Medical Marijuana in the Military
Posted by Glenn Beierle on 04/17/2018 in Medical Marijuana
Updated on August 8, 2018. Medical content reviewed by Dr. Richard Koffler, MD, Board Certified Physiatrist
While many states have approved and legalized the use of marijuana for medicinal purposes, the U.S. federal government still has not. The Food and Drug Administration (FDA) continues to classify marijuana, medical or otherwise, as a Schedule I narcotic.
As long as the federal government considers marijuana a narcotic drug, the U.S. military cannot condone its use. But there’s more to it than this, as many states have approved and legalized medical cannabis for a growing list of qualifying conditions.
What Conditions Has Medical Marijuana Been Approved to Treat?
Each medical weed state has its own regulations covering the types of conditions that qualify for cannabis recommendations. Some cities have their own regulations related to medical marijuana in addition to what states decree.
Some conditions approved by various states for treating patients with a medical marijuana card include:
- ALS (also known as Lou Gehrig’s Disease)
- Chronic pain
- Crohn’s Disease
- Parkinson’s Disease
- Multiple Sclerosis
- Post-Traumatic Stress Disorder (PTSD)
- Traumatic brain injury (TMI)
- Ulcerative colitis
Plus a host of other qualifying ailments. More and more states continue to move in the direction of approving cannabis for serious medical conditions.
Can You Join Military If You Use Medical Marijuana?
The long and short answer to this question, unfortunately, is “no.” The federal government has made its stance on the use of marijuana clear.
Despite the fact that many U.S. states have legalized the use of medicinal cannabis, the federal government still views it as an illegal substance. You can still face federal charges for possessing or consuming medical marijuana.
Questions You’ll Be Asked as a Military Candidate
Military recruiters ask potential members many questions. Several of them relate to drug use:
- “Have you ever been psychologically or physically dependent upon any drug or alcohol?” This is one of the questions recruiters use to vet interested candidates for enlistment. If you answer “yes” to this question, you can expect a denial and be ineligible to enlist in the military.
- “Have you ever used drugs?” Even without the dependency factor coming into play, the fact that you have used marijuana in the past, medical or otherwise, could disqualify you from service. If you answer “yes” to this question, you’ll need to submit a drug abuse screening form describing your specific drug usage. Then, the military service will evaluate your answers and determine whether or not your previous drug use bars you from service in that particular branch of the military.
Furthermore, some of the conditions qualifying for treatment with medical marijuana would disqualify you from military service. Some of the health conditions potentially barring you from enlistment include:
- Ulcerative colitis
- Multiple sclerosis
If you are taking medical cannabis for one of these health conditions, you’re likely ineligible for military enlistment.
What Is the Military’s View on Medicinal Marijuana?
The military’s hands may be tied, courtesy of federal laws prohibiting the use of medicinal marijuana, despite many states allowing its use for a variety of conditions. The military doesn’t make exceptions and cannot bring soldiers into the fold who depend on cannabis to treat a health condition. Unfortunately, this leaves many soldiers turning to medications with severe side effects and addiction potential to treat their conditions.
Soldiers, injured in the line of duty, are commonly prescribed opioid medications to manage the pain during their recoveries. These medications, while legal when prescribed, offer serious side effects and lead to serious risks of addiction and/or overdose for the soldiers taking them. It’s the men and women who serve their country who some believe are paying the price for this adherence to tradition and outdated regulations.
CNBC revealed a few startling statistics about veterans and opioids, including the following:
- Nearly 60 percent of soldiers returning from the Middle East experience chronic pain.
- Veterans are two times as likely to die from an opioid overdose than the remainder of the population.
- Opioids were responsible for more than 42,000 U.S. deaths in 2016.
- Opioid overdoses saw significant decreases in 2014 in states with legalized cannabis.
Even more startling is this fact: Although there are claims marijuana is a gateway drug, four of every five new heroin users began with prescription pills.
Do Military Vets Have Access to Medical Marijuana?
The U.S. Department of Veterans Affairs (VA) is caught in the middle when it comes to medical cannabis. The evidence that medical marijuana can effectively treat many of the disorders currently overwhelming the overburdened VA health system is clear. At the moment, federal regulations, however, have tied the VA’s hands and offer no middle ground.
While the VA health system cannot offer treatment in various state medical marijuana programs — because it’s required to abide by federal laws regarding marijuana — soldiers who choose to seek health care outside the VA for medical marijuana are not barred from eligibility for other VA services or medical care.
This is important because, to effectively treat patients within the VA healthcare system, VA physicians and providers must be able to receive full disclosure about treatments patients are receiving from other physicians. This includes treatment with medical marijuana.
- Marijuana use will not lead to a denial of VA benefits for veterans.
- Information about medical marijuana use among veterans is confidential and protected by patient privacy laws.
- VA doctors and clinicians cannot recommend medical cannabis currently.
- VA doctors and clinicians may not refer patients to state-approved marijuana programs.
- VA pharmacies cannot fill medical cannabis prescriptions.
- The VA will not pay for medical marijuana prescriptions.
- Veterans who are employees of the VA or the federal government remain subject to drug testing during their employment.
- Using or possessing marijuana while on VA property is prohibited by federal laws, which are in force throughout the property (rather than state laws).
The Veteran’s Administration goes on to clarify that VA physicians are encouraged to discuss medicinal cannabis with patients during their discussions for care and treatment planning and should adjust other therapies accordingly if patients are taking medical marijuana. This will help prevent redundancies, reduces overdose risks and help doctors treat other conditions more effectively.
The encouraging news is that these doctors, who are bound by confidentiality, cannot discuss the patient use of medical marijuana or disclose it to the U.S. government. This allows patients to explore all the treatment options available to them without the fear of arrest for merely admitting to using marijuana.
The American Legion, a patriotic veterans organization, recently conducted a survey revealing the following interesting facts about veteran households in the U.S.:
- Ninety-two percent of veteran households support research regarding the efficacy of medical marijuana for treating mental and physical health conditions.
- Eighty-three percent of veteran households believe medical cannabis should be legalized nationwide.
- Eight-two percent of veteran households would like to have medical cannabis treatment available as a legal treatment option on the federal level.
- Twenty-two percent of veterans are currently using medical cannabis for treatment.
- Seventy-nine percent of survey participants over the age of 60 support legalizing medical cannabis. In other words, it’s not just the young soldiers and veterans supporting it.
The American Legion continues its work advocating for the rights of the men and women who serve this country, including in these ways:
- Resolution 11: One way it’s fighting the fight today is with Resolution 11, advocating for the DEA to license privately-funded production operations within the United States to research cannabis drug use and to develop safe medicinal marijuana drugs.
- Resolution 28:Resolution 28, authorizing VA providers to discuss medical marijuana with patients in states where it is currently legal, is the next item on the agenda for the American Legion, who serves as an advocate for our nation’s service members.
The advocacy doesn’t end there. The American Legion is also calling for Congress to move marijuana from the Schedule 1 classification to one that, at the very least, recognizes its potential medicinal value.
Are the Tides Turning for the U.S. Military?
The problem with medical cannabis and the military is simple: There is a divide between state law and federal law on the issue. Since federal law governs the military, it must abide by the tenants of the federal government, even when at odds with the states where bases exist, veterans call home, etc.
There may be a light at the end of the tunnel, though. According to Green Rush Daily, U.S. Marine Sergeant Sean Major is attempting to become the first active duty military member to be permitted the use of medical marijuana.
Major suffered four traumatic brain injuries during his seven years of military service. His current medical cocktail includes 20 different pills designed to help him cope with his injuries, which also include sleep disruptions, anxiety and post-traumatic stress disorder (PTSD).
While medical marijuana is currently disallowed for military members, Major is seeking special approval to use medicinal pot while remaining on active duty in the Marine Corps.
Marijuana and the Modern Military
A recent article appearing in Army Times reports this land operation branch of the military force is looking to recruit 80,000 new soldiers in the coming months. The Army plans to accept soldiers that may appear less than desirable, according to current military standards, including those who have admitted to smoking marijuana.
They plan to do that by accounting for other recruitment criteria, such as potential recruits who excel on the Armed Services Vocational Aptitude Battery (ASVAB) test, by issuing waivers.
Issuance of Waivers
The U.S. Army is considering issuing more of these waivers in an attempt to encourage those who have scored higher on testing to become soldiers. This is important, since studies have shown higher ASVAB test scores correlate to greater efficiency and effectiveness as soldiers.
Because so many states have legalized the medicinal and/or recreational use of medical pot, it is difficult to recruit soldiers who have not regularly partaken in states where the drug is now legal.
More importantly, shifting views about marijuana have made it possible to accept that occasionally smoking weed as a teenager does not necessarily indicate a pattern of misconduct that would interfere with performance as a soldier in the United States Army.
What Does the Supreme Court Have to Say About Medical Cannabis?
The U.S. Supreme Court ruled in 2002 that doctors have a First Amendment right to provide patients with a recommendation for medical marijuana as long as they, themselves, do not provide the medical marijuana to their patients. This ruling extends to VA doctors.
Unfortunately, policies within the Veterans Health Administration were slow to change. The good news is they have finally caught up and doctors, while not allowed to prescribe medical marijuana, are now able to discuss it openly with their patients and include the possibility of using marijuana as part of an effective treatment plan for patients with qualifying conditions.
Regrettably, the federal government continues to curtail the valuable research that would help confirm or dispel the wealth of anecdotal evidence about the efficacy of medical marijuana. And because the federal government is currently disinclined to support research for the benefits of medical jane, the men and women of the military suffer needlessly.
These are just some of the ways our military service members are suffering because of the classification of marijuana on the federal level:
- Left with risky treatment options, such as opioid medications.
- Unable to consider effective cannabis-based treatment options while serving actively.
- Unable to receive government-provided VA treatment with cannabis as a veteran, even in states where medical marijuana is allowed.
- The government will not pay for medical marijuana prescriptions even when it may be the most effective treatment for a soldier’s condition and offer minimal risk to the soldier.
Today, the benefits of medical marijuana are becoming more widely known and understood. But currently, many of the men and women who serve our country in the military are unable to access medical cannabis — individuals who may reap the herb’s benefits. The treatment could potentially save lives, alter life paths and help people suffering from chronic pain, PTSD, cancer and a wide variety of other mental and physical health conditions.
The push for medical marijuana on the federal level is growing. It may only be a matter of time before the government relents and either allows for greater study, at the federal level, of the potential health benefits medical marijuana represents, or legalizes medical jane on the national level, ending the debate once and for all.
Learn More About Medical Marijuana
If you are interested in learning more about medical cannabis, MarijuanaDoctors.com is a comprehensive source of medical marijuana knowledge and resources for physicians, dispensaries, patients and — depending on your state of residence — soon-to-be patients. Patients and caregivers can search for a marijuana doctor or find a cannabis dispensary in our comprehensive directories.