Albany Times Union

Add dry flower to list of medical cannabis options

- By Stephen Dahmer ▶ Dr. Stephen Dahmer is the chief medical officer of Vireo Health.

As New York deliberate­s the legalizati­on of recreation­al use, improvemen­ts to the state medical cannabis program must also be enacted to improve accessibil­ity and affordabil­ity for New Yorkers.

Increasing the number of medical dispensari­es across the state, supporting a health care practition­er’s right to recommend cannabis as a treatment and including dry, whole flower as an approved form of medical cannabis are all easy steps that New

York can take to better address the needs of patients.

Cost remains the top concern relayed to us by our patients, particular­ly patients of color, who are disproport­ionally affected by high prices and a lack of access. For many New Yorkers, medical cannabis is too expensive, despite best efforts to make our products more affordable. The are many reasons for the high costs, including the fact that health insurance does not cover medical cannabis. Patients must cover the full cost out of pocket.

The simplest, most effective way to reduce the cost of medical cannabis is to allow the sale of whole and dry flower.

As a physician, I believe that growing the state-regulated medical cannabis program will also help protect public health by reducing the number of patients forced to purchase cannabis from the illicit market. Due to lack of access and high costs in the state’s program, vulnerable patients are forced to use unsafe and untested products without medical guidance. In the illicit market, there is no tracking of a product’s potency nor its potential contaminat­ion with pesticides, heavy metals or other adulterant­s.

Allowing whole cannabis flower would reduce prices, provide greater product variety and medicinal applicatio­ns, and make the program more attractive and accessible to new patients. If allowed in the medical program, dry flower would no longer need to be purchased on the street; it would be dispensed by licensed pharmacist­s and followed by establishe­d pharmacovi­gilance tracking provided by our state prescripti­on monitoring program.

It is important we continue to improve New York’s medical cannabis program, not only to increase participat­ion, but to better support patients in a just and equitable manner. Not doing so will only set New York behind both neighborin­g states and others throughout the country, as most medical cannabis programs continue to quickly evolve and include dry flower.

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