Medical cannabis physician decries lack of education

“This is all new to them.” That's how David G. Ostrow, M.D., Ph.D., vice president of the American Academy of Cannabinoid Medicine (AACM), describes medical cannabis, which has actually been legal in some states for many years. It was the precursor to recreational cannabis, but it's not the same thing. Patients with real medical problems ask their doctors about it — and their doctors don't know what to say.     

Briefly Noted

Almost 70% of Americans think it's unlikely a driver will get caught for driving while impaired by marijuana, according to a survey released last month by the AAA Foundation for Traffic Safety. And 14.8 million drivers themselves report driving within an hour of using marijuana — and engaging in this activity within the past month. According to research, the impairing effects of marijuana occur within the first one to four hours after smoking, and marijuana users who drive while intoxicated are more than twice as likely to be involved in a crash. “Marijuana can significantly alter reaction times and impair a driver's judgment. Yet, many drivers don't consider marijuana‐impaired driving as risky as other behaviors like driving drunk or talking on the phone while driving,” said Dr. David Yang, executive director of the AAA Foundation for Traffic Safety. “It is important for everyone to understand that driving after recently using marijuana can put themselves and others at risk.” In the AAA Foundation survey, almost 14% of millennials report driving within one hour after using marijuana in the past 30 days; 10% of Generation Z reports doing this. “It's time to face the facts. Any driver who gets behind the wheel high can be arrested and prosecuted,” said Jake Nelson, AAA director of traffic safety and advocacy. “Law enforcement officials are getting more sophisticated in their methods for identifying marijuana‐impaired drivers and the consequences are not worth the risk.” AAA recommends all motorists avoid driving while impaired by marijuana or any other drug (including alcohol) to avoid arrest and keep the roads safe. Just because a drug is legal does not mean it is safe to use while operating a motor vehicle. Drivers who get behind the wheel while impaired put themselves and others at risk.     

Effort to remove Medicaid prior authorization for bupe in NJ advances

You're a health care provider, and your patient is interested in cannabis — perhaps for pain, for anxiety, for depression or even for trying to quit drinking or using drugs. You think it could help him or her. Or, rather, it might — you really have no idea, because you didn't learn about it in medical school (except that it's illegal and addictive), but you know it's now legal in your state and you want to know how to respond to your patient's request.     

What Happened on Ruby Ridge: Terrorism or Tyranny?

In the 1992 Ruby Ridge, Idaho, incident during which U.S. Marshal William Degan and Sammy and Vicki Weaver were killed, law enforcement and the Weavers socially constructed each other's roles. We focus on how the framing of what happened on Ruby Ridge changed. Drawing on Gamson's (1968) discussion of law enforcement strategies, we suggest that certain federal agencies were challenged about the justness of their actions. The Weavers, white separatists, and others tried to alter the dominant frame of the federal government from a legitimating one to that of unjust authority. To counter that, investigations by the Senate Subcommittee on Terrorism and the Department of Justice portrayed certain agents as incompetent rather than unjust. Various federal agencies “yielded ground” by recognizing mistakes, making payments to the Weavers and Kevin Harris, and charging one official and temporarily suspending others, but they maintained the legitimacy frame.     

Government Influence on the Social Science Paradigm*

A scientific paradigm includes a set of widely shared understandings that specify a discipline's research methodologies and substantive priorities. The impact of government sponsorship of academic social research on the paradigms of four social science disciplines is evaluated using a probability sample of 1,079 faculty members in the fields of anthropology, economics, political science, and psychology. The results indicate that federal government funding is allocated according to topical and methodological priorities that are distinct from the disciplines' self-defined priorities. It is also found that: (1) federal support of academic research has a significant impact on the substantive and methodological plans of social scientists; (2) social scientists who are financially dependent on government assistance are particularly responsive to government influence; (3) the condition of financial dependency on government funding is in part a product of prior federal investment in social research. An “externalist” thesis holds that the scientific paradigm is not autonomous and is significantly shaped by such outside factors as the political system, and these findings provide support for this thesis.     

Appropriations update: DOJ and ONDCP now funded

President Trump has signed the Consolidated Appropriations Act of 2019, which funds the agencies that weren't funded in last fall's spending bill, which included the Department of Health and Human Services. In particular, for ADAW readers, the spending bill signed Feb. 15 includes the Department of Justice (DOJ), the Office of National Drug Control Policy (ONDCP), and the Food and Drug Administration, which weren't funded before due to the government shutdown.     

Legalization of marijuana takes another step forward

With approval by the House Judiciary Committee of the Marijuana Opportunity Reinvestment and Expungement Act (MORE Act) last week, federal legalization of marijuana took a historic step forward. “With today's mark‐up of the MORE Act, the United States is coming one step closer to ending the devastating harms of marijuana prohibitions,” said Maria McFarland Sánchez‐Moreno, executive director of the Drug Policy Alliance (DPA), in a statement released by the DPA Nov. 20.     

Senator John Breaux: The Elder Justice Proposal of 2002

ABSTRACT

The number of older Americans is steadily rising, and with it will come a concomitant increase in abuse, neglect, and exploitation. The Elder Justice Act will provide federal resources for state and community efforts as well as for research. The major purposes of the Act are to: elevate the issue of elder justice, improve the quality of information about the problem, increase knowledge and promising practices, develop forensic capacity, ensure “safe havens,” increase prosecution, supply needed training to many disciplines, address the issue in underserved populations, review model laws and practices, further security and improve information in long-term care, and encourage greater systemic accountability.     

The SIF debate: Lines drawn with Rosenstein op‐ed,but truth may lie in the middle

The federal Department of Justice is not going to allow supervised injection facilities (SIFs) to go forward, with Rod J. Rosenstein, deputy attorney general, drawing a clear line in the sand in an Aug. 27 op‐ed in The New York Times ( https://www.nytimes.com/2018/08/27/opinion/opioids‐heroin‐injection‐sites.html ). “Advocates euphemistically call them ‘safe injection sites,’ but they are very dangerous and would only make the opioid crisis worse,” he wrote, calling them “B.Y.O.D.” facilities (for “bring your own drugs,” which they are). In SIFs, people can be revived by naloxone if they overdose; if they inject alone, which happens often, they can't.     

INQUIRY

The following interview with Gary Orfield was conducted in May 2004. Gary Orfield is a professor of education and social policy at the Graduate School of Education at Harvard University. He is the director of the Harvard Project on School Desegregation, and co‐director of the Harvard Civil Rights Project. Professor Orfield is the author of numerous books and publications, and has been consistently involved in government and court proceedings dealing with issues related to his research. He has been called to testify in civil rights suits by the US Department of Justice and many civil rights, legal services, and educational organizations. In 1997, Professor Orfield was awarded the American Political Science Association's Charles Merriam Award for his “contribution to the art of government through the application of social science research.”     

“That's so gay”: Language Use and Antigay Bias Among Heterosexual College Students

Using the word “gay” to refer to something that is “boring” is part of American slang, and heterosexual males commonly call one another a “fag.” The responses of 767 college students were analyzed to explore how this language relates to antigay bias. Results of multiple regression explained 14.8% of the variance for believing that “it's no big deal” to call someone a fag, and age, sex, major, and attitudes toward gay men were significant predictors. For the frequency of saying “that's so gay,” 17.5% of the variance was explained by age, sex, major, and friends’ attitudes toward sexual minorities. Implications for social work education and future research are discussed.     

Indivior CEO steps down,pleads guilty over Suboxone

On June 30, the federal Department of Justice announced that Shaun Thaxter, CEO of Indivior, pleaded guilty for misrepresenting Suboxone's safety. Suboxone is buprenorphine combined with naloxone. Briefly, Indivior was trying to promote its new film, saying that its tablets caused a risk of pediatric exposure (see “Reckitt Pulls Suboxone Tablets, Citing Pediatric Exposures,” ADAW, Sept. 12, 2012, https://onlinelibrary.wiley.com/doi/10.1002/adaw.20347 ). It had just discontinued its own tablets and was trying to convert its patients to its patented film, because the tablets were off patent and it wanted to keep market share, crowding out any generics in a scheme commonly known as “evergreening.” Medicaid formularies in Massachusetts and Virginia were sold on the idea, and therefore agreed to approve Suboxone even to patients with children under the age of 6 living in the home. The interstate commerce made this a federal case.     

Two Patterns of Establishing Trust: The Marijuana User

Abstract

Trust has been little investigated outside the experimental laboratory situation, and its processual aspects have largely been neglected (cf. Swinth, 1967). Two common interactional patterns through which the marijuana user establishes the relationships of trust necessary for his drug-related activity are examined. The “disclosure pattern” occurs in three stages and provides the marijuana user with a coherent set of “identity documents” (Gross and Stone, 1964) as a basis for defining another person as trustworthy. The “extension pattern” provides the marijuana user with a trusted third party's definition of another as trustworthy as a basis for defining that other as trustworthy. It is suggested that these two interactional patterns may occur among groups as well as between individuals.     

Toward A Renewed Sociological Jurisprudence: From Roscoe Pound to Herbert Blumer and Beyond

This article, based on the Distinguished Lecture presented on August 21, 2001, at the annual meeting of the Society for the Study of Symbolic Interaction in Anaheim, California, proposes a synthesis of Herbert Blumer's macrosociological perspective on the race question with Roscoe Pound's philosophy and science of law (i.e., his so‐called sociological jurisprudence), Joseph Tussman's and Jacobus tenBroek's juridical methodology, and Philip Selznick's sociology of responsive law. The compound so produced will help to establish a foundation for a praxiological sociology of American constitutional law. The article focuses on the problem of legislative‐made “classifications” and their relations to the legitimate public purposes entailed in the enactment of statutes, laws, and decrees. Such classifications become problematic when they are said to be “underinclusive,” “over‐inclusive,” or both in seeking to effect their aims. Strategic research sites for this issue are racial and ethnic classifications that single out one or a limited cluster of racial or ethnic groups for special benefits (“affirmative action”) or restitution (“reparations”). Calling for a reinvigoration of Pound's pragmatic approach to sociological jurisprudence, I show how Blumer's analysis of the “color line”—when seen in relation to the original intent of the makers of the Thirteenth, Fourteenth, and Fifteenth post‐Civil War Amendments to the U.S. Constitution and, using Tussman's and tenBroek's showing of how such categorizations might be both methodically evaluated and applied to the challenged classifications—provides grounds for reconsidering whether the latter are instances of “reverse discrimination” and, hence, violations of the constitutional requirement of “equal protection of the law.” The science of law is a science of social engineering having to do with that part of the whole field which may be achieved by the ordering of human relations through the action of politically organized society. —Roscoe Pound, Justice According to Law We did not hold it necessary to wait for nature to put a canal across the Isthmus of Panama, and we shall not much longer hold it necessary to wait for nature to dig the legal canals that will give security to neglected human interests which clamor for recognition and protection. —Roscoe Pound, “Juristic Problems of National Progress”     

A Note on CBD: It's All in a Name

I recently saw an article with the following title: “Medical cannabis relieves symptoms in children with autism.” On reading it, I realized that the Drug Target Review was talking about cannabidiol, otherwise known as CBD, not THC (tetrahydrocannabinol, the psychoactive ingredient in cannabis). I also realized the words cannabis and marijuana are no longer useful in talking about marijuana now that CBD has been moved to Schedule V of the Controlled Substances Act when manufactured by GW Pharmaceuticals. Still, it is common to see CBD lumped with the hundreds of other cannabinoids, especially if not produced by a Food and Drug Administration (FDA)–approved pharmaceutical company where it is still classified as Schedule I by the Drug Enforcement Administration (DEA). I think this has implications for popular understanding and clinical utility.     

Briefly Noted

Last week, Safehouse, a Philadelphia nonprofit that will open a supervised injection site in the city (see ADAW, Oct. 15, 2018), has hired an executive director, Jeanette Bowles, Ph.D. According to radio station WHYY, Bowles will help with fundraising and finding a site. “I believe in it so much,” Bowles said. “We see this working in other places, and the evidence supports it so strongly, that we don't have progress in public health without some controversy and scrutiny accompanying it.” Whether the Department of Justice will allow the site to operate remains unclear. “I've joined the team that respectfully disagrees with the Justice Department,” Bowles said. “Sitting in the office and doing the work separate from the community has never been my approach or style,” she said. “Being embedded with the community and developing those relationships and having my feet on the ground has always been most important to me. That's how the best public health work is done, through building bridges with community members.” Bowles earned a bachelor's degree from Temple University; obtained his master's in social work from the University of Pennsylvania; did postdoctoral work at the University of California, San Diego; and for her Drexel dissertation focused on opioid overdoses in the Kensington section of Philadelphia. The city, in giving the go‐ahead for the injection facility, said it would have to be run by a private nongovernmental entity.     

Umweltgerechtigkeit als Forschungsparadigma der Soziologie

This paper discusses Environmental Justice to be a probably new area of research for environmental sociology. In order to reveal the complex structure of Environmental Justice related discourses and to promote more research on that topic, an analytical framework is elaborated, based on a distinction between the US-American experiences and recent European debates. Environmental Justice is understood here as a mutual process of negotiating conflicts of interests rather than a fixed state. Several “decision spots” will be carved out, which have to be considered in environmental-political regulations which are challenged by perceptions of social justice. The analytical framework will finally be illustrated by the empirical example of the new airport for Berlin, “Berlin-Brandenburg International”.