Cannabis dispensaries can be true wellness clinics.

Cannabis dispensaries and clinics are multiplying as citizens of ever-more American states vote to decriminalize medical marijuana. Many use the term “wellness” to describe their wider range of services. In fact, as medical cannabis becomes evermore accepted for the variety of conditions for which the herb provides benefit, dispensaries and clinics really can provide a mechanism for providing true wellness services.

The term “wellness” relates to a high level of health status, not simply the absence of disease, but the presence of behaviors that help prevent disease and cause the body to thrive. This behavioral perspective emphasizes the health practices that provide prevention effects from today’s causes of death and disability. High level wellness indicates a body not just disease-free, but strong, toned, nutritionally well fed, and free of excess tension. Wellness also refers to a relaxed but purposeful mental set, engaged with the world.

Several health behaviors are key determinants of our health status and our health future. A few of the physical activity behavioral goals may be beyond the capabilities of those with serious physical ailments, but serve as important guidelines to all. As a wellness center, the dispensary can communicate these basic practices and their importance to all patients in a variety of unobtrusive and complementary ways.

Virtually every person should:

  • Get sufficient exercise, especially walking.
  • Maintain good body composition with considerable muscle and little to moderate fat.
  • Practice good nutrition, focused on nutrient-dense, calorie-lean foods.
  • Avoid exposure to cigarette smoke.
  • Cultivate a supportive social life.
  • Manage and reduce stress.

Open Source Health Care

Two huge problems, besides the obscene cost, beset the current state of health care in the USA. One is the general non-availability of cannabinoid medications for most Americans. The other is the lack of prevention perspective; in fact, current “health care” is mainly medical care, focusing on relieving and curing established diseases.   Despite the fact that most of the ailments and diseases afflicting Americans are related to health behaviors, there is very little true prevention effort. The open source health care alternative for the 21st Century will enable people to harness cannabis for pain relief, anti-inflammation, glaucoma prevention and a dozen other conditions for which medical marijuana provides results superior to the mainstream medical/pharmaceutical approach. It will also provide a harm reduction, health promotion, preventive alternative to the current curative medical approach. Both these two problems could be addressed by dispensaries providing cannabinoid-based medications and true wellness services. Such services would address the health behaviors above:

Get sufficient exercise, especially walking. Most Americans walk far to little, depriving themselves of muscle and burdening themselves with fat. Taking at least 10,000 steps each day is a key health behavior of huge value to your health, and a crucial foundation for a preventive, wellness lifestyle. Even better is when some of these steps, or additional steps, are taken a faster pace, such as jogging a mile a day. Dispensaries could encourage patients to aspire to such basic fitness guidelines in a variety of ways:

  • Pedometers retail for $5. Providing each patient with one for no cost as part of the wellness services would send a profound message a hugely useful tool. The pedometer would of course bear the clinic’s logo.
  • Posters at the dispensary could impart more awareness of the 10,000 steps per day guideline.
  • If the clinic does the medical evaluations for eligibility for medical cannabis, this presents a perfect opportunity to encourage physical fitness goals such as 10,000 steps per day.

Maintain good body composition with considerable muscle and little to moderate fat.

America, and much of the world is suffering a crisis in body composition. Our bodies are composed evermore of excess fat. Plus we tend to carry too little muscle. Sufficient walking, see above, is key to building muscle tone and preventing fat, but additional muscle building is a healthy practice. A more muscular body composition helps burn calories, but more importantly provides a basic framework of physical strength that provides preventive and fitness dividends. Dispensaries could help patients gain the benefits of strength training with the same method as above, including posters and other messaging. The question of the obesity of its clients is important to a dispensary. Wanting to, “first, do no harm,” the clinic should confirm that its cannabis medication does not contribute to such problems. Cannabis is very effective at ending the wasting syndrome by helping people eat; its effect on people that are overweight may be less helpful. Obesity might even be seen as a contraindication in the prescription or recommendation of cannabis.

Practice good nutrition, especially nutrient-dense, calorie-lean foods.

  • The clinic or dispensary could educate on the quite incredible nutritional value of cannabis itself, in the form of hemp seed and hemp oil. Hemp seed is perhaps the most nutritious single food source, filled with essential fatty acids and proteins. The omega-3 profile of hemp seed is nearly optimal.
  • Good nutrition sets focus on nutrient-dense, calorie-lean foods, nearly the opposite of an American fast food meal.

Avoid exposure to cigarette smoke. The smoke from cigarettes, inhaled directly or as second-hand smoke, is a deadly toxin that kills over 400,000 Americans each year. Avoiding such exposure is a key preventive behavior. The reduction of cigarette smoking and proliferation of non-smoking areas providing freedom from this toxin have been a major public health victory in the last generation (and it was accomplished with zero SWAT raids and no one going to jail.

Although cannabis smoke appears far safer than cigarette smoke (marijuana smoking is not associated with lung cancer nor emphysema, two of the great risks of cigarette smoking, it is still smoke and contains toxins such as carbon monoxide (CO). Vaporizers provide a safe way to gain the medical benefits of cannabinoids with no exposure to smoke, and should be encouraged, and sold in dispensaries. With vaporizers, medical users can titrate dosages nearly as well as with smoking. In California, clinics, dispensaries and collectives have helped pioneer other ways of medicating with cannabis in a smoke-free manner. Tinctures with alcohol and edibles offer yet other alternatives. Invention, or rather reinvention of these medications (tinctures of cannabis were available to Americans 100 years ago) has been a major contribution of dispensaries in California.

Cultivate a supportive social life. Isolation is detrimental to physical and especially, mental, health. Although most important social interactions occur with family and friends, the dispensaries themselves could help provide some of this social glue so important to health.

Manage and reduce stress. Cannabis itself, especially types rich with a variety of cannabinoids, is a natural stress reducer. Indeed, much of the so called “recreational” use of cannabis helps users maintain a relaxed and happy state of mind. Stress reduction is of course a huge topic and the steps a clinic or dispensary might take are virtually limitless, from yoga classes, to progressive relaxation to massage.

Wellness and open source health care are giant topics that will be revisited.

Diane Feinstein’s feeble-minded war(s) on drugs

Diana Feinstein

Senator Diane Feinstein

California Democrat and Senator Dianne Feinstein is advocating truly idiotic drug war policies. During her long senate career her neo-con leanings have been a disappointment. She was an enthusiastic participant in crafting punitive, ruinous drug war legislation and signed on to George W. Bush’s tragic international war recklessness. Two recent offenses to clear thinking and responsible legislation again show her to be dishonest and authoritarian, and unfit to be a US senator.

Doing Away With the Drugs in Afghanistan

Now, with Afghanistan becoming America’s longest war and its prospects dimming daily, Feinstein is ready to double up and forget about Obama’s promise to begin ending the war in 2011.  Senator Feinstein’s most ludicrous comments concerned the drug situation in Afghanistan. The last time this situation was favorable, from an anti-drug viewpoint, was when the Taliban were in power, prior to late 2001. This fundamentalist movement in 2000 banned the growing of opium and by 9/11 had greatly reduced the acreage of Afghanistan growing opium. UN drug office functionary Bernard Frahi, was amazed. “This is the first time that a country has decided to eliminate in one go – not gradually – these crops on its territory,” and called it “one of the most remarkable successes ever” in the UN drug fight.” As it turned out, these “successes” caused huge social turmoil by beggaring farmers and disrupting the credit system. Innumerable daughters were sold to pay off debts.

After the US invasion swept the Taliban out of control, opium growing boomed, expanded by 40-fold,  and easily makes Afghanistan the world’s largest producer of this heroin precursor. Interviewed by Chris Wallace on Fox News she said this:

  • WALLACE: And let me just quickly follow up on that. If Petraeus comes to the president in the spring of 2011 and says, “You know, this July deadline – I need six more months,” should that…
  • FEINSTEIN: I would say give it to him, absolutely. Now, let’s talk about the deadline. This is a transition point toward the beginning of a withdrawal or a draw down, as Petraeus said in his transcript before the armed services. And I think he has flexibility, realistically. Ten years is a long time to fight a war, particularly with what happened before the 10 years. And so we need to understand that to get the military trained, get the government online, secure and stabilize and, I think, do away with the drugs to a great extent – because the drugs are now fueling the Taliban.

Not only are her ramblings grammatically incorrect, but also logically ridiculous. Senator Feinstein sees doing away with drugs in Afghanistan as a doable, short-term goal. To achieve this simple task she advocates a major new drug war in Afghanistan. With her senate seniority she is unfortunately the chairman of the Senate Caucus on International Narcotics Control,chairman of the Senate Caucus on International Narcotics Control. Despite the fact that the Taliban nearly successfully eradicated opium production a decade ago, she tells us that now, “”The Taliban has morphed into one-part terrorist organization, one-part drug cartel,” and that their profits from the drug trade help finance their war against the NATO forces occupying the country. Her solution? A robust drug war in Afghanistan, including more drug agents, more helicopters, more eradication and more SWAT-style paramilitary training. Above all, her Senate report seeks to conflate terrorism with drug trade, and invokes 2006 revisions to the Patriot Act giving the DEA a free hand around the globe. I guess we will have to wait and see if the Senator’s new effort do away with drugs in Afghanistan in a year. On the tiny chance her new Afghan drug war proves to be anywhere near as effective as that of the Taliban, it will earn the enmity of the people. Well, at least those few Afghans who don’t already hate what they see as NATO invaders.

Maintaining Prohibition in the USA

Not content with extending drug war stupidity on the other side of the planet, Senator Feinstein seeks to reinvigorate the putrefying drug war back in the USA. She is actually campaigning for the continuation of cannabis prohibition and has signed up as co-chair (with a sheriff, of course) on the No on 19 against legalizing the herb in California. Rather than allow Californians the freedom of choice for a substance far safer than alcohol, she urges the continuation of the fatally flawed war on marijuana, including yearly CAMP eradication raids. Feinstein continues to promote legislation aimed at persecuting the tens of millions of Americans who find medical or other benefit from cannabis.