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Los Angeles, Medical Marijuana, & Drug Legalization

Interesting story in LA Weekly about "medical" marijuana dispensaries — which pretty much confirms my suspicion / prediction that "medical marijuana" will simply function, in many cases, as a backdoor approach to legalization.

About 70 percent of the visitors entering dispensaries observed by the Weekly in November were young men — corroborating D.A. Cooley's claim that the real market for all this activity is everyday users, not people suffering serious disease.

Once a drug is recommended for a treatment, it can, in theory, be prescribed for any condition. Is pot helpful for cancer sufferers undergoing chemo? Perhaps, but maybe the doc can get you a script for your, um, sore throat, too.

In any of these debates, the good done by policy X has to be weighted against the harm done by the same. It's not enough to just look at one side of the equation. Could marijuana help with autism? Some think so. But, even if so — what about the long-term impacts of a significantly expanded stoner culture?

There are a lot of arguments on both sides of the legalization debate. One obvious pro-legalization tact is to argue that lives will be saved by ending the "war on drugs." Personally, I don't see it: what are we going to do, legalize crystal meth, PCP, and cocaine? Until every drug is legalized, there will always be a "war on drugs." And until all recreational drugs — "designer" or otherwise — are completely free, there will always be addiction-related crime. And I just can't see the logic of using taxpayer dollars to create meth — one of the most addictive and destructive substances on earth — and hand it out free to users.

But the "killer" argument, as far as I can see, is that, contrary to the claims of libertarians, drug legalization will lead to larger government. First, addicts by and large tend to vote for socialism. What's you're average stoned citizen going to support, politically? Free goodies, or a system based on rewarding hard work? Sure, drug-using Republicans do exist, but PJ O'Rourke is an oddity, not the rule.

Second, every time you turn a private "vice" into an industry, you create one more very powerful special-interest group which will (a) lobby the government for ever-expanding profits, and eventually (b) come into conflict which those who "preach" against whatever vice it is they're peddling — which tend to be small-government conservatives with traditional values.

To my conservative and libertarian friends: Does the gaming industry mostly give to Democrats for Republicans? They support the party of large government, not small. And what our newly-created US porn industry? After screaming that laws should be kept off people's bodies, guys like Guiccione and Larry Flynt poured millions into the the party of endless bureaucracy. And speaking of "laws off bodies", what party does the abortion industry support? The party which believes every act in the world should be regulated — except the taking of a fetus's life, of course.

The LA Weekly article seems to give rather strong evidence that my concerns are not ill-founded in this case, either:

From the start, according to one City Council staff member, [marijuana dispensary owner Don] Duncan focused heavily on his top issue: allowing over-the-counter sales. Even when Delgadillo and later Trutanich, both with Attorney General Brown's guidelines in mind, steadfastly refused to allow sales in their several versions of the ordinance, Duncan insisted on sales. Zine tells the Weekly that "no sales" was a condition Delgadillo was imposing that wasn't "workable with the Americans for Safe Access" — Duncan's group.

Where was the Los Angeles public in this debate?

Shut out — entirely. No neighborhood councils, business leaders, parents, school officials, none of these obvious stakeholders were invited to the inner chambers where Duncan increasingly ran the show.

Note that? (A) The dispensary owner's doing everything possible to expand the business. Just as Las Vegas has slot machines in grocery stores, for heaven's sake, so also will "vice" industry owners continually seek profits at the expense of even the most vulnerable in society. And (B) he parlayed his new chain of vice shops into a political environment which "shut out — entirely" political participation by others citizens on these issues.

Police say the profits taken by pot dispensaries are often stratospheric — a charge pot advocates deny. But in the West Valley early this year, where 51 weed dispensaries operate, when the LAPD busted five linked locations they found a treasure trove of receipts showing that the small shops had together taken in $48,802 in a single day from 353 customers plunking down an average of $138.

That's almost $18 million a year — from five "small" stores. What you think such influence will buy, writ large, politically, once de-stigmatized? Do you think there will be a single community able to resist it? Once gambling got a legal toe-hold in Vegas, it set its sights on every state in the Union.

But residents aren't thinking about the Mexican Mafia or drug cartels. Dave Beauvais, president of the Granada Hills Neighborhood Council, watches kids heading to and from Granada Hills High School and right past the pot shops. "A lot of kids are hanging out there," he says. "It used to be they would hang out at Carl's Jr."

I wish there was a simple answer to the drug problem, the way legalization advocates portray it. But I just don't see it.

And kudos to the Weekly for their original research and reporting.

Comments

Excellent questions!

How exactly does this corroborate the DA's claim at all? All it indicates is an age group, you'd have to actually see their medical files to show that it is everyday users not those with disease.

Medical marijuana is most commonly recommended for chemo. In fact, that was the biggest benefit the California voters were told about. A usage profile of 70% young men is not at all typical of the demographic of cancer sufferers. Rather, it sounds more consistent with the group most likely to use marijuana for recreational purposes, which is not at all what voters thought they were approving.

There are several diseases which hit young men more commonly than other groups.

Great! Then go ahead and name those diseases which are particularly common among young, healthy-looking men, and which are also particularly helped by marijuana use.


Arguing for legalization does not necessarily mean that one wants free drugs...

I agree. Legalization advocates claim that drug-related crime results, at least in part, from addicts' desperate need to procure their next fix. If so, then you must either provide the drugs free to them, or admit that legalization won't reduce that kind of crime, or admit that the aforementioned kind of crime is largely fictional.


I want them taxed according to how dangerous they are

Great! Then you admit that you'd probably tax crystal meth a very high rate, given its extreme danger -- which would inevitably lead to a "black market" for crystal meth. Which is exactly where we are now.

I also believe that anyone who abuses drugs should not be able to receive state funded medical aid for conditions directly related to said abuse.

Right. And this also means that drug users would turn to illegal sellers, rather than go through state-approved channels and thus lose their opportunity for state-provided healthcare. It seems to me that your own statements provide powerful evidence against your position.


In the end your argument seems to be that you don't want democrats to receive more money from special interest groups... this seems beyond ridiculous.

You're more than welcomed to explain why. I'm probably not alone in not being convinced by statements like "seems beyond ridiculous." That may be so, from your point of view — but it but it helps your readers (myself certainly included!) if you provide reasons for your conclusion.

If one believes concentrations of power tend to lead to corruption and waste, as I do, then it seems perfectly sensible to not want to concentrate all power in one organization which has no competitors, and thus few checks on its behavior — government.

So are you saying you believe increased special interest money actually improves the quality of the political process? If so, you hold a very rare position, one typically only held by lobbyists, MPs, and congresscritters. ;-)

Posted by: Tim (Random Observations) on December 1, 2009 12:42 PM

Don't get me wrong I don't doubt that many who use medicinal dispensaries are doing so under false pretenses. I am merely pointing out that the reasoning that 70% of the visitors were young male does not preclude that they may have had valid reasons for requiring medicinal marijuana.

I don't think anyone in the legalize marijuana (or drugs) movements would say that all crime surrounding drugs would vanish overnight due to the legalization. Sure it is stated (and I agree) that drug related crime will fall dramatically, however this is not because there will be less thefts to pay for drugs or anything silly like that, but rather the drugs would be taken out of the hands of the dealers and put into the hands of regulated businesses.

"Great! Then you admit that you'd probably tax crystal meth a very high rate, given its extreme danger -- which would inevitably lead to a "black market" for crystal meth. Which is exactly where we are now."

Wrong, you see you can tax meth heavily and still keep it under the current market value and make a profit from it. Tie this in with stiff punishment for illegal dealers and for getting your drugs from an illegal source and it makes much more sense to go to a registered dealer rather than a black market one. It could be argued that black market dealers will just lower their profit margins, however with the risk involved I highly doubt that anyone would do such a thing without the immense monetary reward.

Its not that you don't want special interest groups to fund political parties that I find absurd, I know from my comment you could certainly infer that, but that is not what I was intending, sorry for being inarticulate. What I meant was that this is a ridiculous reason to object to the legalization of marijuana. To object to the removal of a ineffective prohibition based on the fact that you believe that the industry that will spring up around the removal will support one party or another is just plain anti democratic by nature.

Posted by: 420-Guy on December 1, 2009 01:11 PM

I don't think anyone in the legalize marijuana (or drugs) movements would say that all crime surrounding drugs would vanish overnight due to the legalization.

I don't think I said they said this, either. ;-) It sounds like you also agree that drug-related theft won't be reduced, and disagree with legalization advocates who make that argument. I'll get to your point about cost reduction below...


I am merely pointing out that the reasoning that 70% of the visitors were young male does not preclude that they may have had valid reasons for requiring medicinal marijuana.

In most cases, trying to determine what's happening isn't a matter of a knock-down, irrefutable "proof". Often, the evidence is ambiguous, and one must choose between alternatives, neither of which are completely provable.

So, given the evidence of the article, and your failure to list said afflictions of young males, for my consideration, I find it far more probable these young men are recreational users, not, on the whole, victims of some plague upon the young. As the article put it, it "corrobates" the claim, though not proving it completely. As I said, sometimes we have to deal in nuances.

If you believe otherwise, that this gives no evidence to that effect, or that its far more reasonable to believe these young men are probably (since we must guess either way) mostly sick, then you're welcomed to. We're just making a different judgment call then, and I respect your right to do so, even while disagreeing. Is that, in fact, your position?

Or are you saying it's wrong to draw any conclusions at all? If so, do you apply this rule in all other similar cases, lacking hard, definitive data?


Wrong, you see you can tax meth heavily and still keep it under the current market value and make a profit from it.

An illegal meth dealer has no sales taxes, no payroll taxes, no workplace liability concerns or insurance, cannot be sued, doesn't have to comply with FDA or OSHA regs (here in the US), doesn't have pension and retirement plans to worry about — and doesn't have to pay the environmental costs for his rather nasty production process.

You think all those things can be added to the cost of meth production, and the cost won't go up? How? By achieving massive efficiencies of scale? But doesn't that imply that meth production, and use, is going UP then, with a commensurate increase in social costs?

You can believe it, but I have a hard time buying it. The market is already naturally seeking the most efficient means of meth production possible, unencumbered by government regulations. I don't see how you can slap massive taxes and regs on that and then still believe prices will somehow decrease as a result.


What I meant was that this is a ridiculous reason to object to the legalization of marijuana. To object to the removal of a ineffective prohibition based on the fact that you believe that the industry that will spring up around the removal will support one party or another is just plain anti democratic by nature.

If you think my objection is rooted in a concern about one party brand versus another, you've missed my point.

I don't favor "Republicans" and disfavor "Democrats" because of the names of the parties, or some team/sport mentality. My concerns is that unchecked government growth, to be blunt, kills people. (Alongside other less deleterious, but still unpleasant, effects on life and its quality.)

Since the Democrats here in the US often pledge to grow the government (and do so, more than their opponents, whatever is or is not being pledged) I'm naturally most concerned about that. If the Democrats promised to shrink government, and the Republicans promised to grow it, I would word it the other way around. Or if both promised to grow the government, I would then equally oppose both receiving special interest money. (I'm not cheering for special interest money to be given to Republicans either! My point is to shrink the government, shrink the influence of special interests on both parties, and leave more freedom and influence for individual voters.)


...the removal will support one party or another is just plain anti democratic by nature.

So, on this basis, do you find the US Democratic Party be more "anti democratic" than their opponents? After all, they are the most avidly in favor of the very charge you just leveled — of wanting to direct all special interest money to one's own party?

Posted by: Tim (Random Observations) on December 1, 2009 01:37 PM

Could marijuana help with autism?
Interesting. I wonder if it's related to upregulating oxytocin which tends to be deficient in some types of autism. The article seemed to make it sound like it was more about getting the kid to eat, though. Odd.

And until all recreational drugs — "designer" or otherwise — are completely free, there will always be addiction-related crime.

First, addicts by and large tend to vote for socialism.

If you're arguing on those who 'want to end the war on drugs, period' I agree.
But applied specifically to marijuana, this seems to beg the question. Unlike drugs like crystal meth, the main argument against marijuana doesn't seem to be addiction. Nor do many proponents of marijuana legalization (based on my limited and probably very skewed observations) seem to support legalizing drugs like cocaine. There
are exceptions (and your comment thread.) But the demand for cocaine seems much lower than the demand for marijuana. And presumably an illegal market for marijuana could encourage a market for other less popular drugs. As one of my friends commented; "the reason that marijuana is a gateway drug is because of the people it leads you to meet when you buy it."

To be clear, I'm open to marijuana legalization (undecided), but not to the legalization of those drugs which undermine free will via strong addiction. Though I admit to perhaps being a bit naive since I have a hard time understanding why anyone would use crystal meth in the first place.

Once a drug is recommended for a treatment, it can, in theory, be prescribed for any condition.

Cocaine is not a schedule 1 drug, while marijuana is. So theoretically a doctor should be able to more easily proscribe cocaine for off-label uses than marijuana. Why, then, is medical marijuana such a hot issue in California while medical cocaine is, in comparison, not? Perhaps half the problem is the fact that since the federal government prohibits prescriptions for marijuana, the normal pharmaceutical controls are not in place. A person seeking medical marijuana couldn't even get it at a pharmacy. (Or perhaps the demand for cocaine is just lower?)

maybe the doc can get you a script for your, um, sore throat, too.

I think glaucoma is the fake ailment of choice, typically. Though from what I've heard, most doctors aren't just capitalists about the situation; they have, and can be given reasons to dis-incentivize drug seeking behavior. They're not foolproof, but nothing is.

Great! Then go ahead and name those diseases which are particularly common among young, healthy-looking men, and which are also particularly helped by marijuana use.

Wasting syndrome and appetite stimulation...

"The profile of cannabinoid drug effects suggests that they are promising for treating wasting syndrome in AIDS patients. Nausea, appetite loss, pain, and anxiety are all afflictions of wasting and all can be mitigated by marijuana. Although there are medications that are more effective than marijuana for these problems, they are not equally effective for all patients.source


Posted by: Ryan W. on December 1, 2009 07:52 PM

Further cohort analysis of this population's adolescent interest in other illegal drugs, plus its nearly universal initiation of alcohol and tobacco, suggest that while race (Table 10), and generation (Table 9) exert significant influences, gender merely parallels ethnicity (Table 11). source

31.5% Female college students Have used marijuana to 37.3% male college students. Perhaps men use much more as well?

source

Perhaps there's a further multiplier, men being bigger and needing a larger quantity for an effective dose?

I'm not sure that recreational drug use, by itself, accounts for such a disproportionately male clientele. (assuming, for the sake of simplicity and probably incorrectly, that all illegal drug use is, in fact, purely recreational.)

Posted by: Ryan W. on December 1, 2009 08:55 PM

420-Guy:

Well I don't happen to think that drug related crime due to the cost of the drugs will decrease. I think the belief that they are over reported and thus it appears to be a more serious issue than it actually is.

I agree, and also think such crimes are overhyped for political reasons -- that is, to appeal for legalization on both grounds of pity and crime reduction. So I think its an important point to highlight, and an important argument to deflate, given that we both think it's misleading.


Sure illegal dealers can sell for less than registered businesses...

BTW, I want to recognize you and appreciate that you've conceded a point here. That is to your credit, IMO, and says many good things about you. Not because you agree with me (heck, we might both be wrong now) but rather because it speaks to a concern for the facts, rather than, as you referenced elsewhere, a preference for verbal tricks.


but its a risk reward scale that you are ignoring.

Oh, I'm not ignoring it at all. That risk/reward basis is already being (and has been) considered. I have just come to (apparently) a different conclusion than yours, on that point.

Drug crime exists because many are already finding it worth their time to sell illegal intoxicants, despite the risk, or sell legal intoxicants more cheaply than the taxed and regulated versions. Look at the US's long history of "moonshining", for example. I see no particular magical reason that would change if we substituted a different intoxicant, taxed at the prohibitively high rates you just suggested.

If you have stronger contrary evidence for your alternative conclusion, feel free to mention it.


Would you accept a job for minimum wage if you could be arrested at any moment, robbed, or killed, just for doing your job?

There's a difference between profit and price. A meth dealer, if I'm not mistaken, can churn out quite a bit of product at prices which affordable enough (apparently) for most buyers. But this doesn't mean he himself is earning minimum wages! A paperclip is a very inexpensive item. Yet the man who created the paperclip probably died a wealthy and powerful man.

I suspect you may have a point here, though: it might be possible to produce meth as cheaply as, say, the pseudophed which is a primary ingredient. That would probably be beneath market costs today. (As I mention, there might be economies of scale.)

But in that case, I would suspect usage rates would go through the roof. Hence your point about danger-scaled taxation. But when you propose that, that means the drug isn't being sold at minimum cost, again. Which opens up the exact market we have today. By those who already are willing to break the law.

Look, gambling is illegal and very cheap to do legally in most places. (How much does a slot spin or Powerball cost?) But I still see stories on the news here, fifteen minutes away from a casino, about people and businesses busted running illegal poker games.


You claim Democrats increase the government more than Republicans, can you back that up? You see I can cite specific examples of every republican president since Hoover increasing the government.

You're certainly right about Hoover, who was both a big-government "Progressive" and a Republican. (In the early part of the 20th century, there were "progressives" in both US political parties, including Republicans like TR and Hoover.) And today there are some Republicans who are more pro-big-government than some Democrats. But I'm making a statement about the trend overall.

For example, Democratic candidates typically promise more things from the government: Free healthcare or health insurance, lower-cost student loans, free housing (HUD), etc. They also favor more regulation. Both these require more government power, and the later (regulation) decreases the net amount of freedom everyone in society has. More laws = less available options.

Advocating higher taxes on anyone -- including even the rich -- also means the government controls more money, which, thus means the government has more power (since economic power is a kind of power, too).

So, to be specific, President Obama is promising universal, cheaper health insurance. (Which he promises for the same amount of money, though nobody, not even his allies buy that.) So, for example, a few random bits from the Democratic Party's own platform document [PDF]:

[T]here are different approaches within the Democratic Party about how best to achieve the commitment of covering every American, with everyone in and no one left out...

Health insurance plans should accept all applicants and be prohibited from charging different prices based on pre-existing conditions...

Families should have health insurance coverage similar to what Members of Congress enjoy. They should not be forced to bear the burden of skyrocketing premiums, unaffordable deductibles or benefit limits that leave them at financial risk when they become sick...

On the surface, these sound like great ideas! Why would anyone oppose such wonderful ideas? (Because they cause more harm than good, in practice.) But whether one agrees the ideas are wonderful or not, the point is that each means more power in the hands of the government.

I know people who prefer to carry high-deductable insurance. That would be forbidden under current proposals. Health insurers would be run out of business (and then taken over by the state) by a mandate to cover all existing conditions at unsustainably low prices. The difference in cost would be paid for by those who work and pay taxes.

Look also, for example, at this spending chart comparing Bush and Obama. Control of taxpayer's money is a form of power (you can direct it to whoever you please, paying off your friends, and shutting out those who won't play by your rules) and the Democrats in Congress have certainly already far out down their (not-very-thifty) Republican predecessors.

Every "free" thing from the government means the power to spend someone else's money for them, which gives those in power control over winners and losers in the spending process, and allows them to take a cut (or even the majority of it) as the money passes through their hands.

Posted by: Tim (Random Observations) on December 5, 2009 04:12 PM

Ryan!

Tim: First, addicts by and large tend to vote for socialism.

Ryan: But applied specifically to marijuana, this seems to beg the question. Unlike drugs like crystal meth, the main argument against marijuana doesn't seem to be addiction.

You're right: I should have said "frequent drug users", not merely limited to "addicts", which is misleading, especially regarding pot. What I meant was that most the people I know who use drugs (except alcohol) recreationally, even occasionally, tend to skew far more towards supporting a powerful state.

I don't propose a specific mechanism, though I probably could if I thought about it. It's more a personal observation.


As one of my friends commented; "the reason that marijuana is a gateway drug is because of the people it leads you to meet when you buy it."

Heh. :-)


To be clear, I'm open to marijuana legalization (undecided), but not to the legalization of those drugs which undermine free will via strong addiction.

There are those like Dalrymple who argue against your assertion about addiction and free will:

Using evidence from literature and pharmacology and drawing on examples from his own clinical experience, Dalrymple shows that addiction is not a disease, but a response to personal and existential problems. He argues that withdrawal from opiates is not a serious medical condition but a relatively trivial experience, and says that criminality causes addiction far more often than addiction causes criminality. [blurb]

That aside, I share your concern.


Why, then, is medical marijuana such a hot issue in California while medical cocaine is, in comparison, not?

I was just looking at one of the freebie papers they hand out in the restaurants and nightclubs here, and noticed a huge psychedelically-colored, pot-leaf-adorned ad for "medical" marijuana, boasting an $89 cost for the doctor's referral. (Presumably, people undergoing chemotherapy are also frequently drawn to nightclubs and 60's-style psychedelic themes.)

I've never seen a similarly "snow" themed ad for medical cocaine, though. :-)


I think glaucoma is the fake ailment of choice, typically.

In an NPR report this week, I heard one grower say he had a referral for "back pain." "That's my story, and I'm sticking to it!" he laughed.


The profile of cannabinoid drug effects suggests that they are promising for treating wasting syndrome in AIDS patients...

(See, 420-Guy? This is how it's done! When challenged to name a disease, Ryan produces evidence for his (er, your, actually) position. :-) And even if I don't comment about it every time, and actually disagree, I still admire that.)

That said: Um, what about the bit where AIDS is primarily a disease of the young? You've got the "male" link there, but I suspect by the time most HIV develops into full-blown aids, the sufferers are in their late 30s or later. (I'm guessing, even if so, frankly, that's probably not enough of a demographic to account for the traffic they're seeing.)

Best to you!

Posted by: Tim (Random Observations) on December 5, 2009 05:29 PM

Hey Tim,

Urg. ... looks like my earlier comment got eaten when I tried to stop submission. Quick recreation;

There are those like Dalrymple who argue against your assertion about addiction and free will:

You posted on that topic earlier, citing Darymple and a number of ex-junkies wrote in to excoriate his view. People seem to die from withdrawl. That sounds serious to me. Perhaps withdrawl can be lessened through nutrition or drugs like naltrexone. Probably there's significant variability in terms of severity. But some people seem to have severe withdrawl symptoms, and the worst case scenarios seem most relevant.

I had trouble finding statistics which spoke directly to the point, however;

According to the report, the five metropolitan areas that accounted for the largest number of newly diagnosed AIDS cases between 1996 and 1998 among all Gay and bisexual men of color were New York, (3,673), Los Angeles (2,811), Miami (1,554), Washington, D.C. (1,251), and Chicago (1,075).

http://www.aegis.com/news/wb/2000/WB000103.html

Perhaps trends have changed, but more new cases may indicate the demogrphic skews younger in LA.

Another area of much concern is the rising rate of AIDS diagnoses in the young adult (ages 20-24 years) population. There has been a steady rise in cases among this age demographic, especially in males.

http://xnet.kp.org/permanentejournal/Fall08/hivinfection.htm

Around the turn of the millenium, AIDS was the #1 cause of death for men 25-44, suggesting a fairly young demographic at that time. You'd have to be sick for a while to die of the disease. There seems to have been some aging of the demographic since then.

None of these statistics are conclusive re: the topic at hand. They may point the wrong direction. But there's clearly some kind of demographic filtering going on, or you wouldn't have so many guys at this clinic, given the gender ratios for recreational drug use. (and what constitutes 'young?')


Regarding the psychadelic leaf ad... I agree that marijuana is treated differently than cocaine. Perhaps if someone made a 'snow' themed ad for cocaine the DEA would have something to say to whatever doctor's office answered the phone? Overmedication in response to drug seeking behavior could get a doctor in trouble for most drugs. My point here is that the punative legal mechanisms for keeping doctors in line exist and seem relatively effective with other drugs, but are simply not being employed in regards to marijuana.

Best to you.

Posted by: Ryan W. on December 5, 2009 07:37 PM

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