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420 Member
Join Date: Apr 2008
Location: Happy Valley, Oregon
Posts: 61
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Re: Oregon Pain Management Commission
We had 6 OGF'ers at this meeting. They had the public testimony at the beginning of the meeting. I had to go first. I told them this:
In 2005 Voter Power began conducting public meetings open to OMMP cardholders around the State to find out what changes to the OMMP would be most beneficial to their healthcare outcomes. They spent over 2 years gathering input.
We found that many of the patients we spoke with had drastically reduced their healthcare costs by turning to the OMMP. But because there has been no research or even data collection of outcomes for OMMP patients, there is no way to convey this information in a meaningful way. This program has been in place for 10 years now, and we feel that the State has a responsibility to do a risk/benefit as well as a cost/benefit analysis of participation in the OMMP.
We found that too many patients are not getting enough medicine. We found that the primary opposition to a dispensary initiative was the fear that profiteers would make medicine unaffordable for the poor and the fear that it would bring federal interference like we see in California to Oregon. We found, much like the Oregon Health Fund Board has found from their meetings, that people want healthcare to be non-profit, and they feel that medicine should be affordable and provided to those who can’t afford it.
We found that many patients are no longer allowed to produce as much medicine as they need. Throughout the State we were told that access to legal medical marijuana is needed so that they would not be forced to fulfill their needs on the black market. The State created this need. The State has an obligation to create a safe legal supply instead of further subsidizing the black market.
We are concerned that pain management patients are facing unreasonable barriers to proper treatment of their pain by SB1085’s arbitrary and capricious limits that remove a doctor’s discretion from medical care and instead impose LEO’s designation of appropriate medical care. We find this to be in direct contradiction of the Assisted Suicide Ruling handed down by the Supreme Court of the United States of America, which found that members of the justice department do not have the medical training to determine the appropriate use of medicine.
To meet the 3 primary needs, 1. data collection/research into health outcomes of OMMP participants and 2. Safe, legal access to medical grade marijuana for OMMP cardholders and 3. affordable cannabis medications available to low-income patients, Voter Power worked with the public outreach meetings, the Drug Policy Forum for Oregon, Oregon Green Free’s cardholder-only online forum, Willamette Valley NORML, and even those who opposed the initiative to draft legislation that meets all three needs and is fully self-funded.
The initiative would allow licensed producers to produce and sell marijuana to licensed non-profit dispensaries, who would sell medical cannabis products to licensed OMMP participants. Research would be funded by licensure fees. The dispensaries would give 10% of their profits to the State to distribute to low-income patients who are on OMMP to take care of the program for low-income patients. Absolutely NO taxpayer funding would be involved.
Oregon Pain Commission Doc 2
Dispensaries: Positives
Approved by ACMM
The Advisory Committee on Medical Marijuana has thoroughly reviewed this proposal and voted to forward it to the legislature. It has also been approved by the Secretary of State to begin petitioning as soon as they confirm the ballot title.
Cost Containment, Chronic Disease Management
As previously mentioned, many of our clients drastically reduce their healthcare costs by the use of medical marijuana. This is important because the 10% of Oregonians who generate 69% of Oregon’s healthcare costs are the kind of patients that make up 85% of our case-load at Voter Power. If we can reduce costs for those patients, it leaves a lot more of the current budget for the rest of Oregon.
Reduced Prescription Drugs
Nearly all of our patients have reduced their prescription drugs by joining the OMMP. Reducing pharmaceutical drugs reduces the potential for negative drug interactions, currently a leading cause of death nationally.
Public Health Prevention and Wellness
Marijuana has been shown to slow or prevent Alzheimer’s and Osteoporosis, two conditions that will soon inundate the healthcare system.
Private Non-Profit
We found that people are demanding that the greed be taken out of healthcare. But they don’t necessarily trust the State to take care of them without bungling the effort.
Sorry, I’m not trying to be mean. It’s just that you’re not really qualified to grow medical marijuana. And every government run medical marijuana dispensing program has been a complete disaster. And it’s not like you want to do it either: we are aware that the State would prefer not to handle marijuana in any way if it can be avoided. We’d prefer to have the State regulate private growers and dispensers than have actual State employees growing marijuana for medical consumption. So, really, this solves the problem neatly.
Reduced Home Gardens
Having safe legal access to professionally grown medical cannabis products will reduce the number of patients trying to grow at home on their own.
This will reduce patients’ risk of home invasion.One sad aspect of medical marijuana is that security is something that must be considered. This is already a huge problem for individual patients, caregivers and growers. So far, three OMMA patients have been shot by thieves, one patient is charged with murder for shooting a thief, dozens have been assaulted, and there have been hundreds of rip offs. etc.
Dispensaries will be better able to deal with these issues than individuals. Dispensaries must have a security plan as part of their application under the proposal. Dispensaries will deal with security just as banks, jewelry stores and other high value retail stores do.
Development of Multi-Discipline Pain Management Practice Program
The Oregon medical marijuana community has been developing non-smoked cannabis-based medicines for the last 10 years and more. These include, but are not limited to: activated cannabis capsules, cannabis butter, cannabis enhanced chocolates and candies, topical treatments like lotions and massage oils, cannabis-enhanced alcohol tinctures and glycerin elixirs and vaporizers. Safe legal availability of these products will make patients more likely to utilize non-smoked methods if ingestion.
Self-Funded/ Pay-go
Right now OMMP is funded by patient registration fees, and has a surplus of $375,000. The program is entirely self-supporting and has generated surpluses as high as $900,000 in the past on patient licensure alone.
This is a regressive tax where the poor pay the same as the rich. If our initiative passes, patient registration fees can be dramatically reduced or eliminated and be replaced by a tax paid by those that can afford it.
The program we have now is evolving. There are now 20,000 patients and the number is growing rapidly. The more patients there are the less likely they can all grow their own. Some of us have spent ten years trying to make the current law work. It never will. I have matched hundreds of patients with growers, taught grow classes, given away hundreds of pounds of free medicine, helped dozens of patient support groups form, and been very active in getting the rules improved for patients. The result: a very inadequate supply of medicine for patients.
Taking money out of the equation does not eliminate greed, it eliminates the medicine. In this case, the reality is that most patients never register or even try because medical marijuana is not easily accessible. Hundreds of patients register but rarely have any medicine. Thousands more have medicine but must accept the quality that they get because it is their only choice. They have no choice!
We have listened very carefully to the concerns people have about greed and have incorporated mechanisms into this proposal to make the system we propose as patient friendly as possible. Dispensaries must be nonprofits, a competitive producer/dispensary system will lower prices, and we create a DHS program to assist needy patients.
Marijuana is a safe effective medicine. It should be as easily available as the much more dangerous pharmaceutical medicines. Patients should be able to choose which medicines they take. They should be able to choose medical marijuana. If they want to produce their own, they should be able to, but they shouldn't be forced into it like they are now.
Our proposal is structured specifically to help poor patients. But it also recognizes that some patients are not poor. We create a system where those that can afford to will subsidize the medicine of the most vulnerable.
I hope you will carefully consider these points and help us with this proposal.
Thank you,
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