The Dutch aren't buying into medical marijuana

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'Coffee shops' offer the same pot at a lower price

AMSTERDAM, NETHERLANDS - There's a whiff of crisis in the air at the Dutch Health Ministry: It's sitting on a pile of pot that it just can't sell.


The Netherlands rolled out a program last year that allows patients to buy prescription marijuana at any pharmacy.

Some medical insurance policies cover at least part of the cost, but often not enough to offset the pharmacy price.

In a country where any adult can walk into a "coffee shop" and smoke a joint for much less than the government price, many say the experiment is a bust.

Cheap cannabis
"I think it's a shame that they can't deliver a cannabis product a little bit cheaper than the coffee shops," said David Watson, head of Hortapharm, an Amsterdam-based company licensed to research and develop cannabis for pharmaceutical use. "Why is it that a legal commodity is more expensive than an illegal commodity?"

The government says packaging and distribution push up its prices, and acknowledges its program, which is up for review next year, may be foundering.

Of about 450 pounds in anticipated sales, only about 175 pounds have been sold, said Bas Kuik, spokesman for the Office of Medicinal Cannabis, an arm of the Dutch Health Ministry.

The government sells two varieties ranging from about $10 to $12 a gram – enough for up to four joints. Coffee shops sell it for as little as $5 a gram, with only the highest-quality weed fetching prices comparable to the government's.

Under the liberal Dutch approach dating to the 1970s, the law forbids privately growing and selling marijuana, and has no tolerance for dealing in hard drugs, but refrains from prosecuting the sale of small amounts.

The medicinal program lets pharmacies sell standardized, quality-controlled marijuana from authorized growers to sufferers of chronic or terminal diseases such as multiple sclerosis, HIV/AIDS, cancer and Tourette's syndrome.

The competition comes from hundreds of marijuana bars, thinly disguised as "coffee shops" to maintain the fiction of legality.

Although patronized mostly by recreational smokers and tourists, people in pain who find relief from cannabis also are customers, paying less than they would to a pharmacy

Prescription discounts
Erik Bosman, manager of the Dampkring coffee shop, says many of his regulars are medical patients, and that he used to offer discounts for people with prescriptions.

The menu, with 23 types of marijuana and 18 types of hashish, carries a "fair smoke" assurance that the cannabis is organically grown.

But many coffee shops are dingy, unappealing hangouts that hardly inspire a feeling of pharmaceutical confidence, and some seriously ill people will pay more for guaranteed quality, especially if it's covered by insurance.

A legal grower
One of two legal marijuana growers for the government program is James Burton, an American who immigrated after spending a year in a U.S. prison for growing marijuana to fight glaucoma.

For more than a decade he sold pot directly to as many as 1,500 patients. In 2001 he signed an exclusive contract to provide the government program with cannabis.

But the five-year agreement was terminated prematurely after he talked about it on Dutch television and was accused by the government of breaking a confidentiality clause.

"I finally had to come out publicly," Burton said. "The program's not working. They have less than 1,000 patients."

The Dutch aren't buying into medical marijuana
 
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