Since AIDS patients are treated with anti-retroviral therapies, researchers explored the potential impact of cannabinoids on indinavir and nelfinavir and found no significant impact of marijuana on the efficacy of these drugs . The first written account of medicinal marijuana took place in China in the 5th century BC , and with ongoing research of cannabinoid receptors and endocannabinoids, the therapeutic actions of marijuana are becoming clearer. Medicinal marijuana has been a controversial topic for many years which is characterized by the petition in the 1970s to convert marijuana from a schedule I drug to a schedule II drug and the support of rescheduling and appeal by the Drug Enforcement agency in the 1980s . In 1996, California proposition 215, the Compassionate Use Act, passed and stated “Patients and caregivers may possess or cultivate medical marijuana for medical treatment” . This vague statement that legalized marijuana enraged the government and health care providers because of the new stereotypes regarding the safety of marijuana and the lack of regulation. As a result, the federal government attempted to eliminate medicinal marijuana indirectly by prohibiting physicians to discuss medicinal marijuana with the consequence of losing prescription writing privileges . In addition, the definition of pharmaceutical grade marijuana and its production has been an area of active debate. The heterogeneous population of medicinal marijuana fails to meet a consistent standard of composition and quality . Solving this problem would require pharmaceutical companies to successfully develop a synthetic cannabinoid derivative .
In the modern patient-centered health care system, cannabis growing system health care providers must acknowledge the current research and make evidence based decisions on the benefits of medicinal marijuana as a treatment for cancer and AIDS related weight loss. Fifteen years ago, the existence of cannabinoid receptors was unknown, but research has painted a clearer picture of the hypothalamic CB1 receptors’ role in appetite stimulation. Despite the controversy of medicinal marijuana, continued research in this field has opened new avenues for treatment and prevention of the nation’s biggest health care problem, obesity. Understanding the cannabinoid receptors’ role in appetite suppression and its link in the leptin pathway may allow future physicians to treat and prevent obesity . Obesity is a significant risk factor for deadly diseases such as atherosclerosis, hypertension, and diabetes, and further research in medicinal marijuana’s role in appetite stimulation may be the key to curing an obese nation. Although the amount of information regarding medicinal marijuana is vast, there are many areas that need further research for more effective use among patients. First, double blind randomized control trials in humans are needed to truly assess the effectiveness of marijuana in appetite stimulation. Many studies on rats and mice have produced a working scientific basis for medicinal marijuana, but human trials are necessary to assess potential benefits and adverse effects in patients. Further, a risk/benefit analysis of medicinal marijuana is needed. Medicinal marijuana is often disputed as a treatment based on its side effect profile, but terminally ill cancer and AIDS patients might be willing to increase their risk for lung cancer in the long term to achieve an immediate improvement in quality of life. With a target population of immuno compromised patients, research on alternative delivery methods need to be employed to decrease the risk of infection associated with marijuana smoking.
Finally, a logistical study on the most effective and safest mechanism for distribution of marijuana in the population must be conducted. With this information, marijuana can be utilized safely to allow sick patients to engage in one of the most essential actions in life, eating. With the passage of Proposition 64 , state voters elected to integrate cannabis into civil regulation. Prior to the possibility of state licensure for cultivators, however, counties can decide on other designations and implement strict limitations. In effect, local governments have become gatekeepers to whether and how cultivation of personal, medical or recreational cannabis can occur and the repercussions of noncompliance. When cannabis is denied a consistent status as agriculture, despite being a legal agricultural commodity according to the state, localities can determine who counts as a farmer and who is considered compliant, non-compliant and even criminal. In Siskiyou County’s unincorporated areas, the Sheriff’s Office now arbitrates between the effectively criminal and agricultural. Paradoxically for this libertarian county, the furor around cannabis has seen calls for government intervention, and has led to officials passing highly stringent cannabis cultivation regulations that have been enforced largely by law enforcement, muddying the line between noncompliance and criminality. These strict regulations produced a situation where “not one person” has been able to come into compliance, according to a knowledgeable government official. Nonetheless, at the sheriff’s urging, Siskiyou declared a “state of emergency” due to “nearly universal non-compliance” , branding cannabis cultivation an “out-of-control problem.” Such a strong reaction against cannabis can be understood in terms of cannabis’s potential to reorganize Siskiyou’s agricultural and economic landscape. According to some estimates, there are now approximately twice as many cannabis cultivators as non-cannabis farmers and ranchers in Siskiyou , a significant change from just a few years ago. Although cannabis has been cultivated in this mostly white county for decades, since 2015 it has become associated with an in-migration of Hmong-American cultivators.
Made highly visible through enforcement practices, policy forums and media discourses, Hmong-Americans have become symbolically representative of the “problem.” This high visibility, however, obscures a deeper issue, what Doremus et al. see as a nostalgic, static conception of rural culture that requires defensive action as a bulwark against change. Such locally-defined conceptions need to be understood , especially in how they are defined and defended and what effects they have on parity among farmers growing different types of crops. Our goals in this study were to consider the consequences of an enforcement-first regulatory approach — a common regulatory strategy across California — and its differential effects across local populations. Using Siskiyou County as a case study, we paid attention to the public agencies, actors and discourses that guided the formation and enforcement of restrictive cannabis cultivation regulations as well as attempts to ameliorate perceptions of racialized enforcement. This study attends to novel post legalization apparatuses, their grounding in traditional definitions of culture and the ways these dynamics reactivate prohibition. We used qualitative ethnographic methods of research, including participant observation and interviews. In situations of criminalization, which we define not only as the leveling of criminal sanctions but being discursively labeled or responded to as criminal-like , quantitative data can be unreliable and opaque, which necessitates the use of qualitative ethnographic methods . In 2018–2019, we talked to a wide range of people — including cannabis growers from a diversity of ethnic backgrounds, government officials, business people, subdivision residents, farm service providers, medical cannabis advocates, realtors, lawyers, farmers and ranchers, and, with the assistance of a Hmong-American interpreter, members of the Hmong-American community. We also analyzed public records and county ordinances, Board of Supervisors meeting minutes and audio , Sheriff’s Office press releases and documents, related media articles and videos, flood table and websites of owners’ associations in the subdivisions where cannabis law enforcement efforts have focused. Some cannabis cultivators regarded us suspiciously and were hesitant to speak openly, an unsurprising phenomenon when researching hidden, illegal and stigmatized activities, like “drug” commerce . This circumspection was most intense among Hmong-American growers on subdivisions, who had been particularly highlighted through enforcement efforts and local, regional and national media accounts linking their relatively recent presence in Siskiyou to cannabis growing. Human subjects in this research are protected under the Committee for Protection of Human Subjects, protocol number 2018-04-1136 , of the Office for Protection of Human Subjects at UC Berkeley.Siskiyou is a large rural county located in the mid-Klamath River basin in Northern California . Since the mid-19th century, in migrants have historically engaged in agriculture, predominantly livestock grazing and hay production, and natural resource extraction, primarily timber and mining . Public records demonstrate that although the value of the county’s agricultural output and natural resource extraction is declining, these cultural livelihoods still shape the area’s dominant rural values of self-reliance, hard work and property rights .
For instance, one county document stated that Siskiyou’s cultural-economic stability depends on nonintervention from “outside groups and governments” and residents should be “subject only to the rule of nature and free markets” . Another document, a “Primer for living in Siskiyou County” from the county administrator, outlined “the Code of the West” for “newcomers,” asserting that locals are “rugged individuals” who live “outside city limits,” and that the “right to be rural” protects and prioritizes working agricultural land for “economic purpose[s]” . We heard a common refrain that localities will eventually succumb to the allure of a taxable, profitable cannabis industry. Indeed, interviewees in Siskiyou universally reported economic contributions from cannabis cultivation, especially apparent in rising property values and tax rolls and booming business at horticultural, farm supply, soil, generator, food and hardware stores . However, a belief in an inevitable free market economic rationality may underestimate the deep cultural logics that have historically superseded economic gains in regional resource conflicts . As one local store owner told us, “I’d give up this new profit in a heartbeat for the benefit of our society.” Many long-time farming and ranching families remain committed to agricultural livelihoods for cultural reasons , even as the economic viability of family farms is threatened by increasing farmland financialization , corporate consolidation and biophysical decline . Many interviewees felt that the recent rapid expansion of county cannabis cultivation and corresponding demographic changes were a visible marker of broader tensions of cultural continuity and endangerment. As the sheriff expressed, cannabis cultivation would “jeopardize our way of life … [and] the future of our children” . This sense of cultural jeopardy , echoed by numerous interviewees, materialized in a range of negative quality-of-life comments about cannabis cultivation: noisy generators, increased traffic, litter and blighted properties, and unsafe conditions for residents. Non-cannabis farmers also reported farm equipment and water theft, livestock killed by abandoned dogs, wildfire danger, illicit chemical use and poisoned wildlife. Some non-cannabis farmers expressed a sense of regulatory unfairness — that their farms were subject to onerous water and chemical use regulations while cannabis growers “don’t need to follow the government’s regulations.” Enabling cannabis cultivators to pursue state licensure would facilitate just such civil regulation, but some feared that regulating this crop as agriculture would threaten “the loss of prime agriculturally productive lands for traditional pursuits” . If nothing less than the county’s culture and agricultural order were considered at stake, it is no wonder that absolute, even prohibitionist, solutions emerged in Siskiyou, with the Sheriff’s Office having a central role in defending local culture.Siskiyou’s sparsely populated landscape has been home to illegalized cannabis cultivators at least since the late 1960s, largely in remote, forested, and public lands in the western part of the county. Medical cannabis’s decriminalization in 1996 inaugurated a modest expansion of cannabis gardens throughout the county . However, for the next 19 years, Siskiyou did not establish regulations for medical cannabis, in line with locally dominant ideologies of personal freedoms and property rights. Instead, the county relied on de facto management of cultivation by law enforcement and the court system’s strict interpretation of state law . In 2015, informed by public workshops held by the Siskiyou County Planning Division, supervisors passed the county’s first medical cannabis ordinance, which seemingly balanced concerns of medical cultivators and other county residents. Regulation would be overseen by the Planning Division, which placed conditions on cultivation , limited plant numbers to parcel size and would establish an administrative abatement and hearing process for complaints. The Planning Division, however, had been without code enforcement officers since 2008 budget cuts. Though the county authorized the hiring of one civil code officer in 2015, the Sheriff’s Office felt that the Planning Division “needed outside help” and moved to assist. Soon, the county’s limited abatement capacities were overwhelmed by vigorous enforcement and a wave of complainants. County supervisors, responding to the sheriff’s 2015 reports on the “proliferation” of cannabis gardens on private property, moved to heighten penalties for code violations, place numerous new restrictions on indoor growing and ban all outdoor growing .