at the obvious differences in how medicinal marijuana dispensaries are managed in northern California towns and cities, as compared to what I see and read about in Southern California.

I don't think we are too far apart regarding the pharmacology issues. I did not mean to imply that I believe that marijuana should only be available in pharmacies distributed in THC pill form. What I wanted to assure is that it be regulated and, therefore, look forward to it not only in a synthesized formula, but also the natural herbal form being distributed by pharmacies. I do understand that patients indicate that the delivery format of the herbal form appears to be more efficient for pain relief, not unlike, I would think, the surgical patient receiving a morphine drip, as opposed to a Vicodin tablet.

The bigger question remains, should marijuana be approved for recreational sale and use, like alcohol? And if it is, how will it be managed, controlled, sold, distributed? We know addiction is a disease. Many people use marijuana, but like alcohol drinkers not all are abusers. Addiction affects minimally 25% of the population. Managing medicinal marijuana use will be perhaps left to our health care providers, who will need to decide if herbal marijuana is the correct course for each individual patient.

Going forward we will continue our work to educate and assist those seeking recovery and sobriety.

"Thank You, and Some Corrections"

On December 17th, our post dealt with the State of Maine setting up their medical marijuana program. A few days later we received a comment on our post via Live Journal from Becky DeKeuster of Berkeley Patients Group. We would like to share her thoughts with you as we close out 2009. Next week we will be back to respond to Becky's comments.

Thank you, and some corrections
Greetings, and thank you for addressing the important work that Maine's medical cannabis task force is undertaking to ensure that qualified patients have safe access to medical cannabis there. In the interest of an open exchange of ideas and facts, I write to address some of the concerns you express in this posting, and to clarify certain inaccuracies therein.

First I must correct your statement that "The same people who are helping Maine set up a medical marijuana program are also trying to have full on legalization voted on in the next year in California." Berkeley Patients Group takes no official stand on legal or recreational use of cannabis, and has not contributed to the ballot initiative that California voters may vote on in 2010. To do so would in no way advance our mission, which is as follows:

"The mission of the Berkeley Patients Group is to provide the purest, most effective, and affordable medical cannabis along with integrated holistic health services. We create and maintain the standards of excellence for medical cannabis in all that we do. We foster a compassionate community that advances understanding and inspires action."

As we enter our second decade of operations, BPG is still guided by the vision of our founder Jim McClelland, who died of AIDS-related complications in 2000. To blur the bright line between legalized medical use and legalized adult use would be to do a disservice to Jim, and to the patients who rely on us for medicine, services, and support. We are expert at successful, legal dispensary operations. Legalization is not on our agenda.

My second point refers to the perception that "the west is a mess." If I had a do-over button I would not have used the "Wild West" metaphor in that media interview. It's an easy shorthand, but it paints an inaccurate picture of what is actually happening in western states with medical cannabis laws. (These include Alaska, Washington, Oregon, California, Hawaii, Montana, Arizona, Nevada, and New Mexico.) Each of these states is dealing with implementation in its own way and each is facing various complexities.

It is important to keep in mind that these states are working separately because our federal government has so far refused to accept the findings of its own DEA Chief Administrative Law Judge Francis Young, who ruled in 1988 that "marijuana, in its natural form, is one of the safest therapeutically active substances known." He further stated that "the provisions of the Controlled Substances Act permit and require the transfer of marijuana from Schedule I to Schedule II," and that "it would be unreasonable, arbitrary and capricious for the DEA to continue to stand between those sufferers and the benefits of this substance."

That being said, for the purposes of this comment I will limit my focus to California, which I suspect is the true target of the "wild west" concerns. Of course, the issues that L.A. is facing make for great media and so, unfortunately, those are the reports that the nation hears.

What is less often reported is that there are cities and counties in California where medical cannabis cultivation, dispensing, and use happen with reasonable oversight and without negative impact on local communities or patients. Oakland, San Francisco, Sebastopol, and Berkeley all come to mind as examples. These local governments early on implemented sensible regulations that allowed for, and put reasonable checks on, how patients, dispensaries, and communities can co-exist. And in the case of Berkeley, voters last year authorized a city commission to oversee dispensary operations and safety standards. In short, locales that allow for dispensary operations within clear, fair guidelines simply do not have the proliferation issues that we are seeing in the southern part of CA today. Because their programs are successful, because they work for their communities and don't make waves, they are not sensationalized in the media. The last media BPG received before this past Tuesday was an article in the Oakland Tribune about the City Council of Berkeley unanimously proclaiming our 10th birthday as "Berkeley Patients Group Day" in our city this year. [here is a link to the city's proclaimation "Berkeley Patients Group Day CA 2009" ]

I understand your call for cannabis to be treated as other pharmaceuticals. We have heard it again and again here in California--why can't they just have it in pharmacies? You can get synthesized THC in your local pharmacy, with a prescription. It's called Marinol, or Sativex. Patient responses, though, indicate a strong preference for the natural herbal form of the medicine, which can be self-titrated, and which offers a plethora of strains for the patient to choose from--and yes, scientists here, in Holland, and elsewhere are working hard to match specific strains to relief from specific ailments, and why. We know from our patients' anecdotal experience that various strains work best for different illnesses, but are currently working to link chemical components of each strain to the types of health issues that respond best to each strain. (Again, such research is taking place on a self-regulated basis and under considerable legal restraints, due to the federal government's refusal to address this important concept.) There are even four patients in the U.S. who receive 300 pre-rolled joints a month from the federal government itself, which operates a grow facility at a university in Mississippi.

So. Why can't we dispense it in pharmacies? Well, the folks who make Marinol would like that very much, but the patients say that THC compounded synthetically in a lab doesn't approach the efficacy of using whole plant medicine. Furthermore, cannabis is proven to be less lethal than aspirin. Yes, over the counter aspirin. In terms of patient needs, and taking into account societal impacts, this is not a medicine that requires Schedule I handling (also on Schedule I: heroin and fentanyl. Cocaine and meth are both Schedule II).

Finally, I want to say that I personally appreciate the work you do to help those with addictions to various substances. Your concerns about Maine's implementation of this law are understandable. However, it is especially vital for those in your profession to fully understand the facts about medical cannabis, and to consider Maine's law, and our advisory role, not as a threat but as an opportunity to learn more and to help debunk damaging myths about this substance. I would invite you to research more on the issues I have stated above, and to also consider the emerging role of medical cannabis as a valuable harm reduction tool.

Again, thank you for taking up this issue. I look forward to continued conversation with you as Maine crafts regulations that encourage safe access and sensible medical use standards.

Be well,

Becky DeKeuster
Berkeley Patients Group

Is Marijuana an Illegal Drug or a Medicine?

Iowans have been turning to marijuana for their medical ailments despite their Iowa Republican Sen. Chuck Grassley's opinion. Grassley, who recently is working to prohibit all discussion regarding medical marijuana in a bill to amend drug policy. However, the citizens of Iowa have a different opinion and many are pulling to have medical marijuana legalized. According to the Iowa AP, "opponents claim marijuana is already the state's most abused drug and the problem will only worsen if it's allowed for medical use". A lot of people still hold on to and are not willing to let go of the idea that marijuana is the gateway drug that leads to the abuse of all other drugs. However, that idea has come under serious debate in the last few years and doctors are professing the medical benefits of marijuana; alcohol is generally considered more damaging then marijuana these days.

"The Iowa Board of Pharmacy has held four hearings in recent months to seek scientific evidence and testimony on the topic. That review could lead to a recommendation to state lawmakers whether to change Iowa laws", stated the Iowa AP. More people in Iowa are speaking out for legalization than there are against it; very few people have expressed their opposition which is kind of surprising to many people. Thirteen states are now allowing the use of medical marijuana, very few states have set up dispensaries as of this point but more are expected to pop up in the near future.

The fact still remains that marijuana is addictive and affects the brain and lungs in a negative way. Will legalizing medical marijuana send out the wrong message to young people? Medical marijuana use could very possibly spike addiction rates in the coming months and that data will give people a better idea of the societal effects of medical marijuana. Before any kind of decision in Iowa is made, Dr. Ron Herman the director of the University of Iowa's Drug Information Network said, more research is needed.

2008 Zogby Poll - Three Out of Four Americans said the War on Drugs is Failing

Is it time to reform our criminal justice system and how we fight the war on drugs? Let's face it, our criminal justice system has a fatal flaw and as a result people are imprisoned needlessly all in the name of America's "War on Drugs". It is unacceptable that the United States has 5 percent of the world's population, but houses 25 percent of the world's prisoners. The majority of those prisoners are low level offenders generally incarcerated because of drugs; half of federal prisoners and 21 percent of state prisoners are locked up because of something drug related. Perhaps it is time for rational debate on drug policy, that's what the Students for Sensible Drug Policy (SSDP) seek. In a 2008 Zogby poll, three out of four Americans said the war on drugs is failing.


Overall, Congress is afraid to address the drug war subject because it can be political suicide; the lack of involvement has allowed this problem to fester and now we have a criminal justice nightmare. "Sen. Jim Webb, a Virginia Democrat, and 35 other senators are sponsoring the National Criminal Justice Commission Act (NCJCA) to establish a blue ribbon commission to review our criminal justice system", reports the Desmoines Register. Sen. Chuck Grassley wants, regarding the bill, to prohibit any discussion or examination of the possibility that drugs, including medical marijuana, should be decriminalized or legalized despite there being evidence that removing prohibition could help out the criminal justice system and help fight the cartels.


More and more people are arguing that if any real change is going to happen with the criminal justice system in America it will start with changing how we fight the war on drugs. We have to ask ourselves what the cost of this war is, and why people who belong in drug treatment are ending up in prison. Prison is no place for a low level drug offender, and those are the people the war on drugs is targeting. If we spent as much time on going after the cartel as we did individual drug addicts perhaps we would see some positive developments. It does not seem like we can afford to ignore any suggestions, even if they involve some form of legalization, as long as it can help.

Senator Webb Introduces Bill to Overhaul America's Criminal Justice System Video. While this video is almost 10 minutes long, Senator Webb eloquently addresses the issues discussed above.

More Young Teens are Using Alcohol and Marijuana

The California Healthy Kids Survey was released on Monday showing that more young teens are using alcohol and marijuana in Santa Cruz County. More young people believe that alcohol is harmful but that is not deterring them from drinking; teens are smoking more pot believing that it is not harmful, how could it be - it's medicine. The laws in California and fourteen other sates allowing the use of medical marijuana have created an ideology that marijuana is in no way harmful. There is evidence that there are medical benefits to weed, there needs to be a way to produce and distribute the drug without sending out the wrong message to the young and impressionable. "Bill Manov, the director of Alcohol and Drug Services for the county's Mental Health and Substance Abuse Services, thinks it's good news that more teens are perceiving alcohol as dangerous because it could lead to a decrease in future drinking habits. And although he said there's a pretty widespread acceptance of marijuana in Santa Cruz, he said he is still alarmed at the upward trend of use among children", reports San Jose Mercury News. Here are the reported statistics:

• Thirty-six percent of high school freshmen countywide who were surveyed in February say they've been very drunk or sick from alcohol, up from 29 percent in 2005. Sixteen percent of seventh-grade students report binge drinking, up from 10 percent in 2005.

• More freshmen report thinking that alcohol is harmful or extremely harmful, which is up seven percent from 2005.

• Twenty-six percent of freshmen who took the survey report having used marijuana in the last 30 days, as opposed to 18 percent in 2005. Half of juniors say they've tried the drug.

• Cigarette use increased three or four percentage points for high school students since 2007.

• Six percent more said they think frequent use of cigarettes is harmful.

• About a third of seventh grade students are overweight or at-risk, though those numbers drop to 29 percent in ninth grade and 23 percent in 11th grade.

• More than 75 percent of seventh- and ninth-grade students still break a sweat for 20 minutes three times a week.

Fewer teenagers are exercising and more of them are partying. Habits in all different forms are popping up at alarming rates; young people are not as healthy as they were in the past for a number of reasons. About two hours of every young person's day is spent in front of the television. "Idle hands are the devil's workshop", the message is being sent that it is alright to get high and drink. Alcohol and marijuana may be sitting next to each other at the store one day very soon. America needs to tread lightly in figuring out the best way to implement medical marijuana.