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The federal Department of Veteran Affairs, in a breakthru move, will now allow it's doctors and hospitals to use marijuana in the treatment of veterans in states with medical marijuana laws.  The change originated with a letter to Michael Krawitz, executive director of Veterans for Medical Marijuana Access.  The key importance of this change, according to Krawitz, is that the use of marijuana "...will not be the basis for the denial of services.”  Here in Ohio some VA centers already permit the use of marijuana for their veteran patients, while others have denied medical care.  Hopefully, this will encourage Ohio VA doctors and hospitals to be more compassionate in their treatment of our veterans.

Below is the story from the New York Times. 

NY Times: V.A. Easing Rules for Users of Medical Marijuana
By DAN FROSCH
Published: July 23, 2010

DENVER ­ The Department of Veterans Affairs will formally allow patients treated at its hospitals and clinics to use medical marijuana in states where it is legal, a policy clarification that veterans have sought for several years.

A department directive, expected to take effect next week, resolves the conflict in veterans facilities between federal law, which outlaws marijuana, and the 14 states that allow medicinal use of the drug, effectively deferring to the states.

The policy will not permit department doctors to prescribe marijuana. But it will address the concern of many patients who use it that they could lose access to their prescription pain medication if caught.

Such fear has led many patients to distrust their doctors, veterans say. With doctors and patients pressing the veterans department for formal guidance, agency officials began drafting a policy last fall.

“When states start legalizing marijuana we are put in a bit of a unique position because as a federal agency, we are beholden to federal law,” said Dr. Robert Jesse, the principal deputy under secretary for health in the Veterans Department.

At the same time, Dr. Jesse said, “We didn’t want patients who were legally using marijuana to be administratively denied access to pain management programs.”

The new policy applies only to veterans using medical marijuana in states where it is legal. Doctors may still modify a veteran’s treatment plan if the veteran is using marijuana, or decide not to prescribe pain medicine altogether if there is a risk of a drug interaction. But that decision will be made on a case-by-case basis, not as blanket policy, Dr. Jesse said.

Though veterans of the Vietnam War were the first group to use marijuana widely for medical purposes, the population of veterans using it now spans generations, said Michael Krawitz, executive director of Veterans for Medical Marijuana Access, which worked with the Veterans Department on formulating a policy.

Veterans, some of whom have been at the forefront of the medical marijuana movement, praised the new policy. They say cannabis helps sooth physical and psychological pain and can alleviate the side effects of some treatments.

“By creating a directive on medical marijuana, the V.A. ensures that throughout its vast hospital network, it will be well understood that legal medical marijuana use will not be the basis for the denial of services,” Mr. Krawitz said.

Nearly six out of ten people admitted to drug ‘treatment’ for marijuana are referred there by the criminal justice system, according to a just-released report by the US Department of Health and Human Services, Substance Abuse and Mental Health Services Association (SAMHSA).

In 2008, 57 percent of persons referred to treatment for marijuana as their ‘primary substance of abuse,’ were referred by the criminal justice system. For adolescents, nearly half (48 percent) were referred via the criminal justice system.

By contrast, criminal justice referrals accounted for just 37 percent of the overall total of drug treatment admissions in 2008.

“Primary marijuana admissions were less likely than all admissions combined to be self-referred to treatment,” the study found.

Since 1998 the percentage of individuals in drug treatment primarily for marijuana has risen approximately 25 percent, the report found. This increase is being primarily driven by a proportional rise in the percentage of criminal justice referrals. According to a previous federal study, the proportion of marijuana treatment admissions from all sources other than the criminal justice system has been declining since the mid-1990s.

Commenting on the study, NORML Deputy Director Paul Armentano said: “These statistics make it clear that it is not marijuana use per se that is driving these treatment admission rates; it is marijuana prohibition that is primarily responsible. These people for the most part are not ‘addicts’ in any true sense of the word. Rather, they are ordinary Americans who have experienced the misfortune of being busted for marijuana who are forced to choose between rehab or jail.”

According to federal figures compiled by SAMHSA in 2009, some 37 percent of the estimated 288,000 thousand people who entered drug treatment for cannabis in 2007 had not reported using it in the 30 days previous to their admission. Another 16 percent of those admitted said that they’d used marijuana three times or fewer in the month prior to their admission.