Mr. Chairman, I move to strike the last word. Mr. Chair, I have listened over the years to my good friend from Virginia, my friend from New York, and Mr. Smith from Washington advance this issue. I think maybe now is the time for us to…
Mr. Chairman, I move to strike the last word.
Mr. Chair, I have listened over the years to my good friend from Virginia, my friend from New York, and Mr. Smith from Washington advance this issue. I think maybe now is the time for us to address this, if only as a going-away present. Because this is the last time Mr. Moran is going to be able to offer this. Since he has decided to leave us for greener pastures someplace else, I think it would be fitting for us to address this directly.
I have great respect for my dear friend from the State of Texas who talks about what the people he represents feel about this issue; and I, with all due respect, wonder if the conversations with his constituents in Texas were like the conversations I have with my constituents in Oregon, if people knew that we are spending eight times as much to incarcerate these people as if they were in other Federal facilities.
The gentleman from Virginia talks about the space that is available now in terms of Federal facilities. Do people know that we have convicted hundreds of people suspected of terrorists acts and, under the provisions of the military tribunal, none? What do our constituents really want if they knew that fact?
The sad truth is that Americans are at greater risk because of our reckless behavior failing to close this sad chapter. The vast majority of these people probably don't pose a risk, and they certainly wouldn't pose a risk incarcerated in our maximum security facilities in the United States.
It is time to close this facility, to honor the rule of law. It strengthens our position internationally, it saves money, and it allows us to actually get some of these people who may be bad guys actually convicted.
Military tribunal doesn't work. Our courts do.
I hope that we will step up, do the right thing, approve this amendment, and give Mr. Moran a going-away present as he leaves Congress.
Mr. Chairman, I yield back the balance of my time.
Mr. Chairman, I demand a recorded vote.
Mr. Chairman, I have an amendment at the desk.
Mr. Chairman, I deeply appreciate the hard work of the committee to make sure that our veterans are properly cared for. They deserve our best.
Too many are returning from Iraq and Afghanistan with obvious wounds--missing limbs. But over 2.3 million are returning suffering from wounds that are not visible. They are suffering from depression and PTSD. That is why we lose 22 veterans per day who take their lives, long since outnumbering the battlefield deaths. They deserve our best.
Over 100 million people reside in the 21 States, including your home State of California, which was the first to legalize medical marijuana. Twenty-one States and the District of Columbia passed laws that provide for legal access to medical marijuana. As a result, as I say, over 1 million people now have access to it, including many of our veterans who use medical marijuana at the recommendation of their physician to treat conditions ranging from seizures, glaucoma, anxiety, chronic pain, and the symptoms associated with chemotherapy. There are also nine States, including my home State of Oregon, that now allow physicians to recommend medical marijuana for the symptoms of posttraumatic stress disorder.
I have heard those stories myself. I will enter into the Record one story that was in the NBC News on April 1 about marine veteran Logan Edwards, who describes how access to medical marijuana may have saved his life.
`Out of Options': Veterans With PTSD Hit Pot Underground
(By Bill Briggs)
[From NBC News, Apr. 1, 2014]
Marine veteran Logan Edwards worried he could become one of
the 22 former members of the armed services who, on average,
commit suicide every day.
Then, he says, he tried marijuana.
Edwards, who served eight months in Iraq, is one of an
unknown number of veterans who have turned to marijuana to
manage Post Traumatic Stress Disorder, which may afflict as
much as 20 percent of veterans from the wars in Iraq and
Afghanistan, according to experts. The Department of Veterans
Affairs doesn't let its doctors prescribe weed, so the former
service members buy it illegally, fib to their doctors,
accept it as a gift, or grow it themselves.
In Edwards' case, he says the drug may have saved his life.
``The first time I used it, I wanted to cry. Because it
took away my anxiety. Because it did everything for me that
the Oxycontin, benzodiazepines and anti-depressants the VA
prescribed me for three years did not do,'' said Edwards, 26,
a resident of Davenport, Iowa. His symptoms--an unrelenting
``hyper-vigilance,'' insomnia and nightmares--emerged ``the
moment we walked off the plane'' in 2008.
``I can function completely fine all day just by using
cannabis. I'm back in school. My attendance is good. My
grades are good. My relationships have healed,'' added the
former Marine. ``It allowed me to get my life back.''
In a March 12 letter, federal health officials approved a
long-delayed study to explore if pot relieves PTSD. But
doctors employed by the VA are banned from prescribing
medical marijuana--and from completing forms that allow
veterans to enroll in medical-marijuana programs. While
medical weed is legal in 20 states, only eight states
recognize PTSD as a qualifying condition for which physicians
can write cannabis prescriptions.
``. . .Due to the way the federal government and the state
want to handle this medical marijuana issue, I still am
forced to spend time away from family, treating these wounds
of war.''
Across that tangled post-war legal landscape, thousands of
combat veterans are tapping underground sources to buy
bootleg marijuana to self-treat PTSD. And in 12 states where
the drug is legal but prohibited for PTSD, many are lying to
doctors that they need medical weed for allowable conditions
like chronic pain, advocates assert. Meantime, vast numbers
of other veterans can't find it, can't afford it, abuse
alcohol to self-medicate, or rely on conventional VA drugs.
``My brothers are killing themselves because they're out of
options,'' Edwards said. ``These VA pharmaceuticals only
exacerbate the problem. The listed side effects on (some) of
the bottles say: `Will increase suicidal ideation.' So the
suicide rate is really what this comes down to.''
U.S. Army veteran Tom Studley, 28, served as a machine
gunner in Iraq for 15-months. He returned to civilian life
with chronic back pain and was diagnosed with PTSD. Studley
was prescribed numerous pharmaceuticals, but he said that by
inhaling marijuana with a vaporizer, he's been able to stop
using those drugs. Here, Studley stands in the shed where he
grows some of the 15 plants he's legally allowed as a medical
marijuana patient in Washington state in Nov. 2011.
With marijuana federally classified as a Schedule I
controlled substance (like heroin and LSD), VA physicians
``will not provide
for use,'' said Gina Jackson, a VA public affairs officer. At
the same time, veterans who participate in legal, medical-
marijuana programs ``will not be denied access to care for VA
clinical programs but should be assessed for misuse, adverse
effects, and withdrawal.''
The possibility of federal drug monitoring--plus fears of
losing VA benefits and the threat of legal trouble--has
driven scores of veterans to secretly use marijuana for
decades to address their PTSD symptoms, several veterans
said.
``Us veterans have already conducted tests on pot and
PTSD--and it works!'' said Vietnam veteran Bob Walker, 69.
``It's nice to see the feds playing catch up.''
PTSD expert Dr. Harry Croft, a San Antonio-based
psychiatrist who has treated veterans for combat-related
anxiety and substance abuse, applauds the federally approved
investigation.
``We owe it to our veterans with this condition,'' Croft
said. ``Unfortunately, present treatment options are not
helpful to many veterans and, therefore, other newer options
should be scientifically explored, including medical
marijuana.''
At Walker's home in Northern California, he ingests pot via
a vaporizer each night before bed. A Marine veteran grows
that marijuana and supplies it free to Walker and a local
network of other Vietnam vets. Diagnosed with PTSD, Walker
tried VA-prescribed Xanax and anti-depressants but found he
could not function on the pharmaceuticals. About 15 years
ago, he said, a VA counselor quietly suggested Walker use
cannabis to relieve his insomnia, anxiety, stuttering and
cold sweats.
``It solved a big problem for me. You feel, well,
lighter,'' said Walker, a former Army aircraft mechanic who
served in Vietnam in 1965 and 1966, watching his best friend
die in a chopper crash. ``Probably 60 to 70 percent of the
vets I know use marijuana for stress reduction and sleep.
It's their baseline medication.''
``I'm back in school. My attendance is good. My grades are
good. My relationships have healed. It allowed me to get my
life back.''
Near Denver, retired Marine and Iraq veteran Sean Azzariti,
32, sees roughly the same rate of pot use among ex-service
members with PTSD. He, too, was diagnosed with the disorder.
But in Colorado, PTSD is not a qualifying condition under
which private doctors can prescribe cannabis to veterans. So,
for four years, Azzariti could not tell his physician the
real reason he needed cannabis and instead said the
prescription would help treat chronic nausea.
Simply because of that forced ruse, pro-marijuana advocates
ensured Azzarti was the first customer in Colorado to buy
legal weed on Jan. 1 when the state began allowing anyone 21
and older to purchase pot. He paid $70 for a strain called
Bubba Kush and pot-infused candy truffles.
``If veterans had another avenue (to treat PTSD), most
would take that and it would save lives. I wouldn't be
talking to you if I didn't have cannabis,'' said Azzariti,
who smokes daily to manage his symptoms. ``Veterans have been
ignored for 30 years, denied what they truly need to heal.
Vietnam veterans could have told us this stuff works.
``That's why I'm open about using it. Sure, there's a
chance I'll lose my $120-a-month (VA) disability benefits.
But that's a small sacrifice to save one life and potentially
change the world,'' Azzariti said. ``With all of these people
coming home from war, (the PTSD and veteran-suicide crises)
are only going to get worse. How are we going to treat that?
We can't just keep throwing pills at people.''
Near Seattle, Iraq veteran Tom Studley, 28, stopped
swallowing pharmaceuticals for his PTSD symptoms four years
ago and instead, he said, gained inner peace by smoking,
vaporizing and eating marijuana.
`The anxiety begins to go away pretty quick and stays away
for a while,'' said Studley, who served as an Army machine
gunner.
After returning, he was prescribed muscle relaxants,
Percocet and methadone for chronic back pain plus Trazodone,
Celexa and hydroxyzine pamoate for sleep and anxiety. On his
property, Studley now grows, harvests and uses cannabis from
his 15 marijuana plants--a legal crop in Washington State.
``I feel,'' he said, ``less out of control.''
In Iowa, Marine veteran Edwards is taking control--but with
a painful plan.
In May, he will move to Colorado, away from his girlfriend
and 3-year-old daughter. He's relocating and transferring
colleges, he said, for one reason: to legally access medical
marijuana to continue managing his PTSD. He's tired of
breaking the law.
``I thought my deployment days, being away from my family,
ended when I got out of the Marine Corps. But due to the way
the federal government and the state want to handle this
medical marijuana issue, I still am forced to spend time away
from family, treating these wounds of war,'' Edwards said.
``I never thought I would have to leave the state and
community I grew up in to get access to medicine that's
working and is better for me than the FDA-approved stuff. I
never thought I would end up being a medical refugee.''
Mr. Chairman, any of my colleagues, whether they are in the State that has legalized medical marijuana or not, can find examples of veterans who are benefiting from this treatment, yet the Veterans Administration specifically prohibits its medical providers from completing forms brought by their patients seeking recommendations or opinions regarding a veteran's participation in a legal State marijuana program.
The amendment which I am offering today with Representatives Farr, Rohrabacher, and Polis is simple. It ensures that no funds be made available to the VA to implement this prohibition. The amendment would not authorize the possession or use of marijuana at VA facilities. It would simply free up VA providers to recommend medical marijuana or to provide advice upon it in accordance with State laws if they choose.
Over 20 percent of those 2.3 million American veterans suffer from PTSD or depression. While there is no single approach to aiding our veterans with PTSD, we should not use an outmoded policy to serve as a roadblock to the path to recovery. We found that there are nearly 1 million veterans who receive opiates to treat chronic painful conditions. More than half of them continue to use it chronically after the treatment regimen.
Another study found that the death rate from opiate overdoses among VA patients is twice the national average. In States where patients can legally access medical marijuana for painful conditions as an alternative, we shouldn't tie the hands of that primary provider or prevent our veterans from talking to their primary care physicians. They should not be forced outside the VA system to seek a simple recommendation or to get information about these conditions or eligible conditions granted to them by State law. Our VA physicians should not be denied the ability to offer recommendations and advice that they think meets the needs of their patients.
This shouldn't be controversial. According to a poll published in the New England Journal of Medicine, over 70 percent of physicians said they would, when appropriate, recommend the use of medical marijuana to their patients.
We all know of people with violent nausea as a result of chemotherapy. Why would you deny that to our veterans or at least being able to discuss it? Physicians who support legalizing medical marijuana nationally have exceeded 70 percent in major national polls.
This amendment simply allows veterans to consult with their primary provider, the same right enjoyed by over 100 million Americans today. I urge you to treat our veterans fairly and approve this amendment.
I yield back the balance of my time.
Will the gentleman yield?
I listened to my good friend from Texas. I am troubled here. Why would we force veterans who are entitled to veterans' health and have a primary physician that meets their needs say, sorry, you don't get it in this case, go out on your own nickel, go out and find a new doctor?
We are not talking about prescribing it. We are not talking about using it on Federal facilities. We are talking about giving access to information and having that conversation.
I dare say there is no other medical condition, if it were polio or cancer, that you would say: nope, go someplace else. Go on your own dime. Find somebody--build a relationship with someone who doesn't know your history, who hasn't seen you regularly. You are out of here.
I think that is a disservice to our veterans. I don't think it is anything that--if you talk to veterans' groups, if you talk to the people who benefit from it, that they think that they ought to be denied the ability to consult with their trusted medical provider.
Mr. Chairman, I appreciate the gentlelady's courtesy and the points that she made.
I heard my friend, the chair of the committee, talk about it being against the law. I am not aware of any place--and I would direct this to Mr. Culberson--I am not aware of any place in the statutes where it is illegal for our VA doctors to give advice to our veterans about a treatment that is legal in a State.
What we are talking about is a prohibition that is a directive, so if there is a statute, I would be interested in knowing about it; but even if it is, what if the advice that the VA doctor wants to give is don't use medical marijuana?
They know their patient. Even if it is legal in their State, they think it is not in the best interest of the patient. Your policy would prohibit that doctor from telling that patient: I think it is wrong for you, I don't think it works.
What is the wisdom of prohibiting? You are prejudging what the doctor would say. I think the doctor ought to be able to give whatever advice he or she wants to give.
I would yield to you, if the gentlelady would permit, where is it illegal under Federal law for a doctor to talk about medical marijuana or any other legal treatment?
Right. Where is it in the Federal law that it is illegal?
Where in Federal law? I haven't been able to find that. Where is it prohibited for a doctor to give advice to a patient for a treatment that is legal in their State, pro or con? Where is that illegal?
Right. Where is that illegal under Federal law?
I would like to make the point that the gentleman is wrong. I am happy for him to show us where it is prohibited for a doctor to talk about a legal State treatment. There is no Federal prohibition that we have been able to find because, if I could find it, I would introduce legislation to repeal it.
But my point obtained, what if the advice of the doctor is don't use medical marijuana, which is legal, because it is not right for you, I am your primary physician, why would you prohibit that?
I appreciate it. It is hard to improve upon your eloquence because you are speaking in favor of Dr. Fleming being able to advise a veteran, if he was back at the VA, to say don't use medical marijuana.
This directive would prohibit him from saying to his patient, no, don't do it, and reciting all the facts and figures. Why would we muzzle Dr. Fleming from his professional responsibilities, one way or another, in terms of medical marijuana?
The literature is being built. I just visited with dozens of medical professionals who want to do more research, who want to deal with this in a clinical, thoughtful way. We have got stupid Federal policies that prohibit the research. I have met with parents who have children with violent epileptic seizures, and they are moving to States in which they can get medical marijuana, because they can get it. The physicians cannot get medical marijuana to study, but it is making a difference for these families.
We just ought not to confuse what we are talking about here. We are talking about VA hospital doctors being able to do something that is not prohibited under Federal law, which is talking about the pros and cons of treatment. That ought to be our objective, and that is why this amendment should be approved.
Mr. Chairman, I demand a recorded vote.