Skip to main content

Fighting marijuana ... or reality?

By David Nathan, Special to CNN
September 12, 2013 -- Updated 1558 GMT (2358 HKT)
Public perceptions about pot have come a long way, from the dire warnings of "Reefer Madness" to growing acceptance of medical marijuana to the legalization of recreational weed use. Public perceptions about pot have come a long way, from the dire warnings of "Reefer Madness" to growing acceptance of medical marijuana to the legalization of recreational weed use.
HIDE CAPTION
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
History of marijuana in America
<<
<
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
>
>>
STORY HIGHLIGHTS
  • David Nathan: Most Americans favor full legalization of medical marijuana
  • Nathan: While critics raise important concerns about pot, its dangers are exaggerated
  • He says the arguments against pot are not sufficient to warrant its prohibition
  • Nathan: I'd rather live in a nation where cannabis and its trade is regulated than not

Editor's note: David L. Nathan, Distinguished Fellow of the American Psychiatric Association, is a clinical associate professor at Robert Wood Johnson Medical School. He teaches and practices general adult psychiatry in Princeton, New Jersey.

(CNN) -- David Frum's recent op-ed on CNN.com exemplifies why Americans are becoming deaf to the critics of pot legalization. Their hyperbolic claims about the dangers of pot -- along with the realistic ones -- are being dismissed by a justifiably cynical public. Anti-marijuana propaganda isn't stopping the march toward national legalization, but the opposition is losing its voice as it screams about the falling sky.

A majority of Americans favor full legalization, and they understand that recreational cannabis is not now and will never be legal for minors. They know better than to believe Frum's prediction that "half the states may soon allow the sale of marijuana to almost anybody determined to buy it" -- an assertion so broad as to imply that even children would be permitted to buy pot legally. This is simply not so.

Americans are also informed enough to realize that medical marijuana is not a "laughable fiction." This week, I saw a longstanding patient with a rare, ultimately fatal neurological disorder that causes chronic, painful muscle spasms. For years, this patient has smoked marijuana to counteract this terrible symptom, and it works.

David Nathan
David Nathan

With medicinal marijuana now legal in New Jersey, this patient is not convinced that she will be safe from federal prosecution if she goes through the state's one operational dispensary, so she continues to purchase illegal, untaxed and potentially adulterated cannabis. While she is technically a criminal, she is neither laughable nor fictional.

Those opposed to marijuana do raise important concerns that are often neglected in the movement toward legalization.

Cannabis is indeed associated with low motivation and poor performance in minors. It may have subtle but long-term negative effects on young users and worsen the condition of some individuals vulnerable to psychosis. Smoking marijuana may be harmful to users' lungs, although vaporizers have long been available as a safer alternative.

Cannabis is habit forming in a small percentage of users. Marijuana intoxication impairs driving, though the risk is similar to that of drivers with a blood alcohol level of 0.05%, which is well below the federally mandated legal limit of 0.08%.

So why can't the opposition discuss these problems realistically?

Free pot handed out in Colorado
Christie's big marijuana decision

It's simple: Because the only rational conclusion is that the dangers of pot are not sufficient to warrant its prohibition. Yet those who have an ideological opposition to legalization appear immune to reason.

Interestingly, Frum is a moderate in the opposition camp, in that he favors reducing the penalties for marijuana use through decriminalization. But by maintaining pot's nominal illegality, decriminalization denies our government the power to regulate and tax cannabis while removing obstacles to its consumption.

Those who would limit the cannabis trade must make a choice between two Americas -- one that crushes the marijuana trade by any means necessary (as nothing less has worked) or one that regulates and taxes a "soft" drug that millions of consenting American adults already consume medicinally as well as recreationally.

Frum warns of the coming of "Big Marijuana," a term he quoted from legalization opponent Kevin Sabet. Frum and Sabet compare this hypothetical Leviathan to the alcohol and tobacco industries, both of which have been accused of marketing to minors and encouraging destructive consumption of their products by adults. I share this concern, which is why several of the 15 steps I proposed for the federal regulation of cannabis are designed to limit the power of the cannabis industry.

Frum predicts that Big Marijuana will target "young people and racial minorities" because "secure and contented people don't tend to be heavy consumers of psychoactive substances." Setting aside the odd assumptions about who are insecure and discontent, minors and minorities could both benefit from legalization.

It is our government, not Big Marijuana, that disproportionately targets racial minorities for prosecution of marijuana crimes, causing much more harm to those communities than cannabis itself ever could. And our prosecution of healthy adults for their relatively benign use of marijuana prevents the justice system from focusing on the diversion of pot to the young people we all want to protect.

But in reality, we already have "Big Marijuana" in the form of violent Mexican drug cartels and an underground economy in the 48 states where pot remains illegal.

We currently live in a nation that does not regulate the ubiquitous, thriving cannabis trade. I want to raise my children in an America that does.

Follow us on Twitter @CNNOpinion.

Join us on Facebook/CNNOpinion.

The opinions expressed in this commentary are solely those of David Nathan.

ADVERTISEMENT
Part of complete coverage on
October 22, 2014 -- Updated 2101 GMT (0501 HKT)
Paul Callan says the grand jury is the right process to use to decide if charges should be brought against the police officer
October 23, 2014 -- Updated 1619 GMT (0019 HKT)
Theresa Brown says the Ebola crisis brought nurses into the national conversation on health care. They need to stay there.
October 21, 2014 -- Updated 2235 GMT (0635 HKT)
Patrick Hornbeck says don't buy the hype: The arguments the Vatican used in its interim report would have virtually guaranteed that same-sex couples remained second class citizens
October 26, 2014 -- Updated 0148 GMT (0948 HKT)
Paul Begala says Iowa's U.S. Senate candidate, Joni Ernst, told NRA she has right to use gun to defend herself--even from the government. But shooting at officials is not what the Founders had in mind
October 23, 2014 -- Updated 2208 GMT (0608 HKT)
John Sutter: Why are we so surprised the head of a major international corporation learned another language?
October 23, 2014 -- Updated 2154 GMT (0554 HKT)
Jason Johnson says Ferguson isn't a downtrodden community rising up against the white oppressor, but it is looking for justice
October 24, 2014 -- Updated 1621 GMT (0021 HKT)
Sally Kohn says a video of little girls dressed as princesses using the F-word very loudly to condemn sexism is provocative. But is it exploitative?
October 21, 2014 -- Updated 2006 GMT (0406 HKT)
Timothy Stanley says Lewinsky is shamelessly playing the victim in her affair with Bill Clinton, humiliating Hillary Clinton again and aiding her critics
October 23, 2014 -- Updated 1414 GMT (2214 HKT)
Imagine being rescued from modern slavery, only to be charged with a crime, writes John Sutter
October 21, 2014 -- Updated 1600 GMT (0000 HKT)
Tidal flooding used to be a relatively rare occurrence along the East Coast. Not anymore, write Melanie Fitzpatrick and Erika Spanger-Siegfried.
October 21, 2014 -- Updated 1135 GMT (1935 HKT)
Carol Costello says activists, writers, politicians have begun discussing their abortions. But will that new approach make a difference on an old battleground?
October 21, 2014 -- Updated 1312 GMT (2112 HKT)
Sigrid Fry-Revere says the National Organ Transplant Act has caused more Americans to die waiting for an organ than died in both World Wars, Korea, Vietnam, Afghanistan and Iraq
October 21, 2014 -- Updated 1851 GMT (0251 HKT)
Crystal Wright says racist remarks like those made by black Republican actress Stacey Dash do nothing to get blacks to join the GOP
October 21, 2014 -- Updated 2207 GMT (0607 HKT)
Mel Robbins says by telling her story, Monica Lewinsky offers a lesson in confronting humiliating mistakes while keeping her head held high
October 20, 2014 -- Updated 1329 GMT (2129 HKT)
Cornell Belcher says the story of the "tea party wave" in 2010 was bogus; it was an election determined by ebbing Democratic turnout
October 20, 2014 -- Updated 2012 GMT (0412 HKT)
Les Abend says pilots want protocols, preparation and checklists for all contingencies; at the moment, controlling a deadly disease is out of their comfort zone
October 20, 2014 -- Updated 0336 GMT (1136 HKT)
David Weinberger says an online controversy that snowballed from a misogynist attack by gamers into a culture war is a preview of the way news is handled in a world of hashtag-fueled scandal
October 20, 2014 -- Updated 1223 GMT (2023 HKT)
Julian Zelizer says Paul Krugman makes some good points in his defense of President Obama but is premature in calling him one of the most successful presidents.
October 20, 2014 -- Updated 0221 GMT (1021 HKT)
Conservatives can't bash and slash government and then suddenly act surprised if government isn't there when we need it, writes Sally Kohn
October 22, 2014 -- Updated 1205 GMT (2005 HKT)
ISIS is looking to take over a good chunk of the Middle East -- if not the entire Muslim world, write Peter Bergen and Emily Schneider.
October 20, 2014 -- Updated 1300 GMT (2100 HKT)
The world's response to Ebola is its own sort of tragedy, writes John Sutter
October 17, 2014 -- Updated 2033 GMT (0433 HKT)
Hidden away in Russian orphanages are thousands of children with disabilities who aren't orphans, whose harmful treatment has long been hidden from public view, writes Andrea Mazzarino
October 18, 2014 -- Updated 1722 GMT (0122 HKT)
When you hear "trick or treat" this year, think "nudge," writes John Bare
October 18, 2014 -- Updated 0442 GMT (1242 HKT)
The more than 200 kidnapped Nigerian schoolgirls have become pawns in a larger drama, writes Richard Joseph.
October 17, 2014 -- Updated 1345 GMT (2145 HKT)
Peggy Drexler said Amal Alamuddin was accused of buying into the patriarchy when she changed her name to Clooney. But that was her choice.
October 16, 2014 -- Updated 2043 GMT (0443 HKT)
Ford Vox says the CDC's Thomas Frieden is a good man with a stellar resume who has shown he lacks the unique talents and vision needed to confront the Ebola crisis
October 18, 2014 -- Updated 0858 GMT (1658 HKT)
How can such a numerically small force as ISIS take control of vast swathes of Syria and Iraq?
October 17, 2014 -- Updated 1342 GMT (2142 HKT)
How big a threat do foreign fighters in Syria and Iraq pose to the West? It's a question that has been much on the mind of policymakers and commentators.
October 17, 2014 -- Updated 1221 GMT (2021 HKT)
More than a quarter-million American women served honorably in the Iraq and Afghanistan wars. Now they are home, we have an obligation to help them transition back to civilian life.
October 16, 2014 -- Updated 2027 GMT (0427 HKT)
Paul Begala says Rick Scott's deeply weird refusal to begin a debate because rival Charlie Crist had a fan under his podium spells disaster for the Florida governor--delighting Crist
October 16, 2014 -- Updated 0407 GMT (1207 HKT)
The longer we wait to engage on Ebola, the more limited our options will become, says Marco Rubio.
October 15, 2014 -- Updated 1153 GMT (1953 HKT)
Democratic candidates who run from President Obama in red states where he is unpopular are making a big mistake, says Donna Brazile
October 16, 2014 -- Updated 0429 GMT (1229 HKT)
At some 7 billion people, the world can sometimes seem like a crowded place. But if the latest estimates are to be believed, then in less than a century it is going to feel even more so -- about 50% more crowded, says Evan Fraser
October 20, 2014 -- Updated 1653 GMT (0053 HKT)
Paul Callan says the Ebola situation is pointing up the need for better leadership
October 15, 2014 -- Updated 2245 GMT (0645 HKT)
Nurses are the unsung heroes of the Ebola outbreak. Yet, there are troubling signs we're failing them, says John Sutter
October 15, 2014 -- Updated 1700 GMT (0100 HKT)
Dean Obeidallah says it's a mistake to give up a business name you've invested energy in, just because of a new terrorist group
October 15, 2014 -- Updated 2301 GMT (0701 HKT)
Fear of Ebola is contagious, writes Mel Robbins; but it's time to put the disease in perspective
October 14, 2014 -- Updated 1744 GMT (0144 HKT)
Oliver Kershaw says that if Big Tobacco is given monopoly of e-cigarette products, public health will suffer.
October 18, 2014 -- Updated 1335 GMT (2135 HKT)
Stop thinking your job will make you happy.
October 15, 2014 -- Updated 0208 GMT (1008 HKT)
Ruben Navarrette says it's time to deal with another scandal involving the Secret Service — one that leads directly into the White House.
October 14, 2014 -- Updated 1125 GMT (1925 HKT)
Americans who choose to fight for militant groups or support them are young and likely to be active in jihadist social media, says Peter Bergen
October 13, 2014 -- Updated 1303 GMT (2103 HKT)
Stephanie Coontz says 11 years ago only one state allowed same sex marriage. Soon, some 60% of Americans will live where gays can marry. How did attitudes change so quickly?
October 14, 2014 -- Updated 2004 GMT (0404 HKT)
Legalizing assisted suicide seems acceptable when focusing on individuals. But such laws would put many at risk of immense harm, writes Marilyn Golden.
October 13, 2014 -- Updated 1307 GMT (2107 HKT)
Julian Zelizer says the issues are huge, but both parties are wrestling with problems that alienate voters
October 13, 2014 -- Updated 2250 GMT (0650 HKT)
Mel Robbins says the town's school chief was right to cancel the season, but that's just the beginning of what needs to be done
October 11, 2014 -- Updated 1543 GMT (2343 HKT)
He didn't discover that the world was round, David Perry writes. So what did he do?
ADVERTISEMENT