0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

America’s Cannabis Experiment

David Goldman, MD1
[+] Author Affiliations
1Laboratory of Neurogenetics, Office of the Clinical Director, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Rockville, Maryland
JAMA Psychiatry. 2015;72(10):969-970. doi:10.1001/jamapsychiatry.2015.1332.
Text Size: A A A
Published online

Extract

Cannabis is widely used, psychoactive, and addictive. Given the choice, people in several US states and the District of Columbia have voted to legalize it. In the nation’s capital, it is now legal to possess as many as 3 Cannabis sativa plants. Meanwhile, it remains illegal to have cannabis on federal land, which is problematic in a mosaic of federal and local jurisdictions. Further, a federal worker stands to be fired if discovered to be using cannabis. In the cannabis debate, does the science of consequences and addictive liability matter? Studies of humans and animals strongly indicate that cannabis changes the structure and function of the brain,1 and the propensity to cannabis addiction is heritable,2 which means that some are more vulnerable. On the other hand, it has been advocated that cannabis should be legalized or at least delisted as a schedule I drug. Nicotine and alcohol are regulated, taxed, and routinely enjoyed, providing a blueprint for the deregulation of other drugs that are supposedly less noxious.3 However, these licit addictive drugs lead to serious social and medical consequences. For example, alcohol accounts for 5.1% of the global burden of disease and injury as measured by disability-adjusted life-years. We should be careful in extrapolating long-term consequences of cannabis legalization.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

2,018 Views
1 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
The effect of marijuana use on the risk for schizophrenia. J Clin Psychiatry 2012;73(11):1463-8.
Jobs
JAMAevidence.com

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Will This Patient Fall?

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Results

brightcove.createExperiences();