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SIR WALTER SCHOOL OF PUBLIC POLICY AND INTERNATIONAL AFFAIRS - MURDOCH UNIVERSITY
Accumulated debates for the implementation of legalised
medical cannabis in Australia. SWM617 Supervised Research Thesis
report
Michael Leo Hawkins, B.A. 31218899
Declaration:
I declare that this thesis is my own account of my own research. It
contains as its main content work which has not been submitted for
a degree at any university.
Signature: _______________________________________________________
29/10/2014
Thesis Supervisor: Professor Samuel Makinda
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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TABLE OF CONTENTS
COVER PAGE ............................................................................................0
DECLARATION ..........................................................................................0
TABLE OF CONTENTS ................................................................................1
ACKNOWLEDGEMENTS .............................................................................2 ABSTRACT ...............................................................................................3
RESEARCH PROBLEM ................................................................................3
RESEARCH METHOD .................................................................................3
RESULTS .................................................................................................3 CONCLUSIONS .........................................................................................3
1THE INTRODUCTION ................................................................................4
CHAPTER 1 INTRODUCTION…………………………………………………….4 DISCUSSION……………………………………………………………............4 1.1 WHAT IS CANNABIS?...........................................................................6
1.2 THE HISTORICAL USE OF CANNABIS ......................................................8
1.3 CURRENT MEDICAL USE OF CANNABIS……………...…...…………….....9 CHAPTER 1 CONCLUSION ........................................................................12
2 MEDICAL DEBATES FOR THE AUSTRALIAN IMPLEMENTATION OF MEDICAL CANNABIS…………… .........................................................13 CHAPTER 2 INTRODUCTION………………………………………..................13 DISCUSSION……………………………………………………………………13
2.1 GENERAL CONTROVERSIES REGARDING THE IMPLEMENTATION OF MEDICAL CANNABIS ..........................................14
2.2 ALTERNATIVE CANNABIS INGESTION METHODS ....................................14
2.3 MEDICAL PROPERTIES OF CANNABIS ..................................................15
2.4 ILLNESSES THAT CANNABIS CAN AID ...................................................19 CHAPTER 2 CONCLUSION…………………………………………................28
3 POLITICAL AND SOCIO-ECONOMIC DEBATES FOR THE AUSTRALIAN IMPLEMENTATION OF MEDICAL CANNABIS ................................................29 CHAPTER 3 INTRODUCTION…………………………………………………..29 DISCUSSION……………………………………………………………..........29
3.1 THE CURRENT LEGAL STATUS OF CANNABIS IN AUSTRALIA ...................29
3.2 POLITICAL, SOCIAL AND ORGANISATIONAL ACCEPTANCE OF CANNABIS ....................................................................32
3.3 SOCIAL ADVANTAGES CORRELATED WITH THE LEGALISATION OF MEDICAL CANNABIS ...............................................................................37
3.4 ECONOMIC DEBATES FOR LEGALISING MEDICAL CANNABIS ...................43 CHAPTER 3 CONCLUSION…………………………………………………….44
4 THE CONCLUSION ................................................................................45 CHAPTER 4 INTRODUCTION…………………………………………………..45 DISCUSSION…………………………………………………………………..45 CHAPTER 4 CONCLUSION…………………………………………………….47 APPENDICES OF FIGURES..........................................................................48
BIBLIOGRAPHY ......................................................................................49
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Acknowledgements:
A special thank you must be given to my Supervisor, Professor Samuel
Makinda, for his support in assisting the editing and development of
this thesis. Dr Katie Attwell should also receive a mention for her
administrative role within the development of this thesis. A final
acknowledgement for her assistance in the final editing of this thesis
should go to Pauline Hawkins, DipEd.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Abstract:
There is abundant evidence to suggest that medical cannabis is a valuable resource
both socially and medically. This thesis presents material which suggests that it is
advisable for Australia to legalise the use of medical cannabis.
Research Problem:
This thesis raises concern surrounding Australia’s current policy on medical
cannabis. Despite adequate material presenting medical cannabis to be an effective
medicine in certain cases, and the fact that many developed countries have already
adopted its use, medical cannabis is currently illegal in Australia.
Research Method:
The entirety of this research has been based on a vast array of internationally
sourced journals, books, internet and newspaper articles. All presented research is
an analysis of pre-existing texts, experiments and social declarations. Researched
material within this thesis ranges from advanced medical journals to online
newspaper articles – a broad scope and academic level of sources was purposely
selected to avoid bias, opinions and contradictions.
Results:
This thesis has established that if implemented correctly, medical cannabis can be
both a catalyst to a highly equitable industry and also a useful medicinal substance.
Medical cannabis has also been discovered to be able to positively influence
numerous social, legal and criminal inadequacies.
Conclusions:
It is apparent that Australia could ultimately benefit in numerous political, social,
legal and economic circumstances if medical cannabis were to be legalised.
Therefore, Australian policy in regards to the use of medical cannabis needs to be
reconsidered.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Chapter 1: The Introduction
Chapter 1 Introduction
This chapter of the thesis will introduce the reader to medical cannabis. Definitions
of cannabis will be given in this chapter, as will the historical and current medical
use of the substance. This chapter will provide insight into the overall hypothesis of
this thesis which debates that there is abundant evidence to suggest that medical
cannabis is an extremely valuable resource both socially and medically.
Discussion
This thesis presents accumulated material, which suggests that the implementation
of medical cannabis in Australia would be beneficial for the country. The term
medical cannabis was coined by Dr. Grinspoon and refers to cannabis used for
medical, not recreational, purpose (Aggarwal, et al. 2012, 1). This thesis has
discovered that medical cannabis can present medicinal, social, political and
economic benefits if correctly implemented. Due to the current position in
Australian law, cannabis sales are illegal, therefore medical cannabis is illegal in
Australia (National Cannabis Prevention and Information Center 2013, 3). This thesis
challenges the negative connotations attached to medical cannabis use by
presenting material that positions medical cannabis as being a substance that is
medically useful, safe and economically advantageous. Due to cannabis’ illegal
position in Australia, this thesis largely analyses writings and experiments produced
within countries that have already implemented medical cannabis.
This thesis suggests that cannabis has been presented to hold medicinal benefits,
most notably its analgesic (pain killing) effect. Cannabis is presented as a fast
working drug, which can often show medicinal effect within 48 hours (DePetrocellis,
et al. 1998, 8376). This thesis argues that in comparison to certain harmful
pharmaceutical drugs, the low chance of overdosing from cannabis suggests that
there is legitimacy in using cannabis medically. On the lines of cannabis’ medical
efficiency, this thesis presents the fact that individual cannabis strains are being
engineered to address separate medical conditions (Mullaway Medical Cannabis Pty
Ltd 2012, 14).
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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This thesis highlights several methods to consume cannabis other than smoking.
Removing the action of smoking cannabis can often ease the taboo of cannabis use.
The thesis presents other advantages in regards to implementing medical cannabis,
such as how cannabis use can often replace the use of existing medications, alcohol,
tobacco or illegal drug use (Thomas and Reiman 2013, 7). This thesis also presents
material that lists numerous medical conditions that cannabis can suggestibly aid,
such as: cancer, HIV/AIDS, nausea, ‘MS’, epilepsy, strokes, arthritis, diabetes,
Hepatitis-c, ‘PTSD’, psychosis, depression, schizophrenia, spasms,
neurodegeneration, heart attack, glaucoma, ‘IBS’, sleeping problems and lack of
appetite (Pilcher 2005, 214).
Aside from the presented medical efficiency of cannabis use, medical cannabis is
presented within this thesis to hold political, social and economic advantages.
Australia is sited within this thesis to have the perfect climate for outdoor
cultivation of natural cannabis (Jiggens 2004, 3).
Australia also has a pre-existing Poppy industry that has been presented as being
capable of producing industrial quantities of medical cannabis (ABC News 2014,
State Health Minister to discuss medical cannabis trials at the University of
Tasmanias, par.4). Finally this thesis suggests that medical cannabis can lead to
many economic advantages if legalised.
The implementation of medical cannabis is presented within this thesis as being
capable of saving the Australian government considerable amounts of capital
through reduced prosecutorial, judicial, correctional and police spending (Evans
2013, 2). The thesis also presents the fact that implementing medical cannabis can
often lead to a reduction in certain crimes as well as a reduction in the overall
availability of illegal cannabis (Morris, et al. 2014, 1). By legalising medical cannabis,
certain users are no longer be forced into contact with illegal drug dealers or
arrested for trying to buy cannabis. A legal and medical supply of cannabis would
also insure that the cannabis being provided to the patients is a safe, affordable and
effective strain, not an unknown source of cannabis from a black market drug
dealer.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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This thesis raises concern in regard to the illegal status of medical cannabis under
the current Australian Drug policy. As of Early 2014, the Cancer Council Australia has
calculated that Australia has over one hundred thousand cancer sufferers (Cancer
Council Australia 2014, par.1). This figure suggests that Australia would have a
considerably large amount of individuals that could benefit from medical cannabis
legalisation. Presented within this thesis are numerous theories that have come to
present the positive medical and social outcomes that would emerge if medical
cannabis is legalised in Australia. The hypothesis of this thesis is thus that there is
abundant evidence to suggest that medical cannabis is an extremely valuable
resource both socially and medically. Therefore this thesis ultimately suggests that
it is advisable for Australia to consider researching the implementation of legalised
medical cannabis.
The remainder of this chapter will give a more detailed description of cannabis and
the ways cannabis can provide positive medical benefit. Separate forms of cannabis
will be presented within this chapter, so too are the historical and current uses of
medical
cannabis.
(Hazekamp 2007, 4)
1.1 What is cannabis?
The plant pictured in Figure 1
(Hazekamp 2007, 4) is cannabis,
scientifically known as Cannabis sativa L.
(Linnaeus). It is referred to by numerous
names worldwide such as skunk,
marijuana, pot, ganja, grass, chanvre,
cheeba, chronic, weed, reefer, Mary Jane plus
many more nicknames (United Nations Office on Drugs and Crime 2009, 7).
Figure 1 (Hazekamp 2007, 4) shows the physical composition of cannabis bud, leaf
stem and seeds.
Figure 1
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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‘Cannabis is divided into several subspecies: cannabis sativa, cannabis indica,
cannabis ruderalis, cannabis spontanea and cannabis kafiristanca, however there is
no significant differentiation between the sub-species’ (Srivastava, et al. 2014,
2284). Cannabis is an annually flowering plant, the male plants are taller yet less
robust than the female plants which can stand anywhere between 0.2- 6.0 meters
tall (however on average they stand 1-3 meters tall) (United Nations Office on Drugs
and Crime 2009, 7). The density of the cannabis plant: “depends on environmental
and hereditary factors as well as the method of cultivation” (United Nations Office
on Drugs and Crime 2009, 7). A more thorough description of cannabis follows:
“Cannabis is the generic term used for the psychoactive substance derived from the
three species of the Cannabis plant. The main psychoactive component in cannabis
is delta-9- tetrahydrocannabinol (THC). ‘Psychoactive’ means that it has a relatively
significant effect on the central nervous system. THC potency varies in different
cannabis products. Cannabis is generally used in three forms: marijuana, hashish
and hash oil. Marijuana is the dried flowers and leaves of the plant. It is the least
potent of all cannabis products and is usually smoked. Hashish is made from the
resin of the plant which is dried, pressed and smoked. It can also be added to food
and eaten. Hash oil, the most potent cannabis product, is thick oil obtained from
hashish. It is also smoked” (Australia. Australian Defence Force 2011, 2).
Cannabis has been presented in material to suggestibly possess over 60 chemicals
which are suggested to have positive medical effect (Allen 2014, par.1). Recently
great attention has been directed towards ‘the medical properties of chemicals
present in cannabis alongside its main consistent chemical THC’ (Deiana 2012, 46).
In summary, there has been key focus upon the chemical components of cannabis
within medicine, primarily on the chemical THC. The term medical cannabis was first
coined by Dr. Grinspoon (Aggarwal, et al. 2012, 1), Grinspoon was also one of the
first doctors to reportedly acknowledge that for ‘centuries certain cultures have
used cannabis medically’ (Massi, et al. 2003, 838). Medical cannabis has reportedly
been used within Chinese culture for thousands of years, it was cited as being used
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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as a treatment ‘for at least ten ailments, including nausea and pain’ (Ware, et al.
2003, 211).
1.2 The historical use of cannabis
The practice of using cannabis for medical purpose has been clearly documented in
material since “ancient times” (Pilcher 2005, 200), cannabis has featured in the
“pharmacology of many cultures dating back to ancient times” (Pilcher 2005,
200).The earliest reference to cannabis was during the Ancient Egyptian era in 2000
BC, where cannabis was used for the treatment of “sore eyes” (Pilcher 2005, 202).
Circa 1400 BC, cannabis was documented as a flourishing trade commodity which
was marketed throughout the Mediterranean as a treatment for the ‘pain of child
birth’ (Pilcher 2005, 202). There has also been evidence of medical cannabis’ in 100
BC Indian culture and 200 BC Ancient Greek culture. Ancient Rome’s Emperor Nero
was said to have “praised the medical properties of cannabis around 70 BC” (Pilcher
2005, 202). As presented by the material, cannabis has been used medically in
numerous historical cultures throughout numerous historical eras.
Cannabis’ first notable documentation within Western medicine can be traced back
to 1788, when it had its first European pharmacopoedial reference (Moffat 2002,
55). However, cannabis was first promoted for medical use in the West as early as
1621, when Englishman Robert Burton presented cannabis to be an effective
treatment for depression in his book The Anatomy of Melancholy (Pilcher 2005,
203). Cannabis was first officially used in Western culture as a medicine for the
reduction of pain, it was the British during the 1800’s that first adopted the use of
medicinal cannabis from Indian culture (Pilcher 2005, 203). Physician William
Brooke o’Shaugnessy started administering medical cannabis in Britain after he
spent time in India, by 1809 o’Shaugnessy had already started to treat patients who
had seizures and tetanus with cannabis (Pilcher 2005, 203).
By 1842 O’Shaugnessy collaborated with Peter Squire to develop “Squires Extract”,
a cannabis based drug that was “prescribed for pretty much everything” (Pilcher
2005, 203). By the start of the 1900’s pharmaceutical companies such as Parke-
Davis, Eli Lilly and Grimault and Company were selling cannabis for conditions such
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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as asthma and pain relief (Mack, Marijuana as Medicine 2000, 17). The evidence of
cannabis’ therapeutic and medical capabilities convinced the American
Pharmacopoeia to introduce the substance to their list of approved medicines in
1950 (Svrakic, et al. 2012, 91). Medical cannabis had become so widely used that
even influential people such as Queen Victoria were provided cannabis as a
medicine, Queen Victoria was administered cannabis by her court physician Dr.
Reynolds (Pilcher 2005, 203). Cannabis’s early use was so prevalent that from 1842
to 1890, cannabis stayed in “the top three prescribes medicines in the US” (Pilcher
2005, 204).
In fact, it was still possible to visit certain UK pharmacies up to 1971 and pick up a
medical prescription of cannabis (Pilcher 2005, 210). In summary, there have been
numerous materials which suggest that cannabis has been used as a medicinal tool
internationally, for centuries.
Figure 2
(Mack, Marijuana as Medicine 2000, 16)
1.3 Current medical use of cannabis
Medical cannabis is currently so entrenched within certain states of the U.S.A that
New Mexico adopted the medical use of the substance without a single trial (Greer,
Grob and Halberstadt 2014, 73). Prior to the New Mexico adoption of medical
cannabis, it had been stated that “there really is massive proof that the suppression
of medical cannabis represents the greatest failure of the institutions of a free
Figure 2
(39) is a
time line
of
cannabis’
medical
use
dating
from
8000 B.C
to 1985.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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society, medicine, journalism, science and our fundamental values” (Torres 2014,
par. 13). Due to evidence gathered from the U.S.A, it would be logical for Australia
to at least consider researching the medical value of cannabis.
Currently medical cannabis is available in numerous developed states such as “the
Netherlands, Israel, 23 states in the U.S.A, Canada and Spain” (Smith 2013, 56).
Further material has stated that in Europe, certain Cantons (States) in Switzerland
namely: Vaud, Neuchatel, Geneva and Fribourg as well as the whole of the Czech
Republic have also legalised medical cannabis (MedicalMarijuana.org 2013, par. 9
and 36).
Figure 3 (Australia. NSW Parliament 2014, 16)
Figure 3 (NSW Parliament 2014, 16) highlights the 23 states in the U.S.A which have
implemented medical cannabis.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Perhaps the prominence of medical cannabis’ use in these mentioned countries is
the reason a 2014 bill was proposed by the Australian ACT Greens which requested
the implementation of decriminalised cannabis to approved patients. The bill would
allow patients with a terminal illness to apply for a certification that would prevent
them from being prosecuted if found possessing small quantities of cannabis. The
card would be issued by the Department of Health and based on advice from the
patient’s doctor (Australia. NSW Parliament 2014, 2).
This ACT Greens bill is supported by Australian medical professionals such as Dr
Kaye who stated that measures within this ‘bill’ would mean certain Australians
would no longer have to make the “terrible choice” of breaking the law to gain
cannabis. Dr Kaye puts forwards that “it is time for science and compassion to win
out against prejudice and hysteria” (Australia. NSW Parliament 2014, 2), evidently
Dr Kaye endorses the use of cannabis as a medical tool. It would seem democratic
that Australian doctors and patients have the option to enquire about the use of
medical cannabis. The ACT Greens bill could decriminalise cannabis use for ill
patients, yet it does not address how these Australians would be provided cannabis
(Boddy and Mcilroy 2014, par.1). The ACT Green’s bill does not aim to supply
cannabis to the patients, it just removes the criminal prosecution attached to
cannabis possession.
More efforts are needed in Australia to be able to research the potential of medical
cannabis before any decisions on cannabis supply are pursued. Medical cannabis is
a relevant issue within Australia, and the implementation of legalised medical
cannabis may become a more heavily debated issue in the future. This thesis thus
believes future efforts, such as the proposed medical cannabis bill from the ACT
Greens are needed if Australia is to successfully consider implementing medical
cannabis. However appropriate methods to cultivate the substance are clearly
needed.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Chapter 1 Conclusion
In conclusion, this chapter has presented a description and introduction to medical
cannabis. The historical and current uses of medical cannabis have also been
presented. This thesis has raised concern that Australia has failed to adequately
research medical cannabis. Due to numerous developed countries implementing
medical cannabis in recent years, and the hypothesis that there is abundant
evidence to suggest that medical cannabis is an extremely valuable resource both
socially and medically. It is advisable that Australia at least considers researching
the efficiency of medical cannabis.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Chapter 2: Medical debates for the Australian implementation of medical
cannabis.
Chapter 2 Introduction
Throughout this chapter the medical debates for legalising medical cannabis are
discussed, the general controversies in regard to the legalisation of medical
cannabis is also highlighted. Presented in this chapter are alternative methods of
ingesting cannabis which do not include smoking, the remainder of the chapter
outlines the medical properties of cannabis by presenting a range of illnesses in
which cannabis has been reported to aid.
Discussion
Advanced studies on cannabis have been presented in Harvard University’s research
carried out in 2007, the research revealed that cannabis can reduce cancer growth
in three weeks. The Harvard research revealed a chemical in cannabis,
tetrahydrocannabinol (THC) has the potential to reduce cancer growth. Within the
research, a controlled batch of cancerous mice was discovered to be 60% more
likely of cancer retraction when compared to mice not provided with THC
(Grotenhermen and Muller-Vahl 2012, 495). Even though this research was not on
humans, it does reiterate cannabis’ ability to combat cancer growth.
Furthermore, German research in 2012 revealed that cannabis has the ability to
treat multiple illnesses. The research presented cannabis to be beneficial in aiding
illnesses ranging from: Parkinson’s disease, Alzheimer’s disease, Tourette’s
syndrome, Multiple sclerosis, spasms, eating problems, nausea and chronic pain
(Pilcher 2005, 214). Only considering cancer patients, over 180,000 individuals
would be eligible for treatment if Australia implemented the use of medical
cannabis (Cancer Council Australia 2014, par.1). “Todd Mikuriya MD, one of the
world’s leading authorities on medical marijuana, cites 222 medical conditions
reported to be helped by using cannabis” (Pilcher 2005, 214). If Mikuriya is correct,
and cannabis can aid over 222 illnesses, then the Australian health system can
seemingly benefit from researching medical cannabis.
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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There are three prominent methods within this thesis that present cannabis as an
effective medical tool: 1) anecdotal evidence of individuals that use medical
cannabis, 2) medical journals that support the legitimacy of medical cannabis and,
3) other academic materials that support medical cannabis’ use. RCT’s or Random
Controlled tests are a clear way of seeing the benefits of medical cannabis. Certain
RCT’s have revealed that out of 99 human subjects, 82 were convinced that medical
cannabis was effective (Wodak and Mather 2014, par.13).
2.1 General controversies regarding the implementation of medical cannabis
One of the greatest concerns in regard to the legalisation of medical cannabis is the
view that cannabis use can often be a ‘gateway to harder drugs’. However vast
research has challenged this gateway drug consensus when suggesting, that an
individual’s social environment is generally the key gateway to harder drugs, not
cannabis use (Klofas and Letteney 2012, 11). Another key concern in regards to
medical cannabis being legalised is the view that cannabis use can increase the
likelihood of psychosis; however this idea has not been solidified. Most linkage
between psychosis and cannabis has been attributed to either long term or
excessive recreational use of recreational cannabis (Hall and Solowij 1998, 1613).
Medical cannabis is prescribed by doctors in regulated amounts, to assure the
patient is only relieving their pain, not abusing the substance. As far as patients
becoming addicted to cannabis are concerned, this has not been suggested as being
problematic. Cannabis has been presented as being less addictive than tobacco and
certain conventional medicines such as morphine or opium (Wodak and Mather
2014, par.6).
2.2 Alternative cannabis ingestion methods
Another key concern regarding cannabis use is how ‘smoking is bad for lungs’
(J.Baxter, H.Baker and S.Reece 2013, 6), yet this problem can be avoided. The taboo
of smoking the substance can be removed by using the cannabis in other forms such
as vapour or liquid. The cannabis substance can be heated up in a vaporizing
machine, the THC (the chemical within cannabis suggested to reduce pain) is
extracted into a vapour form that can be inhaled (Wodak and Mather 2014, par.19).
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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The vaporising method ensures that the patients are not be ingesting any harmful
chemicals or carcinogens, only the medicinal THC is consumed. Other safe methods
of consuming cannabis are available such as the Sativex spray; this is an oral spray
that provides all the therapeutic benefits of cannabis. Sativex is available for use in
numerous countries worldwide, suggesting that it is a reliable method of cannabis
consumption (Wodak and Mather 2014, par.20).
Alternative cannabis products to vaporizers also exist, skin patches, inhalers and
rectal suppositories are also available (Ware, et al. 2003, 214). Further material has
provided other forms of cannabis products such as ‘oral tablets, cannabis foods and
drinking teas’ (Mather, et al. 2013, 760). It is becoming justifiable that several
taboos and concerns in regards to the legalisation of medical cannabis could be
eased if more explanation was given to those concerned. This thesis debates that
the Australian legality of medical cannabis by analysing material that suggests
cannabis is in fact a useful medical substance.
2.3 Medical properties of cannabis
Prominent research has highlighted cannabis to have an effective analgesic (pain
killing) effect on humans (Gowing, et al. 1998, 449). In fact, research has revealed
cannabis to have ‘effective analgesic effect on humans without significantly
affecting their mood’ (Lucas 2012, Cannabis as an Adjunct to or Substitute for
Opiates in Treatment of Chronic Pain, 127). The Cancer Council NSW highlighted in
their 2012 Position statement that cannabis is an effective “analgesic in patients
with moderate to severe pain” (Cancer Council NSW 2012, 1). With so many
variations of pain killers available in Australia, why would the implementation of
one more be so controversial?
Two chemicals within cannabis have been presented to be specifically
advantageous in medicine; they are the chemicals THC and CBD. THC is said to hold
analgesic, anti-spasmodic, anti-tremor, anti-inflammatory, anti-emetic and appetite
stimulant properties. Whilst CBD has been cited as containing an: anti-
inflammatory, anti-convulsant, anti-psychotic and anti-oxidant effect on humans
(Pilcher 2005, 214).
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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Cannabis produces its medicinal effects by binding to receptors in the human body,
cannabis binds both to the body receptor CB1 which is in the brain, and receptor
CB2 which is in the immune system (Massi, et al. 2003, 838). It has been put
forward in the German medical journal Deutsches Arzteblatt International that ‘the
various medical properties of cannabis lay in their ability to activate the bodies CB1
and CB2 receptors’ (Grotenhermen and Muller-Vahl 2012, 500).
Cannabis is a fast acting drug, for example: as far as apoptosis (death) in cancer cells
is concerned – cancer cells can be significantly damaged within 48 hours
(DePetrocellis, et al. 1998, 8376), and complete tumour apoptosis can occur in
72hours (Preet, Ganju and Groopman 2008, 340). Neurodegeneration has also been
cited as having a fast acting recovery when treated with cannabis. Studies have
shown neurodegeneration to be prevented by up to 36% within the period of one
week (Van Der Stelt, et al. 2001, 6475).
Different strains of cannabis have been suggested to be effective in tackling
different forms of illnesses; Mullaway Medical Pty Ltd has successfully been
engineering different strength of medical cannabis products that address numerous
illnesses (Mullaway Medical Cannabis Pty Ltd 2012, 14). This medical tailoring of
cannabis is confirmed when it is presented that ‘medical cannabis is so entrenched
in Dutch society, that they have engineered different strains of cannabis to deal
with different diseases’ (Johns 2014, par.9). Such innovations as tailored cannabis
can assure that no matter the severity of illness, there can be a product designed to
suit any patient’s needs. The fact that cannabis products can now be tailored to a
doctor’s requirement, suggests that cannabis is possibly safe enough to be
implemented within the Australian medicine.
Unlike some already approved pharmaceutical medications for example opium,
cannabis is unique in the quality that it has been presented as impossible for
humans to overdose from it. Thomas and Reiman suggest this when they put
forward “there is no amount of marijuana than can result in an overdose” (Thomas
and Reiman 2013, 7). Separate material supports the safety of cannabis: ‘unlike
other pharmaceutical drugs, cannabis is safer in the way that you cannot overdose
from it’ (Smith 2013, 57). Dr. Allen reinforces the idea of cannabis ’safety when he
Michael Leo Hawkins, B.A. 31218899SWM617 Research Thesis 2014 Supervisor: Professor S.Makinda
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states that humans can handle “extremely high doses” (Allen 2014, par.3) of
cannabis. As far as humans are concerned, it has been suggested that cannabis is
not overtly harmful. Medical research suggests that 99% of the time the main side
effect of cannabis use is “dizziness” (Degenhardt and Hall 2008, 1685). In fact it has
been presented that 71% of patients which used medical cannabis actually saw their
condition worsen when they discontinued cannabis use (Topp 2006, 12).
Mainly due to the two substances sharing similar medical qualities (Lucas 2012,
Cannabis as an Adjunct to or Substitute for Opiates in Treatment of Chronic Pain,
125), there are numerous materials that suggests cannabis can replace the use of
opiates in pharmaceuticals. Australian Senator Di Natale reiterates this point when
she suggests that ‘cannabis is far less addictive than many currently available opiate
medications’ (Sky News 2014, par.13).
‘The existence of other harmful pharmaceutical medications within the Australian
medical system’ (Gowing, et al. 1998, 446), may make it possible to replace some of
these harmful medications with the option of medical cannabis (Thomas and
Reiman 2013, 7). Previous studies on illegal medical cannabis use in Australia taken
out by the New South Wales State Government revealed that out of 128
participants, 62% of them had discontinued use of other medications once they had
used cannabis as a replacement (Swift, Gates and Dillon 2005, 5).
Further research carried out in Canada revealed that out of 404 participants, 67.8%
of them stopped using other prescribed medications once they were provided
cannabis as a replacement (Lucas, Reiman, et al. 2012, 1).
Cannabis is also presented to share similar qualities to many anti-psychotic
medications (Deiana 2012, 46); this again supports the point that cannabis could
replace some existing medications in Australia. Furthermore, material by Lucas
presents another positive correlation with legalising medical cannabis; Lucas
suggests medical cannabis can reduce alcohol and illegal drug use. A certain medical
cannabis trial presented that 36.1% of the participants had stopped using other
illegal drugs once prescribed cannabis; a further 41% of the participants were
presented to have stopped consuming alcohol (Lucas, Reiman, et al. 2012, 1).
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Figure 4
(Janichek and Reiman 2012, 3)
Figure 5
(Swift, Gates and Dillon 2005, 6)
2.4 Illnesses
that cannabis
Figure 4 (J.Janichek and A.Reiman 2012, 3) reinforces how cannabis may lead to a
decline in tobacco, alcohol and illegal drug use.
Figure 5 (W.Swift, P.Gates and P.Dillon 2005, 6) highlights how
cannabis may be an efficient replacement to existing
medications.
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can aid
Cannabis has been presented in certain material to be effective at combating
numerous illnesses; one of the most prominent is cancer. It was put forward in
research from Harvard University that ‘THC has the ability to inhibit tumour growth’
(Preet, Ganju and Groopman 2008, 339). Many chemical components of cannabis
such as THC and temazolamide (TMZ) have been presented within medical research
to ‘reduce the growth of cancer cells’ (Torres, Lorente and Rodriguez-Fornes 2011,
90).
Certain cannabinoids in cannabis are presented to fight cancer, generally via two
methods. First it can kill cancer via tumour vascularization (by reducing the capacity
of blood vessels within the tumours); or secondly it can cause cancer death by
apoptosis (cancer death by fragmentation or shrinkage) (Caffarel, et al. 2010, 3).
Research has suggested that THC can successfully reduce ‘the growth, number,
amount and severity of lung cancers’ (Caffarel, et al. 2010, 1). It was concluded in
the American Association for Cancer Research report for 2006 that, ‘the apoptosis
of tumour cells when exposed to cannabinoids, validates the use of cannabis in
medicine’ (Carracedo, Gironella and Lorente 2006, 6748).
Figure 6 (Gardner 2013, 1)
Figure 6 (Gardner 2013, 1) shows the almost periodical regression of a brain
tumour (the white mass in the center of the brain) after 15 months of cannabis
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Cannabis has been presented to be effective towards fighting breast cancer by
inhibiting cell growth. The National Academy of Sciences (U.S.A) has presented that
cannabis is effective at combating the ‘fast acting tumours in breast cancer’
(DePetrocellis, et al. 1998, 8375). Cannabis has also been presented as being
efficient in fighting brain tumours; research published in the British Journal of
Cancer supported this. The journal revealed that a proportion of terminal patients
were administered cannabis to aid their cancer treatment, the research revealed
that patients who used cannabis, saw an increased lifespan of 46-60% when
compared to patients not provided cannabis (Guzman, et al. 2006, 197). This British
research has suggested that cannabis can aid sufferers of breast cancer. This
positive correlation between breast cancer reduction and cannabis cannot be
solidified within Australia unless there is a change in the current national drug
policy, which allows medical cannabis research.
Research published within the US National Library of Medicine has presented how
prostate cancer can be decreased if exposed to cannabinoids (Mimeault, et al. 2003,
1-12). Similar study published by the American Journal of Cancer also presented
cannabis to be effective in combating pancreatic cancer (Carracedo, Gironella and
Lorente 2006, 6748). The US National Library of Medicine has also published
material which suggests that cannabis is effective in combating the side effects of
leukaemia (Jia, et al. 2006, 549). Separate research has similarly presented cannabis
to be effective in combating multiple cancers such as lung cancer (Preet, Ganju and
Groopman 2008, 342), liver cancer (Vara, et al. 2011, 1099) and glioblastoma
(Torres, Lorente and Rodriguez-Fornes 2011, 90). There is clearly material which
suggests cannabis can be effective in fighting multiple forms of cancer, with
Australia being a high risk country for cancer, it is considerable that any medication
that could combat cancer would be embraced within Australia.
Material has also presented cannabis to be effective in reducing certain side effects
of HIV/AIDS. By increasing the bodies’ appetite, cannabis is presented to be an
effective tool in combating the weight loss symptoms that frequently accompany
the HIV illness (Gowing, et al. 1998, 447). Cannabis is also presented as a key
suppressant of vomiting; vomiting is often presented as another side effect of
HIV/AIDS (Smith 2013, 57). The Clinical Science Journal also presents research that
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suggests cannabis is beneficial for HIV/AIDS sufferers, trials were taken out on
HIV/AIDS patients that revealed cannabis to be effective in increasing appetite and
vomit suppression (Haney, et al. 2007, 545). This information suggests that cannabis
can be an effective medicine for HIV/AIDS sufferers.
Nausea is a further illness that has been suggested to be suppressed when treated
with cannabis, the efficiency of cannabis in its relation to suppressing nausea is
supported when a trial presented that 86% of the participants saw a reduction in
nausea once they had consumed cannabis (Swift, Gates and Dillon 2005, 5).
As mentioned, cannabis has been demonstrated in numerous materials to have
‘positive effect appetite and food intake’ (Smith 2013, 56). Cannabis is said to
produce hunger in the brains feeding receptors, therefore increasing the food
intake of cannabis users (Australia. National Cancer Institute 2014, par.11). The
Cancer Council NSW Factsheet has highlighted cannabis as being particularly
effective for patients suffering “weight loss and muscle wasting” (Cancer Council
NSW 2012, 2). Being presented in the Fact Sheet of the Cancer Council NSW,
medical cannabis is visibly gaining professional attention in Australia. If Doctors
within the Cancer Council have already advocated for the legalisation of medical
cannabis, it is clear that medical cannabis has a prominent and informed medical
backing within Australia.
Sufferers of Multiple Sclerosis or ‘MS’ have also been presented within material to
benefit from cannabis use. Cannabis is reportedly able to “alleviate an entire range
of symptoms associated with MS” (Smith 2013, 57). It has been suggested in the
1998 American Drug and Alcohol Review that ‘spasms associated with MS may be
relieved once the patient has used cannabis’ (Gowing, et al. 1998, 447). It has been
suggested that cannabis is such an efficient medicine for MS that even the placebo
of using cannabis has been presented in certain cases as being beneficial in MS
patients (Thomas and Reiman 2013, 5).
The medicinal properties of cannabis are also presented to be productive in
combatting the main effects of epilepsy. The effectiveness of cannabis in regards to
treating epilepsy is notable in the case of an unnamed West Australian youth. The
youth went from ‘being unable to efficiently walk and talk, to being able to run and
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string full sentences together, after just one week of cannabis treatment’ (Murray
2014, 37). Epilepsy and cannabis have had a long historical correlation; in 1878 the
U.S.A published the first medical journal which confirmed that cannabis is an
effective tool in reducing epileptic fits (Phillips 2014, par.16 ). In 2003, the British
Medical Association concurred that cannabis is effective in combating epilepsy; they
approved a cannabis based drug for use on certain epileptic patients (Phillips 2014,
par.5 ). It has been cited that certain epileptics in Australia have resorted to
dangerous and illegal methods to gain cannabis, methods such as associating with
‘underground drug networks’ (Murray 2014, 37) . It is a concerning fact that
epileptic patients in Australia disregard their own safety in order to obtain cannabis,
cannabis that would be available to them legally if they lived in a ‘medical cannabis
country’ such the Netherlands or Czech Republic.
Seizures are commonly associated with epilepsy; however they can emerge from
many numerous medical conditions. Within Australia there have been certain cases
of cannabis being successful in reducing seizures; one example is the case of Tara
O’Connell. Tara used to suffer up to 200 seizures a day, since Tara started using oil
made from cannabis her “seizures have stayed away” (Su 2014, par.7). A second
example of cannabis aiding epilepsy can be seen in the case of a British infant who
was “convulsing almost constantly” (Phillips 2014, par.1). The Doctor administered
the child with cannabis oil and supposedly “stopped the seizures almost
immediately” (Phillips 2014, par.3). Material has presented there are certain cases
which have highlighted the positive effect medical cannabis has on reducing
seizures, therefore seizures are another condition that could be medicated if
Australia legalised medical cannabis.
Strokes are another condition which have been reported as treatable when exposed
to cannabis. THC has been presented in certain cases by the US Department of
Health and Human Services to protect the brain from strokes, it does this by
reducing the likelihood of ‘low blood flow to the brain’ (Allen 2014, par.1). If
research by the US government has revealed a positive relationship between
cannabis and the reduction of strokes, why has the Australian government not
considered these findings?
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Cannabis has also been suggested to be beneficial to sufferers of arthritis; tests
carried out at London Imperial College showed the inflammation of arthritis
sufferers can be decreased by up to 50% when cannabinoids were administered
(Reichard 2012, par.12). With positive British results in regard to cannabis’ effect on
arthritis, Australian researchers should also have ground to test the efficiency of
cannabis on arthritis.
Cannabis has also been presented as being effective in reducing the likelihood of
diabetes; research has suggested that cannabinoids can reduce the likelihood of
diabetes by up to 58% (Torres 2014, par.36). One research carried out on
experimental mice, presented that only 30% of the mice which had been using
cannabis showed signs of diabetes, compared to a 90-100% rate of diabetes within
mice that were not provided cannabis (Reichard 2012, par.13). International
material has revealed a correlation between cannabis use and the reduction of
diabetes, therefore diabetes is yet another example of an illness that could be
addressed, if medical cannabis were to be legalised in Australia.
Hepatitis-c is a further illness that cannabis has been presented to be successful in
reducing; the Wyoming Institute of Technology conducted supporting research that
presented results which supported cannabis’ efficiency in combating hepatitis-c. In
human trials on Hepatitis-c sufferers, 99.8% of the subjects were cured of the
illness; the remaining 0.2% showed advanced signs of hepatitis-c reversal (Stone
2013, par.3). This research by a respectable institution enforces the view that
cannabis has a potential to reduce hepatitis-c. With a presented cure ratio of nearly
100%, there should be grounds for an Australian study on cannabis’ medical
potential in relation to hepatitis-c.
Individuals who suffer from sleeping problems such as insomnia are also presented
to benefit from cannabis use; this is simply because sleep is often found to increase
with cannabis use (Ware, et al. 2003, 211). Research published in the International
Journal of Drug Policy has cited cannabis to be an effective medicine for patients
who have trouble sleeping (Walsh, et al. 2013, 511). A survey of 127 insomnia
patients revealed that 86% had seen an improvement in their sleeping pattern once
they were provided cannabis (Swift, Gates and Dillon 2005, 5). Cannabis could
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possibly help a range of Australian insomniacs which include shift and FIFO (fly-in
fly-out) workers with sporadic work schedules. Being a non-fatal illness, insomnia
can also offer Australian researches a vital chance to study the long term effects of
cannabis use on humans.
Post-Traumatic Stress Disorder (PTSD) is yet another illness that cannabis has been
presented to be effective in addressing. The Journal of Psychoactive Drugs has put
forward that during a test on 80 participants with PTSD, 75% of the participants had
showed improvement once they were provided cannabis. The journal came to the
conclusion that cannabis is directly associated with a reduction in PTSD (Greer, Grob
and Halberstadt 2014, 73). This evidence is reinforced in the case of US Army
veteran Matt Kahl who declared ‘cannabis to be the only medication that allows
him to control his PTSD’, Kahl admitted that he went from being ‘suicidal to stable,
once he was provided cannabis as a medication’ (Diente 2014, par.5).
The cannabinoid, cannnabidiol (CBD) has been credited in a publication by the Drug
Testing and Analysis Journal as being highly effective towards reducing psychosis.
The journal states that CBD has non-psychoactive properties that help the brain
reduce the likelihood of psychosis (Deiana 2012, 46). With mental health being an
ongoing issue within Australia, it may be beneficial for the country to invest in
studies which analyse the relationship between cannabis and psychosis.
Still on the topic of mental health, cannabis has also been presented to have a
positive effect on sufferers of depression. Denson and Earleywine put forward in
their article Addictive Behaviours, those cannabis users often “had less depressed
mood, more positive effect, and fewer somatic complaints than non-users” (Denson
and Earleywine 2005, 1). The same article researched the benefits of recreational
cannabis use compared to medical cannabis use, it was discovered that recreational
smokers tended to be less depressed than medical users. This research suggested
that it was most likely the individual’s illness, not the cannabis use that was catalyst
to their depression. One of the key concerns in regards to medical cannabis being
legalised is the view that cannabis can increase the likelihood of psychosis; however
this article has suggested this opinion to be generally incorrect.
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Conventional anti-psychotic medication has been noted to frequently have little
effect on schizophrenic patients, for this reason cannabis has been suggested to be
an appropriate alternative to generic schizophrenia medications (Deiana 2012, 46).
Further research from Canada has again suggested that cannabis does not have a
negative effect on schizophrenic patients (Morris 2014, par.1). This suggests it may
be possible for the Australia to consider treating schizophrenic patients with
cannabis, if their conventional medication is not working.
Certain material has presented cannabis to be effective in reducing the negative
side effects of spinal cord injury. The spasticity, spasms and pain that prominently
accompany spinal cord injury are suggested to be relieved if cannabis is used
(Gowing, et al. 1998, 447). With Australia being a keen participant of contact sport
such as rugby and AFL, there is a high probability that spinal damage will be an
ongoing problem within Australian society. Therefore medical cannabis should be
researched within Australian sport science.
Research has presented cannabis to be effective in reducing neuronal damage also
known as neuro degeneration; in 2001 the Dutch Journal of Neuroscience published
results that supported these findings. The journal suggested that THC was
successful in reducing neuronal damage by up to 36% within only 7 days (Van Der
Stelt, et al. 2001, 6475). The neuropathic properties of cannabis have also been
presented within the Australian Drug and Alcohol Review of 1998 when it was
suggested that cannabis ‘has the ability to reduce neuro pain' (Gowing, et al. 1998,
451). Having been cited in the Australian Drug and Alcohol Review as holding
therapeutic value almost 17 years ago, it is surprising that Australia still lacks
professional research regarding medical cannabis’ medical potential.
Further material has suggested cannabis could benefit certain individuals prone to
heart attack by reducing blood flow, cannabinoids are suggested to reduce the
probability of heart attacks by up to 66% (Torres 2014, par.21). Heart attacks are
genetic, so theoretically cannabis could be used as a preventative medicine to
reduce the likelihood of heart attack. Unless Australia changes its cannabis policy,
preventative cannabis use for heart attack prone individuals will stay theoretical.
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It has been put forward in the Journal of Gastroenterology and Hepatology that
cannabis ‘is effective in reducing inflammatory bowel disease (IBS)’. The journal
states that in a human study, 5 out of 11 IBS sufferers experienced complete
remission, and 10 out of 11 saw improvement once provided with THC (Naftali, et
al. 2013, 1276). Having personally witnessed a series of IBS adverts on Australian
Free to air television, it is clear that the illness is not an irrelevant issue in Australia.
If Australia legalised medical cannabis, cannabis could be used as a natural
alternative to current IBS medications.
The vision impairment Glaucoma is the final condition presented within this thesis
to be respondent to cannabis treatment; by reducing the blood flow to the eye,
cannabis has been shown to be effective in clearing the ‘blurry’ vision of glaucoma
sufferers (Gowing, et al. 1998, 448).
Figure 7 (Colorado Department of Health and Environment 2014)
Figure 7 (Colorado
Department of Health
and Environment 2014)
highlights the symptoms
that Colorado, U.S.A
medicates with cannabis.
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(Swift, Gates and Dillon 2005, 5)
The ‘discontinue’ rate of medical cannabis supports its reputation as a useful
medicinal product, only 10% of medical cannabis users surveyed in the U.S.A have
discontinued use (Mather, et al. 2013, 760). The fact that only a small percentage of
medical cannabis users decide to discontinue use, suggests that users of cannabis
are reporting a medical improvement. The American Medical Association supports
that cannabis is a legitimate medicine; in 2009 the association added the substance
to their list of approved prescription drugs (Mather, et al. 2013, 759). This raises the
debate, why to date has Australia ignored the medicinal properties of cannabis
presented by the U.S.A?
Figure 8 (W.Swift,
P.Gates and P.Dillon
2005, 5) outlines
numerous amounts
of illnesses that have
been medicated with
cannabis in
Washington, U.S.A.
Figure 8
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Chapter 2 Conclusion
It has been suggested through an array of material in this chapter, that cannabis can
be used to address numerous illnesses in Australia. Ranging from cancer to MS, this
chapter has presented multiple conditions that have been treated internationally
with cannabis. This chapter has presented the general controversies in regard to
cannabis use, followed by numerous ingestion methods that are available for
cannabis. This thesis suggests that Australia would benefit from researching the
medicinal effects of cannabis, throughout new research the Australian government
could discover certain capabilities of cannabis that were not recognised in past
trials.
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Chapter 3: Political and Socio-Economic debates for the Australian
implementation of medical cannabis.
Chapter 3 Introduction
Throughout the duration of this chapter, the current legal status of medical
cannabis in Australia is discussed. Presented within this chapter of the thesis are the
economic and social advantages that can accompany legalising medical cannabis.
The political, social and organisational acceptance of medical cannabis within
Australia and internationally are also discussed.
This chapter will start by presenting the current legal status of cannabis in Australia.
The social, organisational and political acceptance of cannabis in Australia is then
discussed. The chapter concludes by presenting the social and economic advantages
that have been presented to accompany the implementation of medical cannabis.
Discussion
3.1 The current legal status of cannabis in Australia
Currently Australia does not legally allow the use of cannabis in its Therapeutic
Goods Administration (Baxter, Baker and Reece 2013, 1). Cannabis was originally
banned in 1925 following the result of a League of Nations summit; Victoria was the
first state to outlaw cannabis in 1928. However the League of Nations ban did not
take full effect in Australia for another three decades (Mather, et al. 2013, 759). On
the back of limited research, cannabis was categorised as harmful as cocaine, heroin
and morphine then therefore made illegal (Fitzgerald 2013, par.16). Following the
League of Nations ban, cannabis was categorised as illegal in Australia and
internationally. 89 years after the 1925 League of Nations summit on cannabis,
countless numbers of individuals have been jailed due to cannabis use and millions
in government capital has been spent on enforcing the cannabis ban.
Australia is signatory to numerous international agreements that restrict the use of
cannabis in any form (Australia. NSW Parliament 2014, 8). For instance, Australia is
signatory to the 1961 United Nations Single Convention on Narcotic Drugs, this bans
the use of medical cannabis (Australia. NSW Parliament 2014, 8). The 1988 UN
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Convention against Illicit Traffic in Narcotic Dangerous Psychotropic Substances also
restricts Australia from being able to import cannabis (Australia. NSW Parliament
2014, 8). There are also numerous Commonwealth laws that restrict the use or
importation of cannabis in Australia. Such laws as the 1995 Criminal code Act, 1901
customs Act, 1956 Customs (Prohibited Imports) Regulations, 1967 Narcotic Drugs
Act, 1989 Therapeutic goods Act and the 1990 (Traffic in Narcotic Drugs and
Psychotropic Substances) Act all ban the use of cannabis (Australia. NSW Parliament
2014, 8-9). Clearly Australia is signatory to numerous agreements that restrict the
use or importations of cannabis within the country, these mentioned laws are the
key reason that medical cannabis is illegal in Australia.
‘As mentioned, there are ‘international legal obligations’ that currently prohibit
Australia from using medical cannabis, these obligations mean that citizens found in
possession of small amounts of cannabis can receive large fines (Topp 2006, 13).
Australia is signatory to further international treaties which makes it illegal to sell,
use or produce any cannabis product such as the 1995 Commonwealth Criminal
Code section 307.5-307.7 which outlines how it is illegal to import or export any
form of cannabis, and section 307.1-307.4 that highlights how it is also illegal to
possess any form of cannabis (Australia. NSW Parliament 2014, 22). According to
current Australian law, cannabis is a class 9 illicit drug, which puts it in the same
category as heroin and LSD (acid) (Smith 2013, 56).
Drug laws within Australia are primarily enforced on the state level, however in
Australia cannabis comes under a full national restriction (Smith 2013, 56). In the
Australia Capital Territory (ACT), South Australia (SA) and the Northern Territory
(NT) cannabis has been decriminalised, this means although still illegal, the
repercussions for having cannabis are smaller in these states. In the ACT if someone
is caught with up to two cannabis plants or 25 grams of dried cannabis they can
receive a $100 fine, In SA individuals with100 grams of cannabis or one plant can
receive a $50-$150 fine and in the NT 50 grams of cannabis or two plants could
bring an individual a $200 fine (National Cannabis Prevention and Information
Center 2013, 1).
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Figure 9 (National Cannabis Prevention and Information Center 2013, 2)
In contrast to the ACT, SA and the NT, cannabis is completely illegal in the remaining
states of Australia. This means individuals found in possession of cannabis can
endure much more detrimental penalties than those in the decriminalised states of
ACT, SA and NT. In New South Wales, cannabis possession of 15 grams is given two
cautions before criminal charges may be placed. Victoria allows up to 50 grams of
cannabis but only offers two cautions before charges are placed. Tasmania offers
three cautions of up to 50 grams, while Queensland only offers one caution of 50
grams. Western Australia could be seen to have the strictest penalties, any
individual found with 10 grams of cannabis are automatically made to face a
criminal charge, fine or “cannabis intervention session” (National Cannabis
Prevention and Information Center 2013, 3). The cannabis intervention session is a
rehabilitation program that aims to assist offenders in quitting cannabis use.
Figure 9 (National Cannabis Prevention and Information Center 2013, 2)
outlines the differing cannabis laws within the three Australian states that
have decriminalised cannabis.
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Figure 10
(National Cannabis Prevention and Information Center 2013, 4)
3.2 Political, Social and Organisational Acceptance of Cannabis
Cannabis has been reported as being the world’s most frequently consumed illicit
drug (Hall 2000, The cannabis policy debate: finding a way forward, 1690). That
statistic does not differ in Australia, the Cancer Council New South Wales has
reported cannabis as being the most commonly used illicit drug within the country
(Cancer Council NSW 2012, 1). In 2010, the Cancer Council reported that 1.9 million
adults within Australia have tried cannabis (Cancer Council NSW 2012, 1). Research
has calculated that 40% of the country has tried cannabis, including 300,000
Australians that use cannabis daily (Smith 2013, 56). The consumption of cannabis
within Australia is much higher than the average country, Australia and their
geographical neighbours New Zealand are cited as being the countries with the
most prevalent cannabis use (Baxter, Baker and Reece 2013, 1). In summary, certain
Figure 10 (National Cannabis Prevention and Information Center 2013, 4)
highlights the methods put in place by Australian states that consider cannabis
illegal. Note that unlike the ‘decriminalised’ cannabis states in Australia, you
cannot simply pay a fine if you are found in possession of the substance.
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material has presented a significant percentage of the Australian population to find
cannabis an accepted and frequently used substance.
Illicit substances such as opium are frequently used as ingredients in modern
medical products. This concern was raised in Australia when Premier Campbell
Newman questioned ‘why is opium currently used in medical practice yet cannabis
is not’ (Vogler 2014, par.4)? This concern is again expressed when it is quoted by
Murray that “We grow opium poppies in Australia in secure locations for their
accepted use in our most effective painkillers…[S]urely we can do the same with
marijuana” (Murray 2014, 37).
Cannabis has been presented to hold similar painkilling attributes as opium.
Cannabis being a less addictive substance than opium would mean that the
implementation of cannabis in opium’s place could reduce the likelihood of opium
dependence or withdrawal symptoms becoming problematic for patients
(McGowan 2014, 70). It appears possible to consider the use of cannabis in
circumstances where opium addiction has been problematic. The use of cannabis in
place of opium seems possible due to the similarities between cannabis and opium,
the possibility that cannabis might be less addictive than opium can also be seen as
being advantageous.
Former NSW Premier Bob Carr is a passionate campaigner for medical cannabis
implementation in Australia (Hansen 2014, par.12). In 2003, the Carr government
announced its intention to introduce a four year medical cannabis trial; however
cannabis supply issues prevented the trial from ever taking place (Australia. NSW
Parliament 2014, 5). Australia had another chance to change their law on medical
cannabis in 2013 when a New South Wales Parliament Committee put forward an
amendment to facilitate terminally ill patients the right to possess up to 15grams of
cannabis for medical purposes (Coultan 2013, par.1). However, this proposal was
denied by the New South Wales Government, it was denied due to a ‘lack of
evidence supporting cannabis, and its relation to pain relief’ (Hawke 2013, par.13).
Australian politician MP Kaye was quoted as being ‘disappointed’ with the
conclusion to the 2013 New South Wales amendment, similarly former Australian
MP O’Grady was also said to be correspondingly dejected. O’Grady suggested that
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‘good policy is evidence based’ and a medical cannabis trial needed to have been
performed before the amendment was denied (Hawke 2013, par.9). This thesis
believes processes such as the bills from the O’Grady and Carr governments’ are the
most ethical way of approaching legalised medical cannabis. In order for medical
cannabis to be implemented there must first be ethical bills presented to the
Australian government that entail professional research and analysis on medical
cannabis.
Political support of medical cannabis’ implementation in Australia is again visible in
the forms of medical cannabis bills being drafted by John Kaye of the NSW Greens
party; this bill will see certified patients legally allowed to possess small amounts of
cannabis for medical use. Similarly the NSW Nationals MP Kevin Anderson is also
drafting a separate medical cannabis bill; Anderson is quoted to ‘not condone the
use of drugs’ (Hansen 2014, par.16) however after researching cannabis’ positive
benefits, Anderson decided to pursue the medical cannabis bill (Australia. NSW
Parliament 2014, 2). Both Kaye and Anderson’s bills are expected to be released by
the end of 2014, so too is a separate Western Australian medical cannabis bill
(Washer and Langman 2014, par.4-5).
Green’s Senator Di Natale reinforces her wish to see Australia legalise medical
cannabis when she states that ‘it is cruel to deny patient’s medical cannabis, since
research has presented its legitimacy’. The same material reiterates this point when
it is stated that Liberal co-convenor Stone suggests that ‘Australia join other
developed states with the implementation of medical cannabis’ (Sky News 2014,
par.8). This acceptance of medical cannabis at a political level in Australia
thoroughly enforces the relevance and legitimacy of this overall thesis.
The debate regarding medical cannabis’ implementation in Australia is often
prominent in political material. Medical cannabis has been thoroughly promoted by
numerous Federal and State politicians in Australia such as: NSW Premier Mike
Baird, WA Labor Leader Mark McGowan, MP Mal Washer and MP Melissa Parke
(McGowan 2014, 70). Mark McGowan, leader of the Western Australian (WA) Labor
Party has supported medical cannabis since 2010. McGowan had a friend that
passed away at thirty years of age, Prior to his passing, McGowan’s’ friend’s only
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highlight to the day was apparently “when he smoked cannabis in a quiet courtyard
to ease his pain” (McGowan 2014, 70). Ever since McGowan’s friend passed away,
the leader of the WA Labor Party has advocated for the use of medical cannabis.
With the Leader of the WA Labour Party advocating the use of medical cannabis, it
only seems logical that Australia pursues the issue more thoroughly. McGowan
adequately summons his view the following quotation: “We need laws to support
people with chronic or terminal illnesses who find cannabis relieves their symptoms
and pain” (McGowan 2014, 70). A final bill presented by Australian Capital Territory
(ACT) MP Rattenbury presented that an overwhelming 70% of Australians support
the use of medical cannabis (Rattenbury 2014, 1). Visible in the forms of the
multiple medical cannabis bills presented in Australia as well as the advocacy from
multiple politicians, it is clear that there is a large amount of political support for
medical cannabis in Australia.
There is a vast amount of organisational support for medical cannabis presented
from the U.S.A, this is visible in the form of surveys taken out on medical doctors
(MD) and police officers in the U.S.A. Revealed within the survey is that, 69% of
MD’s believe that cannabis should be available for medical use (Medical Cannabis
Australia 2014, New Poll: 69% of Physicians in the U.S. Believe Cannabis Has
Legitimate Medical Benefits, par.1). A second survey taken out on 11,000 police
officers revealed that 65% of them not only believed cannabis should be available
for medical use, but also believed cannabis should be decriminalised or legalised
throughout the U.S.A (Medical Cannabis Australia 2014, New survey: 64% of Law
Enforcement Officers Want Cannabis Laws Reformed, par.1). It seems logical to at
least research medical cannabis within Australia due to the 69% of MD’s and 65% of
police officers in the U.S.A that promote the legalisation of medical cannabis. These
surveys are not the opinions of biased individuals; they are the opinions of qualified
doctors and law enforcement officers. Former US President Bill Clinton clarifies that
the U.S.A implemented medical cannabis due to “a lot of evidence that it helped
patients” (Edwards 2014, par.3), why has the Australian government not analysed
this “evidence” of cannabis being medically beneficial for their selves?
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It is not only surveys in the U.S.A that promote the use of medical cannabis; surveys
within Australia have presented a 69% support rate for the outright implementation
of medical cannabis. Furthermore, 74% of the surveyed individuals were more
favourable of a medical cannabis trial prior to a possible implementation (Wodak
and Mather 2014, par.5). Similar figures are again supplied by the 2010 National
Drug Strategy Household Survey Report by the Australian Institute of Health and
Welfare; the Survey presented a 70% support rate for the implementation of
medical cannabis and a further 75.5% endorsement rate of a trial (McGowan 2014,
70). Research by Lenton and Ovenden has presented further Australian social
acceptance of cannabis, they put forward that 64% of Australians support the use of
medical cannabis (Lenton and Ovenden 1996, 790). Yet again, Australian support for
medical cannabis can be seen in the form of the Help End Marijuana Prohibition
(HEMP) party, the party placed 8th out of a possible 77 registered parties in the 2014
Western Australian Senate election (Green 2014, par.16).
Influential institutions in Australia such as the Cancer Council have recently
expressed their support for the implementation of medicinal cannabis in Australia
(Godfrey 2014, Growing support for medical cannabis, par.16). The Cancer council
NSW has reportedly ‘recognised the medical capabilities of cannabis and has
suggested decriminalisation of cannabis to approved patients’ (Cancer Council NSW
2012, 1). Along with the NSW Cancer Council, the NSW Nurses and Midwives
Association (NSWMNA) which has over 59 thousand employees (Godfrey 2014, Key
nursing union backs medicinal cannabis, par.1) has also “formally endorsed”
(Holmes and Kiejda 2014, 1) that Australia decriminalise cannabis for terminally ill
patients. The NSWMNA has suggested that the government “support the use of 15g
of dry cannabis on patients who have AIDS and other terminal illnesses” (Coultan
2013, par.1).
The Australian Medical Association has recently acknowledged the “therapeutic
potential” (Sky News 2014, par.10) of cannabis. The Association has “called for
clinical trials on the use of cannabis in order to establish its potential” (Cook and
Smith 2014, par.13). The World Health Organization (WHO) is another organisation
that supports the decriminalisation of medical cannabis, the WHO has
‘acknowledged the therapeutic capabilities of cannabis in regard to its efficiency in
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reducing nausea and vomiting’ (Cancer Council NSW 2012, 5). Material has
presented that there are influential medical associations in Australia and abroad
that encourage the legalisation of medical cannabis. This promotion of medical
cannabis from influential organisations and associations within Australia and
abroad, suggest that Australia would benefit from again researching the efficiency
of medical cannabis.
An influential actor for the promotion of medical cannabis in Australia is twenty-
four year old Daniel Haslam. Daniel has terminal bowl cancer and uses cannabis to
reduce his nausea, poor appetite and constant vomiting (McGowan 2014, 70).
Nationally, Daniel and his mother have collected over 200,000 signatures
advocating the decriminalisation of medical cannabis for the terminally ill
(McGowan 2014, 70). Daniel has featured in television programs, newspapers and
online articles advocating medical cannabis. It is stories like Daniel’s that are putting
pressure on the Australian government to reconsider their stance on medical
cannabis. Surveys on over 3,400 Australia citizens present that the 51-65 year old
age bracket is the section of the population that are most inclined to embrace the
legalisation of medical cannabis (Cook and Smith 2014, par.2). Presented by the
statistics, mature adults are amongst the individuals promoting the use of medical
cannabis in Australia. It seems unethical to be denying informed individuals the
right to be using medical cannabis, if the substance does hold medicinal value.
3.3 Social advantages correlated with the legalisation of medical cannabis
Certain individuals may be critical that the implementation of medical cannabis
could have violent or dangerous social side effects. However it has been
documented the environment, neighbourhood and social circumstances are the
main catalyst to violence in areas where medical cannabis is available. This idea is
presented in studies on areas in the U.S.A with ‘cannabis dispensaries’, cannabis
dispensaries are businesses where medical cannabis is sold (Williams and Freisthler
2011, 2). Sources of violence in areas where cannabis dispensaries are operational
are presented to often suffer from similar catalysts of violence as areas without
medical cannabis.
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Catalysts of violence in these areas range from: ‘percentage of one person
households, unemployment rates’ (Kepple and Freisthler 2012, 527) and “scale of
income differences between rich and poor” (Wilkinson 2004, 1). Articles have even
suggested that in Colorado where cannabis has recently been legalised, the overall
crime rate has decreased by approximately 10.6% (Sarich, Colorado Sells $19 Million
in Weed in March: $1.9 Million Goes to Schools and Crime Down 10% 2014, par.5).
Further articles state that Denver, a town in Colorado has seen an estimated 14.6%
drop in property crime and a further 2.4% drop in violent crimes since the medical
dispensaries opened (Sarich, Colorado Crime Rates Down 14.6% Since Legalizing
Marijuana 2014, par.2). An overall drop in crime of 10.6% has been presented in
Denver since medical cannabis was legalised (Diente 2014, par.8).
Further material presents that the legalisation of ‘medical cannabis dispensaries can
be correlated with a reduction in homicide, assault and other crimes’ (Morris, et al.
2014, 1). The research suggests that the increased security measures within
cannabis dispensaries such as: internal and external security cameras, doormen and
requirement for all customers to carry valid identification can eventually increase
local security. It has been suggested that security upgrades within cannabis
dispensaries can inevitably lead to an overall reduction in homicide, assault and
burglary crime rates within the vicinity of a medical cannabis dispensary (Morris, et
al. 2014, 2). Further material presents cannabis to possibly reduce domestic
violence within married couples. During a nine yearlong study that used numerous
married couples as test subjects, the study presented that cannabis use was related
to a lower level of domestic violence between the tested couples (Hillin 2014,
par.2).
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Figure 11 (Morris, et al. 2014, 5)
Figure 12 (Sarich, Colorado Sells $19 Million in Weed in March: $1.9 Million Goes to Schools
and Crime Down 10% 2014)
Figures 11 (R.Morris, et al. 2014, 5) illustrates a drop in violent and property crime
within one year of medical cannabis implementation.
Figures’ 12 (Sarich, Colorado Sells $19 Million in Weed in March: $1.9 Million Goes to Schools
and Crime Down 10% 2014) illustrates the correlation between medical cannabis
implementation and a decreased homicide and aggravated assault rate in Denver, U.S.A.
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Although cannabis is illegal in Australia, it has already been presented in this thesis
that Australians are some of the largest consumers of cannabis in the world (Baxter,
Baker and Reece 2013, 1). However many Australians still fear using cannabis due to
its current legal status (Topp 2006, 13), this point is supported when it is stated that
many Australian cancer patients fear breaking the law to obtain cannabis (ABC
News 2014, The Cancer Council calls for mature debate on cannabis, par.8). 76% of
surveyed non-cannabis users in Australia suggested that legal repercussions and
fear of arrest currently deter them from using medical cannabis (Swift, Gates and
Dillon 2005, 7). Research has presented that 62% of surveyed Australians would use
medical cannabis if it were legal (Janichek and Reiman 2012, 1). Accessing illegal
cannabis can put a patient in contact with criminal networks (Australian Medical
Association 2014, 4); therefore many ill Australians rightfully choose to go without
the substance.
(Diehm and Hall 2013)
Despite its illegal status, it has been suggested that a large number of Australians
would still be inclined to use cannabis for medical reasons if it were not for the high
prices of the substance (Topp 2006, 13). 51% of Australians stated that at an
average of $25 per gram, cannabis is too expensive to use as a frequent medicine
(Swift, Gates and Dillon 2005, 7). If cannabis were to be legalised, it has been
suggested that the price would significantly drop from $25 per gram. As presented
Figure 13 (Diehm and
Hall 2013) highlights
how implementing
medical cannabis may
reduce its high prices.
Figure 13
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in Figure 13 (Diehm and Hall 2013), it has been suggested that cannabis price could
fall from $375 dollars per ounce to $38. This drop in price would ultimately mean
that more individuals could afford to use cannabis for medical reasons.
Due to cannabis being illegal in Australia, many individuals can and have been
arrested for possessing the substance. In a survey of 147 Australians that illegally
purchase cannabis to use for medical reasons, it was presented that 27% of the 147
individuals surveyed had been either been “arrested, cautioned or convicted in
relation to their cannabis use” (Swift, Gates and Dillon 2005, 7).
An example of Australian’s being arrested for self-prescribing themselves medical
cannabis can be seen in the case of Cassie Batten and Rhett Wallace who were
taken into custody after being found with small amounts of cannabis oil, the couple
had used the oil to treat their own epilepsy (Harrison, Spooner and Donnelly 2014,
par.1-2). A similar case of an Australian being arrested for using cannabis for
medically is evident in the case of a 59-year-old South Australian man who was
suffering leukaemia; he was imprisoned for two years after being convicted of
growing cannabis (Wodak and Mather 2014, par.3).
This high level of cannabis related conviction is troubling for many reasons, for
example the Australian Medical Association suggests that criminal convictions can
often “negatively impact” on an individual’s life, long after their conviction. For
example, “a criminal conviction can negatively impact on a person’s employment
prospects and their accommodation and travel opportunities” (Australian Medical
Association 2014, 4).
Suggestibly there is an ethical debate regarding individuals being arrested for using
cannabis for medical purpose. If these imprisoned Australians were citizens of a
medical cannabis country such as the Czech Republic or Netherlands, they would be
free to use cannabis medically and without imprisonment.
(Diehm and Hall 2013)
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When 400 Western Australians were surveyed in regard to their opinions on
cannabis’ legality, it was presented that 2/3rds of the respondents were concerned
that cannabis being illegal could eventually overburden the court system with
unneeded cannabis cases (Lenton and Ovenden 1996, 783).
Within Evans’ literature, a similar opinion is presented when he puts forward that
decimalising cannabis for ill patients could ultimately ‘free up the prison system’
(Evans 2013, 5). It has been presented that decriminalising cannabis could save the
government of the U.S.A an estimated 13.7 Billion in prosecutorial, judicial, and
correctional and police spending (Evans 2013, 2). If Australia were to follow the
path of the U.S.A in respect to medical cannabis, Australia could benefit financially
like the U.S.A has.
The Dutch coffeshoppe design is a unique social experiment that has been
successful in the Netherlands, the Dutch government made it legal to purchase and
consume cannabis in specific “coffeshoppes”. The Dutch government suggested this
‘cannabis friendly zone’ would provide an environment for users of cannabis to use
and obtain their cannabis in safety. By providing an environment solely for the
purchase of cannabis, cannabis users were able to avoid meeting up with criminal
groups or drug dealers to obtain their cannabis. Since there was no longer a
required contact with drug dealers, the coffeshoppes were seen to reduce the
consumption ‘harder drugs’. It was presented that cannabis users in the
Netherlands were no longer as freely exposed to other ‘harder drugs’, because
these coffeshoppes only exposed them to cannabis use (MacCoun and Reuter 2011,
69). In theory, a similar policy to the Dutch coffeshoppe design can be a possible
way of administering medical patients’ cannabis in Australia. Perhaps it would be
possible to construct a medical coffeshoppe that only serves individuals with a valid
medical script or card. However if this medical coffeshoppe was to be pursued any
further, there would have to be supporting research by the Australian government
to suggest medical cannabis is beneficial to these patients.
If medical cannabis were to be pursued in Australia, European trends suggest that
the overall number of illegal cannabis crops will decrease (Decorte 2010, 271). This
reduction in illegal cannabis crops can reduce the amount of drug dealers and
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certain illegal activity within the country. This idea is reinforced by Klofas when he
puts forward that in specific cases in the U.S.A, the implementation of medical
cannabis has been correlated with a reduction in street, gang and drug crime. Klofas
concludes his support of medical cannabis when stating that ‘cannabis purchased
within a medical facility is safer than individuals purchasing cannabis from a drug
dealer (Klofas and Letteney 2012, 4).
3.4 Economic debates for legalising medical cannabis
A final debate that is presented for the implementation of medical cannabis is the
illusive profit local governments can gain from the industry, Klofas calls it a “very
influential source of income and wealth” (Klofas and Letteney 2012, 4). In the U.S.A,
the Colorado medical cannabis industry generated approximately $1.5 million USD
solely in the month of January 2014 (McKay 2014, par.1).
Colorado generated $5.3million USD after three months (McKay 2014, par.1), it has
been calculated that Colorado can expect to generate approximately $18million
USD from medical cannabis by the end of 2014. (Phillips 2014, Colorado Pulls In
Millions In Marijuana Tax Revenue, par.1). In 2011 cannabis totalled as an equitable
11 Billion dollar industry in the U.S.A (Klofas and Letteney 2012, 4), this equitable
cannabis industry could financially benefit Australia if they were to industrialise
medical cannabis like in case of the U.S.A.
Medical cannabis might not only provide the chance for the Australian government
to gain a new lucrative industry, it could also generate careers for many individuals
in this new industry. In the cases of medical cannabis being supplied in Canada and
certain states of the U.S.A, “there are a wide range of direct and indirect
employment gains being measured” (Washer and Langman 2014, par.24). New
careers can develop upon medical cannabis becoming implemented such as
cannabis trimmers, farmers, journalists and business owners (McKay 2014, par.3).
Within the U.S.A, over 2,000 medical cannabis centers employ several thousand
employees (Knight and Smith 2014, par.6). In reference to Washington, 10,000 new
jobs have arisen due to the legalisation of both recreational and medical cannabis
(Sarich 2014, Colorados marijuana legalization creates 10000 new jobs, par.1). Over
2,000 new jobs have been produced within the last few months alone and
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Washington has been witnessing one of the lowest unemployment rates in the
U.S.A (Sarich 2014, Colorados marijuana legalization creates 10000 new jobs, par.1).
It has been presented in numerous materials that Australia has a perfect climate to
grow natural outdoor cannabis. This is supported when Jiggens presents that “In
1964, a massive infestation of wild cannabis was found growing along a stretch of
the Hunter River between Singleton and Maitland in New South Wales” (Jiggens
2004, 3). This ability to grow outdoor cannabis is economically advantageous, since
certain countries that already have medical cannabis for example Canada, spend
“huge energy costs” on sustaining their indoor medical cannabis grows (due to
inadequate natural climate for growth) (Washer and Langman 2014, par.21). Due to
their frequently cold European weather, it would be fair to assume the Netherlands
and Czech Republic would also suffer from the same growing predicament as
Canada.
With a climate and farming industry that is prosperous for growing crops (National
Farmers Federation 2012, 5), the medical cultivation of cannabis can be seen as
smart economics for Australia. Tasmania already has a successful pharmaceutical
poppy industry that could make an ideal and secure facility to grow medical
cannabis. The Tasmanian farmers lobby have been quoted to have “welcomed the
idea of growing medical cannabis in the state” (ABC News 2014, State Health
Minister to discuss medical cannabis trials at the University of Tasmania, par.19).
Chapter 3 Conclusion
In summary this chapter has discussed the current legal status of cannabis in
Australia, followed by the political, social and legal acceptance of medical cannabis
in the country. This chapter has presented medical cannabis to be a substance that
can have certain political, social and economic value. Medical cannabis’
implementation can lead to a reduction in crime, increase in economic revenue and
increase in job opportunities. Medical cannabis can also reduce government, police
and judicial spending. Therefore it has been presented within this chapter that
medical cannabis can often be a valuable industry; if implemented correctly a
medical cannabis industry could be financially beneficial for Australia.
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Chapter 4: The Conclusion
Chapter 4 Introduction
This final chapter will summarise the overall hypothesis of this thesis by concluding
that there is abundant evidence to suggest that medical cannabis is an extremely
valuable resource both socially and medically. This thesis suggests that due to a lack
in solid research on medical cannabis, Australia is lagging behind the numerous
developed countries have already implemented cannabis for medical use.
Discussion
As presented by certain developed states adopting the use of medical cannabis in
recent years, medical cannabis has become an increasingly accepted medical tool
internationally. Further research on medical cannabis in Australia could finally
resolve the issue of cannabis’ legitimacy in medical use. Such a trial could possibly
present the Australian government enough information to legalise medical
cannabis.
This thesis has presented that medical cannabis use can be an effective way of
treating numerous medical conditions. Cannabis has been presented throughout
this thesis to be an efficient analgesic (painkiller) for humans, for this reason it has
been heavily documented that cannabis can be used as an effective substitute for
certain pharmaceutical medications as well as alcohol, tobacco and other illegal
drug use. This thesis has presented many alternative methods to cannabis use that
do not involve the heavily tabooed act of smoking, methods such cannabis oil,
spray, edible foods, tablets and vaporisers are all available.
Unlike many conventional medications, cannabis is suggested to be a fast acting
drug; results are often visible within 2-3 days. Also unlike many pharmaceutical
drugs, cannabis is unique in the fact that humans are suggested to be unable to
overdose from its use, in fact the main side effect to cannabis use if often
‘dizziness’. Another method that suggests medical cannabis to be safe is the fact
that cannabis can now be personally tailored to a patients needed requirement.
This ensures that the patient is neither receiving more or less that their required
dose of cannabinoids.
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Cannabis has been tested and supplied to many patients internationally for the
treatment of numerous illnesses. Internationally, cannabis has already been
prescribed to sufferers of: cancer, HIV/AIDS, nausea, ‘MS’, epilepsy, strokes,
arthritis, diabetes, Hepatitis-c, ‘PTSD’, psychosis, depression, schizophrenia, spasms,
neurodegeneration, heart attack, glaucoma, ‘IBS’, sleeping problems and lack of
appetite; not to name them all.
Besides medical advantages, the implementation of medical cannabis within
Australia can also provide numerous political and socio-economic advantages.
Currently individuals who illegally source themselves cannabis, often run the risk of
being jailed or fined if caught by police with cannabis. If medical cannabis were to
be implemented in Australia, patients will no longer run the gauntlet of being
imprisoned or having to associate with drug dealers to obtain cannabis.
Legalised medical cannabis will provide a safe grade of cannabis, to legitimate
patients from a safe and legal environment. Medical cannabis legalisation has been
presented within this thesis to correspond with a decreased crime rate and reduced
amount of illegal cannabis grows in Europe. Significant research has also presented
medical cannabis to be a significant catalyst towards a reduced rate of violence and
assault. Further social acceptance of cannabis is evident within Australia, as it is the
largest consumed drug in the country. Australian citizens are also cited as being
one of the largest consumers of cannabis in the world along with geographical
neighbours New Zealand. This thesis has ultimately suggested that the
implementation of medical cannabis can assist with numerous social conundrums in
Australia.
Legalising medical cannabis could also be an economically advantageous move for
the Australian government. As presented by certain cases in the U.S.A, medical
cannabis is a multi-million dollar industry which could open many employment
opportunities in the country. Presented in certain examples from the U.S.A, by
legalising medical cannabis the Australian government could save millions of dollars
in prosecutorial, judicial, correctional and police spending. As evident by wild
cannabis crops found in Australia, the country has a suitable climate for outdoor
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cannabis cultivation; Australia also has a pre-existing, highly functional farming
industry that could successfully cultivate medical cannabis.
Possible methods to implement the legal sales of medical cannabis in Australia
could come in the forms of decriminalised cannabis use for the legitimately ill, as
mentioned in the bills presented by Australian politicians that include Anderson,
O’Grady and Carr. Other methods such as a medical coffeshoppe that follows the
design of the Dutch coffeshoppe are also possible. However if any of these
processes are to occur, Australia needs to hold mature political debate as well as
medical research on the topic of medical cannabis. In order to successfully
implement medical cannabis the Australian government must change its current
drug policy on cannabis. This thesis has presented material which suggests that it is
advisable for Australia to consider changing its current legislation on cannabis by
first researching the use of medical cannabis.
Chapter 4 Conclusion
The hypothesis of this thesis is that there is abundant evidence to suggest that
medical cannabis is an extremely valuable resource both socially and medically.
Overall this thesis has provided evidence to suggest that if implemented correctly,
medical cannabis can be a valuable resource both socially and medically. In
conclusion this thesis has debated that by following the example of countries that
have already legalised medical cannabis; the implementation of medical cannabis’
in Australia is not only medically beneficial but also socially, politically and
economically beneficial. Therefore this thesis suggests that Australia first research
the efficiency of medical cannabis, in order to finally resolve the debates
surrounding the implementation of legalised medical cannabis in Australia.
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Appendices of Figures:
Figure 1 (Hazekamp 2007,4) ................................................................... 6
Figure 2 (Mack, Marijuana as medicine 2000,16) ................................... 9
Figure 3 (Australia. NSW Parliament 2014, 16) ..................................... 10
Figure 4 (Janicheck and Reiman 2012,3) ............................................... 18
Figure 5 (Swift, Gates and Dillon 2005, 6) .......................................... 18
Figure 6 (Gardner 2013, 1) .................................................................. 19
Figure 7 (Colorado Department of Health and Environment 2014) ...... 26
Figure 8 (Swift, Gates and Dillon 2005, 5) ............................................ 27
Figure 9 (National Cannabis Prevention and Information Center 2013, 2)
............................................................................................................. 31
Figure 10 (National Cannabis Prevention and Information Center 2013,
4) .......................................................................................................... 32
Figure 11 (Morris, et al. 2014, 5) ......................................................... 39
Figure 12 (Sarich 2014, Colorado Sells $19 Million in Weed in March:
$1.9 Million Goes to Schools and Crime Down 10%) ............................ 39
Figure 13 (Diehm and Hall 2013) .......................................................... 40
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