In this in-depth podcast episode, Dr. Kenneth Finn, a prominent pain medicine specialist and expert on medical cannabis, discusses the current state of medical cannabis and its impact on public health and safety. The conversation covers a wide range of topics, from the positive perceptions surrounding cannabis legalisation to the often-overlooked risks and side effects associated with its use.

Current State of Medical Cannabis

Dr. Finn begins by addressing the current state of medical cannabis in the United States, particularly in Colorado, where he practises. He emphasises that the situation is constantly evolving, with new data emerging daily. Dr. Finn positions himself as neither a nihilist nor a prohibitionist but rather as a concerned medical professional focused on public health and safety.

One of the key issues Dr. Finn highlights is the lack of distinction between medical and recreational cannabis products. He explains that the only real difference is in the tax structure, with medical cannabis being cheaper. This economic incentive often leads people to obtain medical marijuana cards even if they intend to use cannabis recreationally.

Ease of Obtaining Medical Marijuana Cards

Dr. Finn shares his personal experience of obtaining a medical marijuana card in Colorado, describing the process as “frighteningly easy.” He expresses concern about the lack of thorough medical evaluation and the ease with which individuals can obtain recommendations for cannabis use, even for minor ailments.

A significant portion of the discussion focuses on product integrity and safety. Dr. Finn reveals that chronic marijuana users often have higher levels of heavy metals like cadmium and lead in their blood and urine. He also points out that marijuana smoke contains more carcinogens than cigarette smoke and can be worse for the cardiovascular system.

The conversation then shifts to the lack of medical regulation in the cannabis industry. Dr. Finn explains that marijuana is not prescribed but rather recommended, creating a loophole that allows physicians to avoid potential legal issues. He expresses frustration with the lack of enforcement of state laws regarding doctor-patient relationships and medical record-keeping in the context of medical marijuana recommendations.

Dr. Finn also discusses the issue of “budtenders” – individuals working in dispensaries who often provide medical advice without proper training. He emphasises the need for better education and regulation in this area.

Unintended Consequences of Legalisation

The podcast delves into the unintended consequences of cannabis legalisation, including increased drug deaths, opioid overdoses, marijuana-related driving fatalities, and a rise in addiction treatment cases among young people. Dr. Finn argues that these negative outcomes are often overlooked by mainstream media due to financial interests in the cannabis industry.

The conversation also covers the complexities of different cannabis products, including Delta-8 THC and hemp-derived products. Dr. Finn explains the chemical differences and potential risks associated with these variants, emphasising the need for consumer awareness and caution.

Impact on Adolescent Brain Development

Dr. Finn shares his concerns about the impact of cannabis on adolescent brain development, citing studies that show cognitive declines in frequent users. He also discusses the link between cannabis use and mental health issues, including psychosis and schizophrenia.

The podcast touches on the relationship between cannabis and the opioid crisis, with Dr. Finn presenting data that challenges the notion that cannabis legalisation reduces opioid-related deaths. He argues that the situation is more complex and that cannabis use may actually be contributing to the ongoing drug crisis.

Throughout the conversation, Dr. Finn emphasises the need for better education among medical professionals, policymakers, and the general public. He discusses his efforts to develop curriculum for medical schools and to raise awareness about the potential risks of cannabis use.

The episode concludes with Dr. Finn’s message to both physicians and cannabis users. He encourages doctors to educate themselves and have open discussions with their patients about the potential risks of cannabis use. For users, he advises caution and self-awareness, particularly regarding the potential for addiction and unexpected adverse effects.