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An important fact to understand about the medical marijuana debate is that the federal government knows perfectly well that marijuana is an effective medicine:

*They've been providing it for decades to a select group of seriously ill patients, and continue to do so.
*They've approved a synthetic drug with the same active ingredient (THC).
*They commissioned a huge study in 1999, which explicitly said it works.
*They've been blocking research, which makes no sense if they think the results will favor them.

So the debate over medical marijuana isn't even about whether it has medical properties. It is about something else entirely, stated perfectly by ONDCP's Tom Riley just the other day:

"…a lot of the people who are behind this aren't really interested in sick people who need medicine, they're interested in marijuana legalization and they're playing on the suffering of genuinely sick people to get it." [Reuters]

As silly as it is, this argument explains everything there is to know about why the government actually opposes medical marijuana. Though countless mainstream medical, legal,  and religious organizations support medical marijuana, the federal government remains fixated on drug policy reformers and our role in defending the rights of patients.

The simple truth is that they are afraid that medical marijuana could lead to full-blown legalization of marijuana for recreational use. And it's not an irrational concern. If you're struggling to prevent accurate information about marijuana's effects from reaching the scientific community and the public, the last thing you want is a huge user population that can speak openly about their experiences with the drug.

Ironically, it is ONDCP's obsession with legalization that has turned medical marijuana into a great controversy, not ours. Similarly, it is ONDCP that exploits patients for political purposes, not us. Opposition to medical marijuana is not championed by doctors or scientists. It is funded and carried out by political operatives who want to keep marijuana illegal for everyone. That's the real medical marijuana conspiracy.

Ben Smith's blog on The Politico web site today discussed an important exchange of comments between Hillary Clinton and Charles King, the executive director of Housing Works, at a private appearance earlier this month, as well as comments by Barack Obama at a different meeting in the same series. King had asked Clinton if she would lift the ban on use of federal AIDS funds to support needle exchange programs, an issue that previously came to a boil in 1998 during her husband's second term. (Some activists believe that Bill Clinton would have lifted the ban if Donna Shalala rather than Barry McCaffrey had boarded a certain Air Force One flight.) According to Smith:

Clinton responded to King's question, after some prodding, by saying, "I want to look at the evidence on it" to see whether needle exchange would prevent the spread of HIV without increasing drug abuse. Shalala, King responded, had "certified" the safety and effectiveness of the programs. "And then she refused to order it, as you remember," Clinton said. King replied that that had been her husband's decision. "Well, because we knew we couldn't maintain it politically," Clinton said, and went on to discuss the trade-offs in that dispute with Congress. "I wish life and politics were easier," she said. King then referred back to Clinton's opening remarks. "You made a great comment earlier about how our next president needs to have some spine," he said. "We’ll have as much spine as we possibly can, under the circumstances," Clinton responded.

Obama, by contrast, had responded that he supports lifting the ban. Click here to read Smith's full post, which includes the video footage. A little background: Housing Works has for years been a stalwart in the harm reduction movement. (Harm reduction is the idea that people who use drugs should be helped in reducing the harm they do, to themselves or others, whether they are about to stop using drugs or not.) The organization is very well known in New York City, which successfully beat back a late 1990s attempt by then Mayor Rudy Giuliani to bankrupt them. In 2000, activists from Housing Works stormed the Ashcroft confirmation hearings to denounce his record on needle exchange. King's co-founder and co-executive director of Housing Works for years, the late Keith Cylar, was a member of DRCNet's board of directors (and a friend).