The document outlines concerns about the effects of legalizing and commercializing marijuana in Colorado. It argues that Colorado should focus on marijuana prevention rather than promotion and that increased marijuana use does not benefit the state. The author believes that if legalization and commercialization continue unchecked, it could lead to the establishment of a new marijuana industry similar to big tobacco. The document promotes pursuing a "third way" or alternative approach that removes commercialization and returns to focusing on prevention and treatment of marijuana use.

1. It’s Time to Change Course
for
Our Health, Our Legacy, Our State
Assembled by Bob Doyle
Chair, Colorado SAM (Smart Approaches to Marijuana) Coalition
Executive Director, Colorado Tobacco Education and Prevention Alliance
bdoyle@ctepa.org
www.learnaboutsam.com

2.  Colorado does not have to accept, try and deal with/contain,
marijuana legalization/commercialization
 Colorado can be returned to a state that focused on marijuana
use prevention, not promotion and glamorization
 Colorado does not benefit from increased marijuana use
 If we do not stop legalization/commercialization, this will be the
birth, and Colorado the birthplace, of the next tobacco industry
 There is a better way – marijuana policy based on reputable
science and sound principles of public health and safety.
www.learnaboutsam.com – click on affiliates and go to Colorado
get connected to Colorado SAM (Smart Approaches to Marijuana)
A Better Way
www.learnaboutsam.com

3.  Option 1: Do nothing – stay on the sidelines
 Option 2: Try to regulate/contain it
 What have learned from fighting the tobacco industry?
 A decades long game of chase
 Like tobacco, the marijuana industry will pay the best lawyers,
lobbyists, scientists, PR people to stay steps ahead of regulators,
cloud the science for as long as possible, and protect the industry
 The marijuana industry profits – Colorado loses. Who loses? The
user, employers, healthcare system, law enforcement, schools,
youth, families, at risk communities and people
 Option 3: A third way/better way – Remove it – return to prevention and
treatment, not promotion, take back our state – join Colorado SAM
Our Choice
Our Legacy, Our State

4. This Colorado

5. Or This Colorado

6.  Almost all of the money to pass Amendment 64 came from out of state
 More marijuana involved deaths with commercialized marijuana
 More child poisonings with legalization/commercialization
 More hash oil explosions in 2014 than all of 2013
 Mass production of potent marijuana – Colorado has some of the most potent
marijuana in the world
 Better, more attractive drug delivery devices since commercialization
 More science on negative brain impact – especially among teens and young adults
 More science on negative heart impact
 High use rates among youth and young adults in Denver and Colorado
 Child-like marijuana products – gummy bears, soda, cookies, cupcakes
 Regulators going to work for the marijuana industry
 Medical marijuana dispensed like alcohol, not medicine
 And the list goes on…
 Voters did not sign up to be part of a marijuana industry social experiment
The Need for a New Direction
What many voters did not know or anticipate

7.  Regulation/legalization makes it better
 Makes taxpayers money instead of cartels
 Our state and federal prisons are filled with low level
marijuana users
 Voting for Amendment 64 funded schools
 Regulation will protect our kids
 Police can focus on other issues
 Marijuana is safe
The Legalization Smokescreen

8. Trends in drug use U.S.
52.10%
26.70%
7.30%
0%
10%
20%
30%
40%
50%
60%
If the marijuana industry is not trying to increase
use of marijuana or target kids – why do they want
to regulated like alcohol – the most used drug
among adults and youth?
Current use among persons 12 and older: 2012
Commercialized/regulated/legal drugs are the most used
Is our goal as a state more or less marijuana use? Marijuana promotion or prevention?
Source: NSDUH, 2013
8TobaccoAlcohol Marijuana

9. Ask yourself –
 Is it worth it?
 Can I/we afford to be silent any longer?
Public Health and Safety Impact

10. 1 in 6 teens become addicted
• The adolescent brain is
especially susceptible to
marijuana use.
• When kids use, they
have a greater chance of
addiction since their
brains are being primed.
Source: Anthony, J.C., Warner, L.A., & Kessler, R.C. (1994); Giedd. J.
N., 2004
1 in 10 adults and 1 in 6
adolescents who try
marijuana will become
addicted to it.
10

11. Youth Marijuana Use
Higher rates in Denver and Boulder County
Almost 20% of Denver 8th Graders are using marijuana
Grade Youth Marijuana Use Rate US
(Last 30 Day)
Youth Marijuana Use
Rate Denver
Youth Marijuana Use
Boulder County
8th 6.5% 18% 11.4*
10th 17.0% 28% 24.4
12th 22.9% 32% 36%

12. Marijuana Use Young Adults CO
The average reported past month marijuana use for
young adults (ages 18-25) in 2011:
 The national average = 18.78 percent
 The Colorado average = 27.26 percent
The average reported past month marijuana use for young
adults (ages 18 – 25) in Colorado has increased from 21.43
percent in 2006 to 27.26 percent in 2011. That is a 27 percent
increase.
National Survey on Drug Use and Health (NSDUH) - Substance Abuse and Mental Health Services Administration

13. 13
Average urine drug screen results
Teens in Denver substance abuse program
Source: Thurstone et al., in preparation
Ng
/ml

14. Kids caught distributing pot
in school
Summer Nettles, KUSA 12:05 p.m. MDT April 23, 2014
Several Montfort Elementary School students were
suspended Tuesday after school officials discovered
they were selling and trading stolen, loose-leaf
marijuana and edible forms of the drug at school.
News – Impacting Youth
and our Schools

15. Child Welfare
The Logan County Department of Human Services papers show the home
was previously considered a fire risk. Both boys also tested positive for THC,
that active ingredient in marijuana, more than once, but the most recent
positive test was just hours before the fatal fire on Monday…On the night of
the fire, many people were in the home and some were smoking marijuana,
sources also say. Meanwhile, Levi was left unattended with his brother in the
bedroom where the fire began.
Drug use, fire danger documented as risks in Sterling home where toddler Levi Welton died in fire
Levi was found dead Monday by firefighters, Jan 18, 2014
http://www.thedenverchannel.com/news/call7-investigators/drug-use-fire-danger-documented-as-risks-in-sterling-
home-where-toddler-levi-welton-died-in-fire

16. Death of Levi Pongi in Denver
“…Police reports released Thursday said 19-year-old Levy
Thamba Pongi consumed a little more than one cookie
that his friend purchased from a pot shop…An autopsy
report from the March 11 incident lists marijuana
intoxication as a significant contributing factor in the
death.”
Associated Press, April 17, 2014

17. Increased Hash Oil Explosions
“Firefighters in the state have raced to at least 31
butane hash oil explosions this year, compared with 11
last year, according to the Rocky Mountain High
Intensity Drug Trafficking Area”
http://www.aol.com/article/2014/05/06/hash-oil-
explosions-rise-with-legalized-marijuana/20880828/

18.  A recent University of Colorado School of
Medicine study shows the number of
drivers in fatal Colorado crashes testing
positive for pot nearly doubled from 2009
to 2011
Read more: No doubt about the dangers of stoned driving - The Denver Post
http://www.denverpost.com/marijuana/ci_25779293/no-doubt-about-dangers-
stoned-driving#ixzz3288cUbVD
http://www.eurekalert.org/pub_releases/2014-05/uocd-mui051514.php (may 14, 2014)
Latest News
Marijuana Involved Auto Fatalities

19. THC involved Fatalities
Tanya Guevara and her son, Adrian,
were killed in 2010 when a driver,
impaired after smoking marijuana, hit
Guevara’s car head-on in Colorado.
Pot Fuels Surge in Drugged Driving
Deaths, February 15, 2014
http://www.nbcnews.com/#/health/h
ealth-news/pot-fuels-surge-drugged-
driving-deaths-n22991

20. 20
0
500
1000
1500
2000
2500
2009 2010 2011
Blood tests for DUID positive for THC - Colorado
Source: Colorado Department of Public Health and the Environment
1,489
791
2,030
#

21.  In states that started medical marijuana before 2005 –
poison center call rates for children under 9 tripled
 In states that adopted recreational or medical
between 2005-20011 – call rates increased 50%
 For states that did not make any change before 2011-
there was no change
“Association of Unintentional Pediatric Exposures with Decriminalization of Marijuana in the United States,”
Annals of Emergency Medicine, In Press, 2014. Data from National Poison Data System
http://www.medscape.com/viewarticle/820450
Poisonings Up Nationwide

22. Poisonings Up in Colorado
“Last year, the poison center run by Bronstein
(Rocky Mountain Poison Control) received 126 calls
concerning adverse reactions to marijuana. So far
this year — after pot sales became legal on Jan. 1
— the center has gotten 65 calls. Bronstein
attributed the spike to the higher concentrations of
THC in marijuana that has become available.”
Colorado deaths stoke worries about pot edibles, Associated Press, April 18, 2014
http://bigstory.ap.org/article/colorado-deaths-stoke-worries-about-pot-edibles

23. Marijuana and Mental Health
News Outside Colorado
 Stephanie said she had decided to live for God, and that God told
her she should not smoke marijuana all day and night. God said
that she only needed to smoke pot to relax at night.
 …She then asked if her husband was dead and said she smokes
a lot of “weed.” “I love to smoke it,” she said, according to the
release. “Sometimes when I do, I start seeing things that others
don’t. Isn’t God good?
Police release 911 call after wife stabs husband, claims he was "worshipping the NASCAR race"
Posted: Mar 17, 2014 10:59 AM MDT Monday, March 17, 2014 12:59 PM EDT
Updated: Mar 24, 2014 10:59 AM MDT Monday, March 24, 2014 12:59 PM EDT
http://www.wjhl.com/story/24995708/church-hill-police-wife-stabs-husband-in-chest-claims-he-was-worshipping-
the-nascar-race

24. Marijuana and Psychosis
“Anecdotally, yes, we’re seeing kids in treatment here
who have paranoia and seeing things and hearing things
that aren’t there,” said Thurstone. “Adolescent
exposure to marijuana [raises] risk of permanent
psychosis in adulthood.”
Dr. Christian Thurstone, a professor of psychiatry at the University of Colorado and the
head of the teen rehab center Adolescent STEP: Substance Abuse Treatment Education &
Prevention Program Colo. Teen Addiction Centers Gear Up for Legal Pot
http://abcnews.go.com/blogs/health/2014/01/03/colo-teen-addiction-centers-gear-up-
for-legal-pot/

25. Latest News
Study on Mental Health and
Marijuana in College Students
Harming the 21st century workforce
 Cannabis use in college students with psychiatric disorders is
high and appears to have a significantly greater negative impact
on function in this population, new research suggests.
 Overall, 25% of the study sample was on leave from college.
However, the investigators found that those with cannabis use
disorder were significantly more likely to be on leave compared
with their counterparts who did not have a cannabis use
disorder ― 46% vs 13%.
American Psychiatric Association's 2014 Annual Meeting. Abstract NR7-1 Presented May 6,
2014.
http://www.medscape.com/viewarticle/824878

26. Latest News
Marijuana and the Brain
 Young adults who used marijuana only recreationally showed
significant abnormalities in two key brain regions that are important
in emotion and motivation, scientists report.
 It showed the degree of brain abnormalities in these regions is
directly related to the number of joints a person smoked per week.
 Scientists examined regions for emotion and motivation, and
associated with addiction –
 “People think a little recreational use shouldn’t cause a problem, if
someone is doing OK with work or school. Our data directly says this
is not the case.”
www.northwestern.edu/newscenter/stories/2014/04/casual-marijuana-use-linked-to-brain-abnormalities-in-students.html#sthash.3bY7IXtZ.dpuf The
study was published April 16 in the Journal of Neuroscience. - See more at: http://www.northwestern.edu/newscenter/stories/2014/04/casual-
marijuana-use-linked-to-brain-abnormalities-in-students.html#sthash.3bY7IXtZ.dpuf

27. An early finding: The Link Between
Marijuana & Mental Illness
 1987 study from Sweden published in the British
journal Lancet.
 Researchers did a 15-year examination of 45,570
military conscripts and found that those who had
used marijuana on more than 50 occasions had a
six-fold risk for developing schizophrenia relative
to non-users
27Jan Copeland, Saul Gerber and Wendy Swift., J.; Gerber, Saul; Swift, Wendy (2006). Evidence-based answers to cannabis questions:
a review of the literature. ANCD Research Paper. Canberra: Australian National Council on Drugs

28.  Since 2002, almost a dozen studies have shown
that regular use of marijuana carries a significant
increased risk of developing psychotic illnesses
like schizophrenia.
 Higher risk for:
 Those with a family history of the disorders
 Those with a psychosis-prone personality
 Those who start using in early adolescence.
 Risks increase with potency and frequency of use.
28
The Link Between Marijuana &
Mental Illness
Moore TH, Zammit S, Lingford-Hughes A, et al. Cannabis use and risk of psychotic or affective mental health outcomes: A systematic
review. Lancet 370(9584):319–328, 2007. Also Large, M., Sharma S, Compton M., Slade, T. & O., N. (2011). Cannabis use and earlier onset of
psychosis: a systematic meta- analysis. Archives of General Psychiatry. 68. Also see Arseneault L, et al. (2002). Cannabis use in adolescence
and risk for adult psychosis: longitudinal prospective study. British Medical Journal. 325, 1212-1213.

29. 29
- adolescents who use marijuana have a 2-4 fold increase risk
of developing psychosis and this risk is dose-dependent (Hall and
Degenhardt, 2009)
- adolescents who use marijuana heavily have up to an 8-point
drop in IQ and this risk is also dose-dependent (Meier et al., 2012)
- marijuana, especially high potency marijuana, may cause acute anxiety
attacks and psychosis (Hall and Degenhardt, 2009). MJ accounted
for 461,028 ED visits in 2012 (DAWN, 2013). Symptoms of
withdrawal include anxiety and depression (Budney et al., 2002).
- Controlling for other possible confounds, those who use marijuana
are twice as likely to have had a suicide attempt requiring
hospitalization (Hall and Degenhardt, 2009).
- Marijuana withdrawal causes a doubling in aggressive episodes
compared to controls (Kouri et al., 1999; Smith et al., 2013).
Marijuana, Mental Health, and Kids

30. Marijuana smoke
California classifies marijuana smoke as a carcinogen – information from the California Report:
 Classified as a Carcinogen in California
 At least 33 chemicals in tobacco and marijuana smoke
are classified as carcinogens under prop 65:
 Benzene
 Benzopyrene
 Arsenic
 Formaldehyde
 Mercury
 Naphthalene

31. “Studies reporting results for direct marijuana smoking have
observed statistically significant associations with cancers of the
lung, head and neck, bladder, brain, and testis. The strongest
evidence of a causal association was for head and neck cancer,
with two of four studies reporting statistically significant
associations. The evidence was less strong but suggestive for lung
cancer, with one of three studies conducted in populations that
did not mix marijuana and tobacco reporting a significant
association. Suggestive evidence also was seen for bladder cancer,
with one of two studies reporting a significant association. For
brain and testicular cancers, the single studies conducted of each
of these endpoints reported significant associations.”
California Report on Marijuana
Smoke as a carcinogen

32.  “Marijuana use may result in cardiovascular-related
complications — even death — among young and
middle-aged adults, according to a French study
reported in the Journal of the American Heart
Association”
“There is now compelling evidence on the growing risk
of marijuana-associated adverse cardiovascular effects,
especially in young people,”
Marijuana use may increase heart complications in young, middle-aged adults April 23, 2014
http://newsroom.heart.org/news/marijuana-use-may-increase-heart-complications-in-young-middle-aged-adults
Recent News
Marijuana and Heart Disease

33.  Smoking tobacco or marijuana, taking prescription
painkillers, or using illegal drugs during pregnancy is
associated with double or even triple the risk of
stillbirth, according to research funded by the
National Institutes of Health.
NIH press release, Tobacco, drug use in pregnancy can double risk of stillbirth, December 11, 2013
Marijuana and Tobacco and Stillbirths

34. Cannabis-related emergency hospital admission
rates have been rising sharply in the US.
From an estimated 16, 251 in 1991 to over
461,028 ED visits in 2012 (Drug Abuse Warning
Network - DAWN , 2013)
34
Marijuana –Related
Emergency Room Admission Rates Rising
Source: SAMHSA, 2011

35. (Commercialization really began under “medical” in 2009)
 Legitimacy for the marijuana industry
 More sophisticated operations – marketing, legal, PR, science
 Access to/influence on political/regulatory systems/persons
 More access points to the drug
 More promotion
 Mass producing marijuana products – including very potent forms of
marijuana and kid targeted products like gummy bears, soda, cupcakes
 Branding
 Better Drug Delivery Devices
 Higher use rates among young adults and youth
 More addiction
 Greater burden to families, employers, healthcare system, schools, etc.
Marijuana
Legalization/Commercialization brings…

36. Colorado
Manufacturing/marketing the most potent marijuana in the
World. Is this a source of pride?
“Law enforcement from
neighboring states agree, Colorado
has strongest marijuana in the
world”
By Garrison Wells April 14, 2014
http://gazette.com/law-enforcement-from-neighboring-states-agree-colorado-has-strongest-
marijuana-in-the-world/article/1518194#TxA0JLQJs0k7wobD.99

37. 196
0
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8
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199
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200
0
200
1
200
2
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9
201
0
201
1
THC 0.2 0.2 0.4 0.5 1 1 1.5 3.3 3.3 3.5 3.5 3.1 3.1 4 4.5 5.2 5 4.7 5.4 6.2 7.3 7.2 8.3 8.1 9.1 10 10 9.9 11 11
CBD 0.3 0.3 0.4 0.4 0.3 0.3 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.4
0
2
4
6
8
10
12
14
MARIJUANAPOTENCY
CBD:
NON-
Psychoactive
Ingredient
Average THC and CBD Levels
in the US: 1960 – 2011
Colorado marijuana is far more potent
Source: Mehmedic et al., 2010
THC:
Psychoactive
Ingredient
37

38. Making marijuana more appealing to children,
easier to conceal, and more potent
All are marijuana products/devices

39.  “This is the wave of the future.” whichever (vapor)
pen you get, it will produce almost scentless vapor
and can be hit easily in a bathroom or on the street.
“I like to be able to smoke when I want…Being in
Colorado, I can smoke it anywhere – it’s so discreet.”
(quotes from Joshua Thomas who oversees Colorado
warehouse of Gotvape.com)
The Ipod of Getting Baked, Rolling Stone, June 20, 2013
Vapor Danger (marijuana vaporizers)
“The Ipod of Getting Baked” – The result of marijuana
commercialization

40. “Since our first vaporizer buyer's guide in
2011, a plethora of new pen-sized vapes
have hit the market – offering cannabis
consumers a stealthy, convenient way to
get high in almost any location or
situation.”
High Times Magazine March 28, 2013
Vapor Danger
Marijuana vaporizing industry promotes concealment of marijuana use and
use of very potent marijuana in vaporizers

41. Marijuana Vapor World
Ad on Groupon – this is what commercialization/legalization brings

42. Can You Tell the Difference?
Nicotine and marijuana vaporizers – a concern for schools, employers, communities

43. Vapor Danger
Concealment/Potency

44. Trippy Stix –
Growing marijuana vaporizing industry

45. Mass Producing and Packaging
Potent Marijuana
(can be 60-80% THC compared to 3 to 4% THC of marijuana in 70’s – in other words
20 times stronger)

46. Mass Producing and Packaging
Potent Marijuana

47. Increased Promotion of Potent Marijuana
In Colorado – a competition on who can make the most potent marijuana wax
In California, trying to crack down on potent marijuana industry
“The idea is to do as many dabs as you
can without passing out or coughing
back into the oil rig”
In California – ABC News
highlights Colorado’s
celebration/promotion of
potent marijuana while
California works to control
potent marijuana
http://abcnews.go.com/Nightlin
e/video/wax-colorado-
embraces-drug-22693499

48. Students Find Way To
Secretly Smoke Marijuana
In Class
February 5, 2014 10:10 PM LAKEWOOD, Colo. (CBS4) –
Marijuana vaporizing in
Colorado schools

49. Confiscated Nicotine and Marijuana
Vaporizers
from Jefferson County High School Students

50. Medical marijuana
ad promoting
marijuana strains
with THC content
from
18-24% - around 6-7
times stronger
than marijuana of
the 70’s

51. Marijuana Strain Reviews and
Promotion on Denver Post Marijuana Promotion Site

52. High THC marijuana cigarettes –
made in Colorado and promoted on Denver Post Marijuana Promo Site

53. Diversion of Colorado Marijuana (General): From 2005 to
2008, compared to 2009 to 2012, interdiction seizures
involving Colorado marijuana quadrupled from an average
per year of 52 to 242. During the same period, the average
number of pounds of Colorado marijuana seized per year
increased 77 percent from an average of 2,220 to 3,937
pounds. A total of 7,008 pounds was seized in 2012.
The legalization of marijuana in Colorado The Impact August 2013
Rocky Mountain HIDTA (High Intensity Drug Trafficking Area)
Increased Illegal Diversion

54. The Next Tobacco Industry
Unless we stop it.

55. “Defendants have marketed and sold their lethal products with zeal,
with deception, with a single-minded focus on their financial success,
and without regard for the human tragedy or social costs that success
exacted.”
“Over the course of more than 50 years, Defendants lied,
misrepresented and deceived the American public, including smokers
and the young people they avidly sought as ‘replacement’ smokers…”
“The evidence in this case clearly establishes that Defendants have
not ceased engaging in unlawful activity….”
From U.S. District Judge Gladys Kessler 2006
Regulation Fiction –
Lesson from the tobacco industry –
Why repeat this mistake?

56. The tobacco Industry (Old Industry, same script/deceit)
The marijuana industry (New industry, same tobacco industry script)
Our product does not cause harm, its not addictive, we don’t target kids, and its about freedom

57. Here comes Big Marijuana
Colorado – Ground Zero for Global Activity
“Ex-Microsoft
manager plans
to create first
U.S. marijuana
brand”
Reuters, May 30, 2013
http://www.reuters.com/article/2013/05/30/us-usa-
marijuana-idUSBRE94T0ZE20130530
The Ex-Microsoft exec with
the former president of
Mexico at the press event
– just six months after
Colorado’s vote

58. Big Tobacco Was Ready 38 Years Ago
 “…have the land to grow it, the machines to roll it and
package it, the distribution to market it. In fact, some firms
have registered trademarks, which are taken directly from
marijuana street jargon. These trade names are used
currently on little-known legal products, but could be
switched if and when marijuana is legalized. Estimates
indicate that the market in legalized marijuana might be as
high as $10 billion annually.”
Brown and Williamson Tobacco Secret Document 1976

59. The Alcohol Industry
“Bigger players are waiting in the wings. In the past
year, Allen St. Pierre, executive director of NORML, the
nation's biggest marijuana-advocacy group, has met
half a dozen times with representatives of the beer,
wine and liquor industries.”
By Bruce Barcott January 3, 2014 http://www.rollingstone.com/politics/news/the-great-marijuana-
experiment-a-tale-of-two-drug-wars-20140103

60. Big Tobacco is Here
Marijuana/tobacco vaporizer partially owned by Japan Tobacco Int’l
screen shot from Denver Post marijuana promotion site

61. Regulators Going to Work for the
Marijuana Industry
Laura Harris, who was the director of the Marijuana
Enforcement Division until her retirement last year, said she
waited about six months before starting work at the law firm
Dill Dill Carr Stonbraker & Hutchings as the firm’s
administrator and as a consultant. The firm — whose offices
are on the same floor of the same building as the Marijuana
Enforcement Division’s — represents marijuana businesses.
Colo. marijuana regulators reverse roles, join industry, MAR 21, 2014, By John Ingold, The Denver
Post

62. Regulators Going to work for
Marijuana Industry
Attorney Jordan Wellington — who worked as a policy
analyst at the division and was instrumental in the
writing of Colorado’s recreational marijuana business
rules — went to work for the marijuana-specialist law
firm Vicente Sederberg
Colo. marijuana regulators reverse roles, join industry, MAR 21, 2014, By
John Ingold, The Denver Post

63. 63
Myth
Prisons are filled low
level marijuana users

64. 6%
1.40%
0.40% 0.30%
0.10%
0%
1%
2%
3%
4%
5%
6%
7%
Drug possession Crimes involving
only MJ
MJ-only drug
offenders; no prior
sentences
MJ-only possession MJ-only possession;
no prior sentences
Drug Possession Offenders in
State Prisons
Percent of State Prisoners, 2004
Source: Bureau of Justice Statistics, 2004
64

65. Medical Marijuana Industry
Smokescreen
Promoted and Dispensed Like Alcohol, Not medicine
Focused on patient or promotion/profit?

66.  Dose?
 Duration?
 Patient focused?
 Know the difference between legitimate
cannabis based medicine vs. the medical
marijuana movement and industry
Marijuana as medicine

67. “We will use [medical marijuana]
as a red-herring to give marijuana
a good name.” —Keith Stroup, head of
NORML to the Emory Wheel, 1979
Legalization behind the medical
marijuana movement smokescreen
Source: Emory Wheel Entertainment Staff,
6 February 1979
67

68. After the Compassionate Use Act passed in
California in 1996, Allen St. Pierre, the
director of NORML admitted in a TV
interview that “in California,
marijuana has also been de facto
legalized under the guise of medical
marijuana”
Behind the smokescreen
Source: CNN Newsroom 9 May 2009
68

69. Majority of medical marijuana users report
using marijuana to treat ‘chronic or severe
pain.’
• 96% in Colorado
• 91% in Oregon
• 93% in Montana
Chronic pain
Source: Colorado Department of Public Health and Environment, 2011; Oregon Public
Health Authority, 2011; Montana Department of Public Health and Human Services, 201169

70. • In Colorado, 2% reported cancer,
less than 1% reported HIV/AIDS,
and 1% reported glaucoma as
their reason for using medical
marijuana.
• In Oregon, these numbers are less
than 4%, 2%, and 1%, respectively.
Only a small proportion of medical marijuana users
report use for cancer, HIV/AIDS, etc.
Source: Colorado Department of Public Health and
Environment, 2011; Oregon Public Health
Authority, 2011
70

71. • 87.9% had tried marijuana
before age 19
• 75% of Caucasian patients
had used cocaine and 50%
had used methamphetamine
in their lifetime.
A study of California medical
marijuana patients
Source: O’Connell, T.J. & Bou-Matar, C.B., 2007
http://www.harmreductionjournal.com/content/4/1/16
Avg. Profile:
• 32-year old white male
• history of alcohol and substance abuse
• no history of life-threatening illnesses
71

72. Free Joint Friday for Females
(for medical purposes)

73. Medical?
Ads from Colorado Medical Marijuana Sites

74. Medical Site?
“Medical” soda

75. Highly Potent Marijuana Vaporizing
(60% plus THC) for Medical Purposes?

76. If any local pharmacy was
offering daily specials on
prescription medicine – How
would regulators, media,
public health/medical
officials, and the public react?
Why the silence around the
“medical” practices of the
marijuana industry?

77. Residents of states with medical
marijuana laws have abuse/dependence
rates almost twice as high as states with
no such laws.
Medical marijuana has led to
increased use
Source: Cerda, M., et al., 2012.
77

78. Imagine cannabis based medicine that has..
 Dosage
 Duration
 Clinical Trials to determine efficacy, side effects, etc.
It’s not delivered through a bong or pipe
SAM supports removing any political barriers to testing
constituents of marijuana for medicine
Cannabis Based Medicine
What the medical marijuana industry does not talk about it or want you to know

79. Cannabis based medicine –Sativex
Why isn’t the medical marijuana industry talking about this medicine? Are they really patient
focused or more about people getting high and the promotion of marijuana use?

80. “FDA Speeds Research On Marijuana Spray For Cancer
Pain U.S. health authorities hope to accelerate the
approval of Sativex, a cannabis-based spray in final
stages of clinical research as a treatment for cancer
pain.”
April 29, 2014
Recent News
Cannabis Based Medicine
FDA Speeds Research

81.  A British pharmaceutical company has won orphan-
drug status from the U.S. Food and Drug
Administration (FDA) for a cannabis extract for use in
children with a severe form of epilepsy called Dravet
syndrome.
Epidiolex, contains plant-derived Cannabidiol (CBD)
CBD and Seizures
FDA cannabis based medicine testing for children

82. Meet the Marijuana Industry
Some of Those behind
Amendment 64 (A64)

83. Meet the Marijuana Industry
Those behind Amendment 64
NBC Interview with head of Drug Policy Alliance (DPA) – one of the larger funders of A64
Legalize all drugs? The man
behind loosening pot laws in
US eyes new goal
NBCnews.com November 27, 2013
http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all-
drugs-the-man-behind-loosening-pot-laws-in-us-eyes-new-goal

84. DPA wants to legalize heroin,
cocaine, and other drugs
 “The whole, of course, is safe and legal access to all
drugs. Cocaine. Heroin. Hash. Ecstasy. You name it,
Nadelmann wants people to have the right to get it,
hold it, use it and even pass it in small quantities.”
http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all-drugs-the-man-behind-loosening-pot-laws-in-us-eyes-
new-goal

85. DPA Working to lower the age to 18
Youth focused? Public health and safety focused?
“Nadelmann himself sees the campaigns as parallel
public education efforts. In the pot world, he’ll fight to
spread legalization. He’ll work to refine current law,
lowering the age of access to 18…”
Legalize all drugs? The man behind loosening pot laws in US eyes new goal
http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all-drugs-the-man-behind-loosening-
pot-laws-in-us-eyes-new-goal?lite&ocid=msnhp&pos=6

86. Like the tobacco industry, DPA wants you to believe
use of the drug is about freedom(not addiction/harm)
“…It’s absolutely pivotal, he continued, for building a
broader movement for freedom and justice… He ties
decriminalization to “freedom of consciousness,” and
then to same-sex marriage and abortion rights, and
ultimately to the rights of the First Amendment… Other
times he compares drug hysteria to the fears of letting
women vote, or abolishing slavery.”
Philip Morris ad
currently running
overseas
Source: Legalize all drugs? The
man behind loosening pot laws in
US eyes new goal
http://usnews.nbcnews.com/_news
/2013/11/27/21578665-legalize-all-
drugs-the-man-behind-loosening-
pot-laws-in-us-eyes-new-
goal?lite&ocid=msnhp&pos=6

87. “As clear as he is about his end game, Nadelmann is still
mulling the details of implementation. He calls for
“legal access,” but doesn’t say whether it should be
provided by doctors, delivered by mail, doled out in
private cooperatives, or administered by the
government, among untold options.”
Source: Legalize all drugs? The man behind loosening pot laws in US eyes new goal
http://usnews.nbcnews.com/_news/2013/11/27/21578665-legalize-all-drugs-the-man-behind-loosening-
pot-laws-in-us-eyes-new-goal?lite&ocid=msnhp&pos=6
Colorado as Guinea Pig
Push for laws but with no idea on how to be implemented –
Are they really concerned about public health and safety?

88. Meet the Marijuana Industry
One of the drafters of 64 – hosting a free joint giveaway in Denver and
Boulder (not about increased use?)

89. Alcohol & Tobacco:
Money Makers or Dollar Drainers?
 For every 1$ gained from alcohol and tobacco tax
revenues, $10 is lost in legal, health, social, and
regulatory costs
$$$$$$$$$$$
Source: Urban Institute and Brookings
Institute, 2012; Tax Policy Center, 2008
89

90. The Story is the Same
While the marijuana industry profits, burden falls on:
 Adult and youth users
 Employers
 Families
 Healthcare system
 Law Enforcement
 Schools

91. Join the Colorado SAM (Smart Approaches
to Marijuana) Coalition
Part of a growing national movement exposing the
marijuana industry and providing a science and public
health based approach instead of the current medical
marijuana and legalization movements
www.learnaboutsam.com
Click on affiliates and then Colorado to get linked with
Colorado SAM
Bob Doyle – Chair, Colorado SAM, bdoyle@ctepa.org
How do we stop this?

92. Arizona
California
Maine
Nevada
New Ham
Vermont
Maryland
Rhode Islan
Partners & Affiliates (in white)

93. 93
SAM’s National Leadership

94.  Third-way approach to marijuana policy is based on
reputable science and sound principles of public
health and safety.
 Non-partisan
 Neither legalizes, nor demonizes, marijuana.
 Rejects dichotomies — such as “incarceration versus
legalization
SAM’s Focus

95.  Champion smart policies that decrease marijuana use
and do not harm marijuana users and low-level
dealers with arrest records that stigmatize them for
life and make it harder to break free from substance
dependence.
 To promote research on marijuana in order to obtain
FDA-approved, pharmacy-dispensed, cannabis-based
medications
 Preventing the birth of the next tobacco industry
SAM’s Focus

96.  Help communities block/oppose or remove marijuana
commercialization (retail, manufacturing, growing,
etc.)
 Conduct ongoing statewide education on marijuana,
medical marijuana, the marijuana industry, failings of
marijuana legalization/commercialization
 Build a statewide movement to counter the marijuana
industry and eventually go back to the voters to
remove legalization
Colorado SAM’s Focus

97.  American Medical Association
 American Academy of Pediatrics
 American Academy of Child and
Adolescent Psychology
 American Society of Addiction Medicine
Who Else Opposes Legalization
We’re in good company

98.  Join Colorado SAM - contact Bob Doyle, Chair, Colorado
SAM at bdoyle@ctepa.org
 Help build Colorado SAM - recruit others, pass on the web
site, add SAM information to local newsletters, schedule
SAM presentations in your community
 Become a spokesperson for Colorado SAM – speak to
media, groups, elected officials
 Organize your community to stay marijuana industry free
or remove the marijuana industry
 Donate time or money or both to Colorado SAM to end
Colorado’s failed marijuana policies/experiment
What can you do?