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Tod H. Mikuriya, MD |
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President |
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California Cannabis Research Medical Group |
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Safe and affordable access to cannabis |
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Compassion and respect for civil rights |
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“…any other illness for which marijuana provides
relief.” |
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“..no physician in this state shall be punished
or denied any right or privilege, for having recommended marijuana to a
patient for medical purposes.” |
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Widespread failure in county government to
develop guidelines |
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Criminal Justice entities have effectively
blocked efforts |
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Physicians & health institutions have
refused compliance |
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While more liberal and urban areas like the San
Francisco Bay Area appear more accepting, there is significant resistance
by certain special interest groups. |
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In Southern California and rural areas policies
are repressive with widespread official ignorance. |
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Removal of DEA Rx license |
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Drop from Medicare |
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Federal law suits |
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IRS audits |
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Termination of grants |
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Physicians and health institutions are dependent
on federal money |
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Mass self censorship in response to federal
threats and despite a court injunction |
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Widespread fear of the psychotic 8,000 lb
federal intrabeltway gorilla |
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Prohibitionist elements and special interests
dependent on status quo |
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The numbers of individuals protected produce a
strong and continuing demand |
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Increasing physician recommendation and approval |
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White House Office of National Drug Control
Policy |
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National Institute on Drug Abuse |
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Food And Drug Administration |
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Drug Enforcement Administration |
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Health and Human Services |
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Congress |
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No effective legislative oversight |
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Civil forfeiture and slush funds |
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No General Orders |
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No Training or Information bulletins |
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No fiscal audits |
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Excessive discretionary power |
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No standard possession or cultivation |
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Passive or captive AG |
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Refuses to intervene locally |
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Constitutionally mandated |
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Deputy AG’s, BNE, local DA’s, prosecutors,
judges, and police block
implementation and compliance. |
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Narcotics Officers Association opposition |
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Unaccountable to deliberative and executive
governance. |
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Opportunities for mis and malfeasance |
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ARCATA: police card ID system |
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BERKELEY: 10 plants and 2.5 lbs |
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BUTTE COUNTY: Sheriff and DA agree: 2
outdoor
plants or 4 indoor or 1 lb |
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CALAVERAS COUNTY: 6 plants and 2 lbs |
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COLUSA COUNTY: No firm policy, generally same as
Butte County |
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EL DORADO COUNTY: Sheriff and DA agree: 6 plants
or 1 lb or 1 oz in vehicle |
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HUMBOLDT COUNTY: 10 plants or 2 lbs |
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MARIN COUNTY: 12 plants, 6 in flower, |
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and/or ½ lb |
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MENDOCINO COUNTY: Sheriff and DA agree: 12
plants, 6 flowering, and or 2 lbs |
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NEVADA COUNTY: 10 plants or 2 lbs |
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OAKLAND: 96 plants, 48 flowering, |
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and/or 1.5 lbs |
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SAN FRANCISCO:Health Department Card ID |
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HUMBOLDT COUNTY: Health Department Card ID |
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SHASTA COUNTY: Sheriff, DA and local police
agree; 2 outdoor plants or 6 indoor |
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(3
flowering) or 1 1/3 lbs |
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SIERRA COUNTY: 3 outdoor plants or 6 indoor
plants |
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SONOMA COUNTY: Sonoma Medical Association
reviews claims |
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TEHEMA COUNTY: Sheriff’s policy of 18 immature
or 6 mature plants |
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YUBA COUNTY: 5 plants or 1.5 lbs |
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Passing a law is not enough |
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Deliberative executive disconnect |
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Budgetary obfuscation and opacity |
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Fiefdoms and centers of influence |
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Elective and non elective covens |
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Criminal subpoenas abuse |
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A mandatory appearance |
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Milking the cow through the fence percipient vs
expert witness |
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Slander: |
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This letter of approval is not recognized |
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Exclusionary attempts |
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Local M.D.’s only, peer review |
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Malicious referrals to Medical Board |
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Criminal justice complaints; not from any
patients or families |
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47 abusive accusations with scary letters to
patients. |
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4 compliant with threats to subpoena records |
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Unrestrained fishing for evidence |
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Review by anonymous experts |
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Illicit sharing of information |
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United Airlines MRO, Medicare |
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Accusatory sanction on medical practice |
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No new Blue Shield insured patients |
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Recredentialling problems |
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“have you ever….?” |
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Proactive structuralism: “If it walks like a
duck and quacks like a duck it’s probably not a criminal conspiracy.”
Traditional precedential behavior |
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Oakland Cannabis Buyers Co-op |
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Organized and self governed |
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Safe and affordable cannabis |
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City government agency |
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Community resource |
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Supreme Court litigant |
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Accredited medical group oriented to clinical
& social research |
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Ambulatory medical group model bylaws for
research |
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Non Profit Educational 501c3 status |
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Comparative efficacy, long term effects,
biomonitoring |
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Coordinate & facilitate cannabis center harm reduction |
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Chronic illness alienates |
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Negative social contract |
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Withdrawal |
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Diminished self image |
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Marginalization |
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Criminality worsens and aggravates |
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Fear, vulnerability, victimization |
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Cannabis centers offer fellowship without dogma
or control |
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Structured for comfort and safety |
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Non intrusive but supportive |
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Education |
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Safe use of cannabis
Vaporize
Oral |
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Harm reduction peer support groups |
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Egalitarian, non-authoritative, supportive
without enabling |
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Monday morning caffeine and cannabis |
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Identify health/social services needs |
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Liaison with community with suitable referrals |
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Promote and re establish the legitimacy of the
medical cannabis industry. |
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Assure that all patients have access to safe,
affordable, and consistent supply of effective cannabis medicines. |
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Develop and promote standards for quality and
safety of medicinal cannabis. |
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Advocate for public policy supporting medicinal
cannabis |
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Develop self governance with highest ethical
standards |
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Providers-dispensaries |
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Growers Manufacturers |
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Patients |
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Caregivers |
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Distributors |
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Lawyers |
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Doctors |
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Nurses |
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Associates |
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Sponsors |
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Pharmaceutical Companies |
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Internet |
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Benefits of instant communication and sharing of
information |
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Risks of vulnerability to hackers: |
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Viruses and worms |
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Privacy |
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2 way video: 8x8 Via TV |
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Benefits of Plain Old Telephone service but
choice of movement or resolution |
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Fax and conference calls |
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Drawbacks & benefits: Not as good as in
person but practical and useful for clinical and administrative
applications |
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Education programs with non pharmaceutical
intervention |
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Phytopharmacognosy |
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Massage, physical therapy |
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Nutrition |
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Exercise |
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Harm reduction support groups |
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Ultimate cost containment |
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No Accounts Receivable |
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Customer patients in control |
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No 3rd party payers |
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No audits or gratuitous interference |
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A secular business model |
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Dime a
dance, pot luck |
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Ultimate cost containment |
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Independent from public funding vagaries |
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Last to be funded, first to be cut |
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Community treatment resource |
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Cannabis centers that serve customers the best
survive and prosper |
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Sales and medicated socialization |
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Compassionate Use Act of 1996 passage sent a
message to the federal government |
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Collaborators and federal money corrupted
lackeys |
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County by county combat for the new law |
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Eventual victory |
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Most cannabis treated conditions chronic and not
rapidly fatal |
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Implemented and compliant areas not likely to
surrender gains |
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Federal |
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Conant et al. v McCaffrey |
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State |
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Shasta & Tehema counties |
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Medical Board |
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California Cannabis Research Medical Group
(CCRMG) |
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1168 Sterling Ave. |
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Berkeley, CA 94708-1757 |
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Notes
