Professional Documents
Culture Documents
As medical professionals and healthcare providers, our first and foremost obligation is to
protect the health of our patients. Our lifelong commitment to improving public health and
patients’ quality of life has compelled us to offer our informed support for the legalization of
adult-use cannabis in the state of New York.
Decades of prohibition have failed to control cannabis use while disproportionately harming
communities of color, preventing cannabis research, limiting patient access, and restricting
efforts to combat opioid addiction. With each passing month of legislative inaction,
countless families across New York are destroyed by draconian criminal penalties, opioid
use, and limited access to adequate healthcare.
In 2016, the most recent year for which data is available, more than 35,000 individuals in
New York were arrested for cannabis possession, costing taxpayers millions of dollars in
the process.1,2 Nationwide, blacks are arrested at nearly four times the rate of whites for
cannabis possession, despite both groups having similar rates of cannabis use. 3 An arrest
for cannabis possession results in lifelong impediments to employment and economic
security, creating a cycle of poverty that ultimately reduces healthcare access and
damages public health.4,5,6
Meanwhile, thousands of New York residents are dying each year due to opioid addiction
and overdose, and thousands more struggle with insufficient chronic pain management due
to bureaucratic obstacles within New York’s Medical Marijuana Program (MMP). 7,8 In the
absence of effective regulatory controls, adult cannabis consumers are forced to rely on the
illicit marketplace. This has led to greater exposure to dangerous synthetic cannabinoids
and prevents the implementation of standardized product labeling and childproof
packaging.9
It doesn’t need to be this way. In Denver, adult-use cannabis legalization has led to a 79%
decrease in total arrests for possession and an 80% decrease in the arrests of African-
American and Latinx individuals.10 Legalization corrects social equity gaps with a greater
potential impact than decriminalization alone.11,12
In states that have legalized cannabis for adult-use, opioid fatalities have notably declined.
This is promising foundational data, given that research has shown that legalization is
associated with more informed doctor-patient conversations on the topic of medical
cannabis treatment.13 By removing barriers to patient access and reducing the stigma of
cannabis as a prospective treatment option, policymakers in certain legal states have been
able to present a legitimate and low-risk therapeutic alternative to opioids.14,15,16,17
Regulatory oversight of the production, packaging, and sale of cannabis protects
consumers while shielding them from risks present in the illicit marketplace. 18 Generated
tax revenue from adult-use cannabis regulations can be allocated for medical research,
substance abuse treatment, and community reinvestment efforts. 19 Collectively, responsible
regulatory controls and additional tax revenue can reduce socioeconomic gaps and
improve public health outcomes across New York’s communities.
Contrary to the claims of adult-use opponents, youth consumption rates have remained
stable or declined in states following legalization.20,21 A closer examination of the data
substantiates that reputable regulatory controls, rather than prohibition, is the best way to
reduce youth cannabis use. Informed and measured educational campaigns have
successfully reduced tobacco and alcohol use among minors, while teen cannabis use has
risen under prohibition.22 Prohibition has failed to combat youth use, and instead has
strengthened an illicit marketplace that targets minors as customers.
While medical cannabis expansion and decriminalization offer positive benefits, the
continued failure to legalize and regulate adult-use cannabis will undermine overall public
health. Legalization will facilitate responsible regulatory controls, expand patient access,
most effectively advance social justice, protect adult consumers, combat the opioid crisis,
reduce youth consumption, and improve health outcomes.
As medical professionals, we urge New York lawmakers to prioritize our communities’
health and public welfare by legalizing cannabis for adult-use.
Respectfully submitted,
Tanya Adams, DO
Family Practice
East Sekauket, NY
Physician, Setauket Primary Medical Care
Richard Allen, MD
Emergency Medicine, Addiction Medicine
Ithaca, NY
Richard Carlton, MD
Integrative Psychiatry
Port Washington, NY
Co-Author, Type 2 Diabetes: Cardiovascular and Related Complications, and Evidence-Based
Complementary Treatments
Stephen Dahmer, MD
Family Medicine
New York, NY
Chief Medical Officer, Vireo Health
Fellow, Arizona Center for Integrative Medicine
Former Assistant Clinical Professor, Icahn School of Medicine at Mount Sinai
Lynda Geraci, DO
Family Medicine Stony Brook, NY
Member, American Osteopathic Association
Physician, Private Practice
James Goodrich, MD
Internal Medicine
New York, NY
Clinical Instructor, Department of Medicine at NYU Langone Health
Attending Physician, The Mount Sinai Hospital
Julie Holland, MD
Psychiatry
New York, NY
Fellow, New York Academy of Medicine
Former Assistant Clinical Professor, NYU School of Medicine
Editor, The Pot Book
Medical Monitor, Clinical Cannabis PTSD Research
Dara Huang, MD, MMSc Internal Medicine & Nephrology New York, NY
Attending Physician, Lenox Hill Hospital – Northwell Health; Mount Sinai; Beth Israel Hospital
Member, Chinese American Medical Society (CAMS)
Member, Coalition of Asian American Independent Physicians Association (CAIPA)
Jamie Loehr, MD
Family Medicine
Ithaca, NY
Michael Pappas, MD
Family Medicine
New York, NY
Kelsey Wilson-Henjum, MD
Family Medicine
New York, NY
1 Guion, Payton. “N.J. wants to erase marijuana charges, but weed arrests have massively
spiked. What's going on?” NJ.com. May 4, 2018.
https://www.nj.com/marijuana/2018/05/nj_could_start_erasing_marijuana_arrests_but_for_n.html
2 Drug Policy Alliance. “The Cost of New York City's Marijuana Possession Arrests.”
http://www.drugpolicy.org/resource/75-million-year-cost-new-york-citys-marijuana-possession-arrests
3 American Civil Liberties Union. The War on Marijuana in Black and White. New York, NY:
June 2013. p. 17. https://www.aclu.org/report/war-marijuana-black-and-white
4 Laird, Lorelei. “Ex-offenders face tens of thousands of legal restrictions, bias and limits on their
rights.” American Bar Association Journal. June 1, 2013.
http://www.abajournal.com/magazine/article/ex-
offenders_face_tens_of_thousands_of_legal_restrictions
5 Csete, Joanne, et al. “Public health and international drug
policy.” The Lancet special report. March 24, 2016.
http://dx.doi.org/10.1016/S0140-6736(16)00619-X
6 Mercado, Susan, et al. “Urban Poverty: An Urgent Public Health Issue.”
Journal of Urban Health 84. May 2007. pp. 7-15.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1891652/
7 National Institute on Drug Abuse. “New York Opioid Summary.” March 2019.
https://www.drugabuse.gov/opioid-summaries-by-state/new-york-opioid-summary
8 Cressen, Rob. “Marijuana expansion must address needs of disabled.” Asbury Park Press. July 9,
2018. https://www.app.com/story/opinion/columnists/2018/07/09/medical-marijuana-disabled-new-
jersey/769329002/
9 Fantegrossi, William E., et al. “Distinct pharmacology and metabolism of K2 synthetic
cannabinoids compared to Δ9-THC: Mechanism underlying greater toxicity?” Life Sciences (97)1.
February 27, 2014. pp. 45-54.
http://www.sciencedirect.com/science/article/pii/S0024320513005523
10 Colorado Department of Public Safety. “Impacts of Marijuana Legalization in Colorado.”
October 2018. http://cdpsdocs.state.co.us/ors/docs/reports/2018-SB13-283_Rpt.pdf
11 American Civil Liberties Union of Washington State. “Court Filings for Adult Marijuana
Possession Plummet.” March 19, 2014. https://www.aclu-wa.org/news/court-filings-adult-
marijuana-possession-plummet
12 Fertig, Beth. “Still Too High? Marijuana Arrests Barely Budge in NYC.” WNYC. January 16,
2018. https://www.wnyc.org/story/still-too-high-marijuana-arrests-barely-budge-nyc/
13 Mary Lynn Mathre R.N., M.S.N. (1988) A Survey on Disclosure of Marijuana Use to
Health Care Professionals, Journal of Psychoactive Drugs, 20:1, 117-120.
https://www.researchgate.net/publication/19762960_A_survey_on_disclosure_of_marijuana_use_to
_health_care_professionals
14 Pacula, Rosalie, et al. “Words Can Be Deceiving: A Review of Variation among
Legally Effective Medical Marijuana Laws in the United States.” Journal of Drug Policy
Analysis 7(1), 2014. pp. 1-19. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4314612/
15 Alcohol and Drug Abuse Institute. “Learn About Marijuana: Adult Recreational Marijuana
Consumers.” University of Washington, March 2015.
http://learnaboutmarijuanawa.org/consumers.htm
16 Joy, Janet E., et al. Marijuana and Medicine: Assessing the Science Base. Washington,
DC: National Academy Press, 1999. pp. 100-101.
http://www.nap.edu/read/6376/chapter/5#100 17 Levitan, Dave. “Is Marijuana Really a
‘Gateway Drug’?” FactCheck: A Project of the Annenberg Public Policy Center. April 23,
2015. http://www.factcheck.org/2015/04/is-
marijuana-really-a-gateway-drug/
18 California Medical Association. “Cannabis and the Regulatory Void: Background Paper and
Recommendations.” 2011. https://www.safeandsmartpolicy.org/wp-
content/uploads/2015/04/CMA_Cannabis_TAC_White_Paper.pdf
19 Pabon, Rep. Dan, Chair. “Use of Recreational Marijuana Sales Tax Revenues Interim Study
Committee.” October 2014.
https://www.colorado.gov/pacific/sites/default/files/14%20MarijuanaSummaryReport.pdf
20 Coley, Rebekah Levine, et al. “A quasi-experimental evaluation of marijuana policies and youth
marijuana use.” The American Journal of Drug and Alcohol Abuse, 45:3. February 15, 2019. pp. 292-
303. https://www.tandfonline.com/doi/full/10.1080/00952990.2018.1559847
21 Colorado Department of Public Safety. “Impacts of Marijuana Legalization in Colorado.”
October 2018. http://cdpsdocs.state.co.us/ors/docs/reports/2018-SB13-283_Rpt.pdf
22 Ingraham, Christopher. “Teen marijuana use falls as more states legalize.” Washington Post.
December 16, 2014. https://www.washingtonpost.com/news/wonk/wp/2014/12/16/teen-marijuana- use-
falls-as-more-states-legalize/