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Regulating compassion: an overview of Canada's federal
medical cannabis policy and practice
By: Philippe G. Lucas, Harm
Reduction Journal 2008, 01-28-08
Background
In response to a number of court challenges brought forth by
Canadian patients who demonstrated that they benefited from the medical use
of cannabis but remained vulnerable to arrest and persecution as a result
of its status as a controlled substance, in 1999 Canada became the second
nation in the world to initiate a centralized medical cannabis program. Over
its six years of existence, this controversial program has been found unconstitutional
by a number of courts, and has faced criticism from the medical establishment,
law enforcement, as well as the patient/participants themselves.
Methods
This critical policy analysis is an evidence-based review of
court decisions, government records, relevant studies and Access to Information
Act data related to the three main facets of Health Canada's medicinal cannabis
policy - the Marihuana Medical Access Division (MMAD); the Canadians Institute
of Health Research Medical Marijuana Research Program; and the federal cannabis
production and distribution program. This analysis also examines Canada's
network of unregulated community-based dispensaries.
Results
There is a growing body of evidence that Health Canada's program
is not meeting the needs of the nation's medical cannabis patient community
and that the policies of the Marihuana Medical Access Division may be significantly
limiting the potential individual and public health benefits achievable though
the therapeutic use of cannabis. Canada's community-based dispensaries supply
medical cannabis to a far greater number of patients than the MMAD, but their
work is currently unregulated by any level of government, leaving these organizations
and their clients vulnerable to arrest and prosecution.
Conclusion
Any future success will depend on the government's ability to better assess and address the needs and legitimate concerns of end-users of this program, to promote and fund an expanded clinical research agenda, and to work in cooperation with community-based medical cannabis dispensaries in order to address the ongoing issue of safe and timely access to this herbal medicine.
004 H.U.M.A.N.: Hemp Users Medical Access Network - Toronto Medical Marijuana