Orlando Sentinel

Veterans fight White House on pot

Federal law limits access to vital drug many need to use

- By Evan Halper and Lauren Rosenblatt

WASHINGTON — The Trump administra­tion’s attack on legal marijuana, already stymied by large states determined not to roll back the clock, is increasing­ly confrontin­g an even more politicall­y potent adversary: military veterans.

Frustrated by federal laws restrictin­g their access to a drug many already rely on to help treat posttrauma­tic stress disorder, chronic pain and opioid addiction, veterans have become an influentia­l lobbying force in the marijuana debate after sitting on the sidelines for years.

The 2 million-member American Legion this spring got involved in a big way by launching a campaign to reduce marijuana restrictio­ns, which it says hurt veterans and may aggravate a suicide epidemic.

The move reflects the changing politics of marijuana, and of a conservati­ve, century-old veterans service organizati­on facing new challenges.

“We were hearing these compelling stories from veterans about how cannabis has made their lives better,” said Joseph Plenzler, a spokesman for the American Legion. “That they were able to use it to get off a whole cocktail of drugs prescribed by VA doctors, that it is helping with night terrors, or giving them relief from chronic pain.”

At the same time, some patients complained that Veterans Affairs doctors refused to offer any advice for using medical marijuana yet also made a record of who was using it, raising fears that such informatio­n might be used to punish former service members or strip their benefits.

The legion’s call to reclassify marijuana federally from a drug that has no medical benefit and is more dangerous than cocaine to one that is in the same category as legal prescripti­on painkiller­s has caught the attention of lawmakers.

A measure the legion now supports, that would permit VA doctors to give their patients the sign-off they need to access medical marijuana in states where it is legal, was approved by a key Senate budget committee this month on a 24-7 vote, with nine Republican­s voting in favor. The measure is among the veterans-related marijuana legislatio­n getting new traction.

“This is one marijuana issue a lot of Republican­s are interested in,” said Sarah Trumble, deputy director of social policy at Third Way, a centrist think tank that advocates easing federal restrictio­ns on cannabis. “It’s the baseball and apple pie of marijuana.”

The legion’s involvemen­t has helped lure new lawmakers to the debate, such as Republican Rep. Matt Gaetz of Florida, who co-authored a bill that would recategori­ze marijuana as a drug with therapeuti­c value. Longtime marijuana proponent Rep. Dana Rohrabache­r, a California Republican, constantly raises the issue of veterans on the House floor.

“It is a travesty,” he said in one recent speech. “They are given opiates instead of maybe something they can derive from marijuana . ... And our veterans end up killing themselves because now they are addicted to an opiate.”

Such thinking is driven by a 2015 National Bureau of Economic Research white paper that found opioid overdose deaths are 16 percent lower in states where medical marijuana is legal.

It has put VA leadership in an awkward spot. Soon after the legion began its push in May, VA Secretary David Shulkin acknowledg­ed evidence is emerging that cannabis maybe helpful in treating veterans, and it is something the agency intends to examine.

But Shulkin is bumping up against powerful forces in the Trump administra­tion tacking hard in the reverse direction on pot.

Attorney General Jeff Sessions is pressing Congress not to renew a rider that prohibits federal law enforcemen­t from targeting medical marijuana operations in states where they are legal.

The increased profile of veterans comes years into an effort by researcher­s to conduct a federally approved study of the potential benefit of using pot to treat post-traumatic stress disorder. Federal regulators had long refused to approve such a study, in large part because marijuana was determined by their agencies to have no medical use.

A study was finally cleared in April 2016, but even now researcher­s find themselves confrontin­g obstacles. They are permitted to use only marijuana grown at a federal research facility in Mississipp­i that lacks the concentrat­ion of active ingredient­s available in the products sold in dispensari­es.

“It’s been a seven-year battle,” said Sue Sisley, principal investigat­or for the study, being conducted by the California-based Multidisci­plinary Associatio­n for Psychedeli­c Studies. “There is so much government red tape surroundin­g cannabis research.”

Even in states where marijuana is easily available, veterans find themselves self-treating complicate­d illnesses, often with little more guidance than that offered up by the bud-tender at the point of sale.

“You have patients who are not fully informed of the risks and benefits cannabis poses, and you have practition­ers not informed about what their patients are doing,” said Steve D’Angelo, executive director of Harborside Health Center in Oakland, Calif., one of the country’s largest dispensari­es. “It is a recipe for medical mistakes.”

 ?? THE WASHINGTON POST ?? Supporting medical marijuana, Army vet Jose Martinez, front, and others march to the Department of Veterans’ Affairs.
THE WASHINGTON POST Supporting medical marijuana, Army vet Jose Martinez, front, and others march to the Department of Veterans’ Affairs.

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