Cannabis in
California:
Proactive Structuralism versus Rosemary’s baby covens
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Tod H. Mikuriya, MD |
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President |
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California Cannabis Research Medical
Group |
Proposition 215
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Compassion for 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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Safe and affordable access to cannabis |
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California Compassionate Use Act of 1996
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California Health and Safety Code
section 11362.5 |
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Effective November 6, 1996 |
California Criminal
Justice Response
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Whine in at the White House Office of
Drug Control Policy 11-14-1996 |
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Senior Deputy Attorney General John
Gordnier |
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Tom Gade, Special Assistant to the AG |
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Bob Ellsberg, California Peace Officers
Association |
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Brad Gates, Orange County Sheriff |
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Tom Gorman, California Narcotics
Officers Association |
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George Kennedy, California District
Attorneys Association |
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Bill Stern, California Chiefs of Police
Association |
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Jim Thomas, California Sheriff’s
Association |
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Les Weidman, California Sheriffs
Association |
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Neil Quinter, Senator Diane Feinstein’s
office |
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Eederal Response: Barry
R. McCaffrey threatens California Physicians 12/30/96
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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 |
Physicians and health
institutions continue non compliant and fearful.
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Physicians and HMO’s 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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General fear of involvement with
criminal justice system. |
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Criminal justice chaos
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No 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 |
State and local
government blocked
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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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Unaccountable to deliberative and
executive governance. |
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Opportunity for mis and malfeasance |
Compassionate Use Act of
1996- Diagnostic tool of governance dysfunction
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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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Territoriality and arbitrariness |
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Institutional denial and ignorance |
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Atrocities in counties;
Rosemary’s baby criminal justice covens.
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Seriously chronically ill poor |
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Interagency task forces |
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DEA, state, county, local police |
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District attorneys |
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Judges |
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Which is worse, vicious DA’s &
judges or ignorant and lazy defense? |
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Media free star chambers |
Sanctions against
physicians
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Criminal subpoenas abuse |
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A mandatory appearance |
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Milking the cow through the fence |
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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 |
California Medical Board
Medical Marijuana Physician Harassment Victims
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Steven Banister, M.D |
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David Bearman. |
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Stephen Ellis, M.D. |
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Tod Mikuriya, M.D. |
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William Eidelman, M.D. |
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Marion Fry, M.D. |
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Michael Alcalay, M.D. |
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Frank Lucido, M.D. |
Medical Board of
California
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Criminal justice complaints and not
from any patients |
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47 abusive accusations with 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 anonomous experts |
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Ilicit 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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Other state, county, and
local government
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California Highway Patrol |
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Department of Motor Vehicles |
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Family courts |
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Probation Departments |
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Drug treatment programs |
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Health agencies |
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State, county, private |
Statewide Audit, Remedial
Civil Actions
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Taxpayers, Class Action, Individual |
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Injunctive relief: mandamus for
prosecutorial and enforcement malfeasance |
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Malpractice suits |
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Compensatory and punitive damages |
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Community Action
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Track and initiate legislation |
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Identify friends and opponents |
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Attend political fund raisers |
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Participate in hearings |
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Study legislative history |
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Reach out to broader communities |
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Legislation with Mandated
Implementation & Compliance
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Specifies implementation |
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Includes annual evaluation and
reportage |
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Defines performance indicators |
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Service Performance Reporting |
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Quality-Effectiveness |
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Cost Efficiency |
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Planning & Management
Systems
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Long Range Strategic Planning |
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20 Year Trends Projections |
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Annual Evaluation |
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Short Term Action Planning |
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Action Oriented |
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Goals |
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Policies |
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Action Statements |
Planning & Management
System
Flow Chart
Outcome Management
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Program Outcome Statement |
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Service Priority Direction |
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Service Delivery Plans |
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Quality-Effectiveness Measures |
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Cost Efficiency –Allocated Costs |
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Activities & Sub Activities |
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Cost Efficiency – Allocated Costs |
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Product |
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Demand Management |
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Volume of Activities |