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- In Debate Over Legalizing Marijuana, Disagreement Over Drug’s Dangers
In Their Own Words: Supporters and Opponents of Legalization
Table of contents.
- About the Survey
Survey Report
Public opinion about legalizing marijuana, while little changed in the past few years, has undergone a dramatic long-term shift. A new survey finds that 53% favor the legal use of marijuana, while 44% are opposed. As recently as 2006, just 32% supported marijuana legalization, while nearly twice as many (60%) were opposed.
Millennials (currently 18-34) have been in the forefront of this change: 68% favor legalizing marijuana use, by far the highest percentage of any age cohort. But across all generations –except for the Silent Generation (ages 70-87) – support for legalization has risen sharply over the past decade.
The latest national survey by the Pew Research Center, conducted March 25-29 among 1,500 adults, finds that supporters of legalizing the use of marijuana are far more likely than opponents to say they have changed their mind on this issue.
Among the public overall, 30% say they support legalizing marijuana use and have always felt that way, while 21% have changed their minds; they say there was a time when they thought it should be illegal. By contrast, 35% say they oppose legalization and have always felt that way; just 7% have changed their minds from supporting to opposing legalization.
When asked, in their own words, why they favor or oppose legalizing marijuana, people on opposite sides of the issue offer very different perspectives. But a common theme is the danger posed by marijuana: Supporters of legalization mention its perceived health benefits, or see it as no more dangerous than other drugs. To opponents, it is a dangerous drug, one that inflicts damage on people and society more generally.
The most frequently cited reasons for supporting the legalization of marijuana are its medicinal benefits (41%) and the belief that marijuana is no worse than other drugs (36%) –with many explicitly mentioning that they think it is no more dangerous than alcohol or cigarettes.
With four states and Washington, D.C. having passed measures to permit the use of marijuana for personal use, 27% of supporters say legalization would lead to improved regulation of marijuana and increased tax revenues. About one-in-ten (12%) cite the costs and problems of enforcing marijuana laws or say simply that people should be free to use marijuana (9%).
Why Should Marijuana Be Legal? Voices of Supporters
Main reason you support legalizing use of marijuana…
“My grandson was diagnosed with epilepsy a year ago and it has been proven that it helps with the seizures.” Female, 69
“I think crime would be lower if they legalized marijuana. It would put the drug dealers out of business.” Female, 62
“Because people should be allowed to have control over their body and not have the government intervene in that.” Male, 18
“I think that we would have more control over it by allowing a federal agency to tax and regulate it like alcohol.” Male, 25
The most frequently mentioned reason why people oppose legalization is that marijuana generally hurts society and is bad for individuals (43% say this). And while many supporters of legalization say that marijuana is less dangerous than other drugs, 30% of opponents have the opposite view: They point to the dangers of marijuana, including the possibility of abuse and addiction.
About one-in-five opponents of legalization (19%) say marijuana is illegal and needs to be policed, 11% say it is a gateway to harder drugs and 8% say it is especially harmful to young people. A small share of opponents (7%) say that while the recreational use of marijuana should be illegal, they do not object to legalizing medical marijuana. 1
Why Should Marijuana Be Illegal? Voices of Opponents
Main reason you oppose legalizing use of marijuana…
“It’s a drug and it has considerable side effects. It should not be used recreationally, only for medicinal use.” Female, 20
“It’s a drug that makes you stupid. It affects your judgment and motor skills and in the long term it makes you lazy.” Male, 52
“It gets too many people on drugs. It would put too many drugs on the street, we don’t need that.” Male, 84
“I’m thinking of my child. I don’t want her to try this. I know it’s not good for her health or brain.” Female, 33
“We have enough addictive things that are already legal. We don’t need another one.” Male, 42
Current Opinion on Legalizing Marijuana
The pattern of opinion about legalizing marijuana has changed little in recent years. Beyond the wide generation gap in support for legalization, there continue to be demographic and partisan differences.
Majorities of blacks (58%) and whites (55%) favor legalizing marijuana, compared with just 40% of Hispanics. Men (57% favor) continue to be more likely than women (49%) to support legalization.
Nearly six-in-ten Democrats (59%) favor legalizing the use of marijuana, as do 58% of independents. That compares with just 39% of Republicans.
Both parties are ideologically divided over legalizing marijuana. Conservative Republicans oppose legalizing marijuana by roughly two-to-one (65% to 32%); moderate and liberal Republicans are divided (49% favor legalization, 50% are opposed).
Among Democrats, 75% of liberals say the use of marijuana should be legal compared with half (50%) of conservative and moderate Democrats.
Other Opinions: Federal Enforcement of Marijuana Laws
The new survey also finds that as some states have legalized marijuana – placing them at odds with the federal prohibition against marijuana – a majority of Americans (59%) say that the federal government should not enforce laws in states that allow marijuana use; 37% say that they should enforce these laws. Views on federal enforcement of marijuana laws are unchanged since the question was first asked two years ago.
In contrast to overall attitudes about the legal use of marijuana, there are only modest differences in views across partisan groups: 64% of independents, 58% of Democrats and 54% of Republicans say that the federal government should not enforce federal marijuana laws in states that allow its use.
A substantial majority of those who say marijuana should be legal (78%) do not think the federal government should enforce federal laws in states that allow its use. Among those who think marijuana should be illegal, 59% say there should be federal enforcement in states that allow marijuana use, while 38% say there should not be.
Concerns About Marijuana Use
While most Americans support legalizing marijuana, there are concerns about public use of the drug, if it were to become legal. Overall, 62% say that if marijuana were legal it would bother them if people used it in public; just 33% say this would not bother them. Like overall views of legalizing marijuana, these views have changed little in recent years.
There is less concern about the possibility of a marijuana-related business opening legally in people’s own neighborhood: 57% say it would not bother them if a store or business selling marijuana opened legally in their neighborhood, while 41% say this would bother them.
And just 15% say they would be bothered if people used marijuana in their own homes; 82% say this would not bother them.
As might be expected, there are sharp differences in these concerns between people who favor and oppose legalizing marijuana. A large majority of opponents of marijuana legalization (85%) say they would be bothered by public use of the drug, if it were legal; about four-in-ten supporters (43%) also say they would be bothered by this. On the other hand, a majority of opponents of legalization (65%) say they would not be bothered if people used marijuana in their own homes; virtually all supporters of legalization (97%) would not be bothered by this.
And while 77% of those who oppose legalizing marijuana say, if it were legal, they would be bothered if a store or business selling marijuana opened in their neighborhood, just 12% of supporters of legalization say this would bother them.
About Half Say They Have Tried Marijuana
Overall, 49% say they have ever tried marijuana, while 51% say they have never done this. Self-reported experience with marijuana has shown no change over the past two years, but is higher than it was early last decade: In 2003, 38% said they had tried marijuana before, while 61% said they had not.
About a quarter of those who have tried marijuana (12% of the public overall) say they have used marijuana in the past year. Similar percentages reported using marijuana in the prior 12 months in two previous surveys, conducted in February 2014 and March 2013.
Men (56%) are 15 points more likely than women (41%) to say they have ever tried marijuana.
About half of whites (52%) and blacks (50%) say they have tried marijuana before. Among Hispanics, 36% say they have tried marijuana, while 63% say they have not.
Across generations, 59% of Baby Boomers say they’ve tried marijuana before; this compares with 47% of Generation Xers and 52% of Millennials. Among those in the Silent generation, only 19% say they have ever tried marijuana. Nearly a quarter of Millennials (23%) say they have used the drug in the past year, the highest share of any age cohort.
There is little difference in the shares of Democrats (48%) and Republicans (45%) who say they’ve tried marijuana. However, there are differences within each party by ideology. By a 61%-39% margin, most conservative Republicans say they have never tried marijuana. Among moderate and liberal Republicans, about as many say they have (52%) as have not (48%) tried marijuana before.
Among Democrats, liberals (58%) are more likely than conservatives and moderates (42%) to say they’ve tried marijuana.
While a majority of those who say marijuana should be legal say they’ve tried the drug before (65%), 34% of those who support legalization say they’ve never tried marijuana. Among those who say marijuana should be illegal, 29% say they have tried it before, while 71% say they have not.
- These are volunteered responses among those who oppose legalizing marijuana. A 2013 poll found that, among the public overall, 77% said that marijuana had “legitimate medical uses.” ↩
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Most americans favor legalizing marijuana for medical, recreational use, most americans now live in a legal marijuana state – and most have at least one dispensary in their county, americans overwhelmingly say marijuana should be legal for medical or recreational use, clear majorities of black americans favor marijuana legalization, easing of criminal penalties, most popular, report materials.
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Home Essay Samples Law Marijuana Legalization
Exploring the Concerns: Reasons Why Marijuana's Should Not Be Legal
Table of contents, health risks and safety concerns, impaired driving and public safety, social and economic impacts, legal and regulatory challenges, conclusion: proceeding with caution.
- Hasin, D. S., Saha, T. D., Kerridge, B. T., Goldstein, R. B., Chou, S. P., Zhang, H., ... & Grant, B. F. (2015). Prevalence of marijuana use disorders in the United States between 2001-2002 and 2012-2013. JAMA Psychiatry, 72(12), 1235-1242.
- National Academies of Sciences, Engineering, and Medicine. (2017). The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research. National Academies Press.
- National Highway Traffic Safety Administration. (2020). Drug and Alcohol Crash Risk. Traffic Safety Facts Research Note.
- Hall, W., & Lynskey, M. (2016). Why it is probably too soon to assess the public health effects of legalisation of recreational cannabis use in the USA. The Lancet Psychiatry, 3(9), 900-906.
- Schleider, L. B., Mechoulam, R., & Lederman, V. (2020). Cannabidiol, a Cannabis sativa constituent, as an anxiolytic drug. Brazilian Journal of Psychiatry, 42(2), 102-103.
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- v.110(6); Nov-Dec 2013
More Reasons States Should Not Legalize Marijuana: Medical and Recreational Marijuana: Commentary and Review of the Literature
Recent years have seen substantial shifts in cultural attitudes towards marijuana for medical and recreational use. Potential problems with the approval, production, dispensation, route of administration, and negative health effects of medical and recreational marijuana are reviewed. Medical marijuana should be subject to the same rigorous approval process as other medications prescribed by physicians. Legalizing recreational marijuana may have negative public health effects.
Introduction
Recent years have seen a cultural shift in attitudes towards marijuana. At the time of this writing, medical marijuana is legal in 20 states and the District of Columbia; recreational marijuana is now legal in Washington and Colorado. A substantial and growing literature documents legalized marijuana may have adverse effects on individual and public health.
Medical Use of Marijuana
The term ‘medical marijuana’ implies that marijuana is like any other medication prescribed by a physician. Yet the ways in which medical marijuana has been approved, prescribed, and made available to the public are very different from other commercially available prescription drugs. These differences pose problems unrecognized by the public and by many physicians.
Lack of Evidence for Therapeutic Benefit
In the United States, commercially available drugs are subject to rigorous clinical trials to evaluate safety and efficacy. Data appraising the effectiveness of marijuana in conditions such as HIV/AIDS, epilepsy, and chemotherapy-associated vomiting is limited and often only anecdotal. 1 , 2 To date, there has been only one randomized, double-blind, placebo- and active-controlled trial evaluating the efficacy of smoked marijuana for any of its potential indications, which showed that marijuana was superior to placebo but inferior to Ondansetron in treating nausea. 3 Recent reviews by the Cochrane Collaboration find insufficient evidence to support the use of smoked marijuana for a number of potential indications, including pain related to rheumatoid arthritis, 4 dementia, 5 ataxia or tremor in multiple sclerosis, 6 and cachexia and other symptoms in HIV/AIDS. 2 This does not mean, of course, that components of marijuana do not have potential therapeutic effects to alleviate onerous symptoms of these diseases; but, given the unfavorable side effect profile of marijuana, the evidence to justify use in these conditions is still lacking.
Contamination, Concentration & Route of Administration
Unlike any other prescription drug used for medical purposes, marijuana is not subject to central regulatory oversight. It is grown in dispensaries, which, depending on the state, have regulatory standards ranging from strict to almost non-existent. The crude marijuana plant and its products may be contaminated with fungus or mold. 7 This is especially problematic for immunocompromised patients, 8 including those with HIV/AIDS or cancer. 9 Furthermore, crude marijuana contains over 60 active cannabinoids, 10 few of which are well studied. Marijuana growers often breed their plants to alter the concentrations of different chemicals compounds. For instance, the concentration of tetrahydrocannabinol (THC), the principal psychoactive ingredient, is more than 20-fold more than in marijuana products used several decades ago. Without rigorous clinical trials, we have no way of knowing which combinations of cannabinoids may be therapeutic and which may be deleterious. As marijuana dispensaries experiment by breeding out different cannabinoids in order to increase the potency of THC, there may be unanticipated negative and lasting effects for individuals who smoke these strains.
Marijuana is the only ‘medication’ that is smoked, and, while still incompletely understood, there are legitimate concerns about long-term effects of marijuana smoke on the lungs. 11 , 12 Compared with cigarette smoke, marijuana smoke can result in three times the amount of inhaled tar and four times the amount of inhaled carbon-monoxide. 13 Further, smoking marijuana has been shown to be a risk factor for lung cancer in many 14 , 15 but not all 16 studies.
High Potential for Diversion
In some states, patients are permitted to grow their own marijuana. In addition to contributing to problems such as contamination and concentration as discussed above, this practice also invites drug diversion. Patients seeking to benefit financially may bypass local regulations of production and sell home-grown marijuana at prices lower than dispensaries. We do not allow patient to grow their own opium for treatment of chronic pain; the derivatives of opium, like marijuana, are highly addictive and thus stringently regulated.
Widespread “Off-label” Use
FDA-approved forms of THC (Dronabinol) and a THC-analog (Nabilone), both available orally, already exist. Indications for these drugs are HIV/AIDS cachexia and chemotherapy-associated nausea and vomiting. Unlike smoked, crude marijuana, these medications have been subject to randomized, placebo-controlled, clinical trials. Yet despite these limited indications where marijuana compounds have a proven but modest effect in high-quality clinical trials, medical marijuana is used overwhelmingly for non-specific pain or muscle spasms. Recent data from Colorado show that 94% of patients with medical marijuana cards received them for treatment of “severe pain.” 17 Similar trends are evident in California. 18 Evidence for the benefit of marijuana in neuropathic pain is seen in many 19 - 21 but not all 22 clinical trials. There is no high-quality evidence, however, that the drug reduces non-neuropathic pain; this remains an indication for which data sufficient to justify the risks of medical marijuana is lacking. 4 , 23 – 25
If marijuana is to be ‘prescribed’ by physicians and used as a medication, it should be subject to the same rigorous approval process that other commercially available drugs undergo. Potentially therapeutic components of marijuana should be investigated, but they should only be made available to the public after adequately powered, double-blind, placebo-controlled trials have demonstrated efficacy and acceptable safety profiles. Furthermore, these compounds should be administered in a way that poses less risk than smoking and dispensed via standardized and FDA-regulated pharmacies to ensure purity and concentration. Bypassing the FDA and approving ‘medicine’ at the ballot box sets a dangerous precedent. Physicians should be discouraged from recommending medical marijuana. Alternatively, consideration can be given to prescribing FDA-approved medicines (Dronabinol or Cesamet) as the purity and concentration of these drugs are assured and their efficacy and side effect profiles have been well documented in rigorous clinical trials.
Recreational Marijuana
The question of recreational marijuana is a broader social policy consideration involving implications of the effects of legalization on international drug cartels, domestic criminal justice policy, and federal and state tax revenue in addition to public health. Yet physicians, with a responsibility for public health, are experts with a vested interest in this issue. Recent legislation, reflecting changes in the public’s attitudes towards marijuana, has permitted the recreational use of marijuana in Colorado and Washington. Unfortunately, the negative health consequences of the drug are not prominent in the debate over legalizing marijuana for recreational use. In many cases, these negative effects are more pronounced in adolescents. A compelling argument, based on these negative health effects in both adolescents and adults, can be made to abort the direction society is moving with regards to the legalization of recreational marijuana.
Myth: Marijuana is Not Addictive
A growing myth among the public is that marijuana is not an addictive substance. Data clearly show that about 10% of those who use cannabis become addicted; this number is higher among adolescents. 26 Users who seek treatment for marijuana addiction average 10 years of daily use. 27 A withdrawal syndrome has been described, consisting of anxiety, restlessness, insomnia, depression, and changes in appetite 28 and affects as many as 44% of frequent users, 29 contributing to the addictive potential of the drug. This addictive potential may be less than that of opiates; but the belief, especially among adolescents, that the drug is not addictive is misguided.
Schizophrenia and Other Psychotic Disorders
Marijuana has been consistently shown to be a risk factor for schizophrenia and other psychotic disorders. 30 – 32 The association between marijuana and schizophrenia fulfills many, but not all, of the standard criteria for the epidemiological establishment of causation, including experimental evidence, 33 , 34 temporal relationship, 35 – 38 biological gradient, 30 , 31 , 39 and biological plausibility. 40 Genetic variation may explain why marijuana use does not strongly fulfill remaining criteria, such as strength of association and specificity. 41 , 42 As these genetic variants are explored and further characterized, marijuana use may be shown to cause or precipitate schizophrenia in a genetically vulnerable population. The risk of psychotic disorder is more pronounced when marijuana is used at an earlier age. 32 , 43
There is some evidence that compounds naturally found in marijuana have therapeutic benefit for symptoms of diseases such as HIV/AIDS, multiple sclerosis, and cancer. If these compounds are to be used under the auspices of ‘medical marijuana,’ they should undergo the same rigorous approval process that other medications prescribed by physicians, including randomized, placebo- and active-controlled trials to evaluate safety and efficacy, not by popular vote or state legislature.
Effects on Cognition
Early studies suggested cognitive declines associated with marijuana (especially early and heavy use); these declines persisted long after the period of acute cannabis intoxication. 44 – 46 Recently, Meier and colleagues analyzed data from a prospective study which followed subjects from birth to age 38; their findings yielded supportive evidence that cannabis use, when begun during adolescence, was associated with cognitive impairment in multiple areas, including executive functioning, processing speed, memory, perceptual reasoning, and verbal comprehension. 47 Rogeberg 48 criticized the study’s methodology, claiming that the results were confounded by differences in socioeconomic status; this claim, however, was based on sub-analyses that used very small numbers. Additional sub-analyses 49 of the original study cohort showed that marijuana was just as prevalent in populations of higher socioeconomic status, suggesting that socioeconomic status was not a confounding variable. Any epidemiological study is subject to confounding biases and future research will be needed to clarify and quantify the relationship between cognitive decline and adolescent marijuana use. However, the findings of the original study by Meier et al show there is indeed an independent relationship between loss of intelligence and adolescent marijuana use. This finding, moreover, is consistent with prior studies. 44
Other Negative Health Effects
Substantial evidence exists suggesting that marijuana is harmful to the respiratory system. It is associated with symptoms of obstructive and inflammatory lung disease, 11 , 50 an increased risk of lung cancer, 14 , 15 and it is suspected to be associated with reduced pulmonary function in heavy users. 51 Further, its use has been associated with harmful effects to other organ systems, including the reproductive, 52 gastrointestinal, 53 and immunologic 10 , 54 systems.
Social Safety Implications: Effects on Driving
Marijuana impairs the ability to judge time, distance, and speed; it slows reaction time and reduces ability to track moving objects. 55 , 56 In many studies of drug-related motor vehicle fatalities, marijuana is the most common drug detected except for alcohol. 57 , 58 Based on post-mortem studies, Couch et al determined that marijuana was likely an impairing factor in as many fatal accidents as alcohol. 59 One study showed that in motor vehicle accidents where the driver was killed, recent marijuana use was detected in 12% of cases. 57 Other research confirms a significantly increased risk of motor vehicle fatalities in association with acute cannabis intoxication. 60
Risk Perception and Use in Adolescents
Marijuana use among adolescents has been increasing. Data that has tracked risk perception and use of marijuana among adolescents over decades clearly shows an inverse relationship; as adolescent risk perception wanes, marijuana use increases. 61 As more states legalize medical and recreational marijuana, risk perception is expected to decrease, causing the prevalence of use among adolescent to continue to rise. This is among the most concerning of issues about the drug’s legalization because so many of the negative effects of marijuana—including cognitive impairment and risk for short- and long-term psychosis— are heightened when used during adolescence.
There is some evidence that compounds naturally found in marijuana have therapeutic benefit for symptoms of diseases such as HIV/AIDS, multiple sclerosis, and cancer. If these compounds are to be used under the auspices of ‘medical marijuana,’ they should undergo the same rigorous approval process that other medications prescribed by physicians, including randomized, placebo- and active-controlled trials to evaluate safety and efficacy, not by popular vote or state legislature. Furthermore, these therapeutic compounds should be administered via a route that minimizes long-term health risk (i.e., via oral pill) and should be dispensed by centrally regulated pharmacies to ensure the purity and concentration of the drug and allow for the recall of contaminated batches.
Marijuana for recreational use will have many adverse health effects. The drug is addictive, with mounting evidence for the existence of a withdrawal syndrome. Furthermore, it has been shown to have adverse effects on mental health, intelligence (including irreversible declines in cognition), and the respiratory system. Driving while acutely intoxicated with marijuana greatly increases the risk of fatal motor vehicle collision. Legalization for recreational use may have theoretical (but still unproven) beneficial social effects regarding issues such as domestic criminal justice policy, but these effects will not come without substantial public health and social costs. Currently there is a lack of resources devoted to educating physicians about this most commonly used illicit substance. The potential benefits and significant risks associated with marijuana use should be taught in medical schools and residency programs throughout the country.
Samuel T. Wilkinson, MD, is in the Department of Psychiatry at the Yale School of Medicine, New Haven, Ct.
Contact: [email protected]
None reported.
Home / Essay Samples / Law / Marijuana Legalization / Why Marijuanas Should Not Be Legal
Why Marijuanas Should Not Be Legal
- Category: Social Issues , Health , Law
- Topic: Controversial Issue , Marijuana , Marijuana Legalization
Pages: 4 (1643 words)
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- Britannica, The Editors of Encyclopaedia. “Marijuana.” Encyclopædia Britannica, Encyclopædia Britannica, Inc., 14 Feb. 2019, www.britannica.com/science/marijuana.
- Chipman, Alex. “5 Reasons Marijuana Should Remain Illegal.” CALM USA, CALM USA, 29 June 2016, calmca.org/calmcablog/2016/6/29/5-reasons-marijuana-should-remain-illegal.
- Hartig, Hannah, and Abigail Geiger. “62% Of Americans Favor Legalizing Marijuana.” Pew Research Center, Pew Research Center, 8 Oct. 2018, www.pewresearch.org/fact-tank/2018/10/08/americans-support-marijuana-legalization/.
- Jacques, Renee. “This Is Why Marijuana Should Be Legal Everywhere.” The Huffington Post, TheHuffingtonPost.com, 7 Dec. 2017, www.huffingtonpost.com/2013/10/24/marijuana-legalization_n_4151423.html.
- “Marijuana Legalization and Regulation.” Drug Policy Alliance, www.drugpolicy.org/issues/marijuana-legalization-and-regulation.
- “Marijuana.” MedlinePlus, U.S. National Library of Medicine, 5 Feb. 2019, medlineplus.gov/marijuana.html.
- “Marijuana.” NIDA for Teens, 1 May 2017, teens.drugabuse.gov/drug-facts/marijuana.
- “Marijuana: Know the Facts, Connect with Resources - Parent Drug Guide.” Where Families Find Answers on Substance Use | Partnership for Drug-Free Kids, drugfree.org/drug/marijuana/.
- Morrow, Angela. “The Debate Over the Legalization of Marijuana for Medical Use.” Verywell Health, Verywellhealth, www.verywellhealth.com/what-are-the-pros-and-cons-of-medical-marijuana-1132484.
- National Institute on Drug Abuse. “Marijuana.” NIDA, www.drugabuse.gov/publications/drugfacts/marijuana.
- “What Is Marijuana? | FAQs | Marijuana | CDC.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, www.cdc.gov/marijuana/faqs/what-is- marijuana.html.
- Zive, Carly. “Marijuana Should Stay Illegal.” Eastside, eastside-online.org/opinions/marijuana-should-stay-illegal/.
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