On smoking and driving 

When is a person 'too high to drive'?

It should have been easy to see that driving under the influence was going to come up when voters gave the thumbs up to medical marijuana in Michigan. Marijuana is an intoxicant that has some effects similar to alcohol and opiates. It would seem to be a good thing for medical marijuana patients to not drive while under the influence of the medication. That's a matter of public safety, and not just because police have been reported to lay in wait near compassion centers where marijuana smoking takes place in order to arrest drivers suspected of intoxication. Other patients have been charged with DUI after having been stopped for other traffic violations and divulging that they were medical marijuana patients.

"There are some things you don't need to tell, don't have to and shouldn't," says Brandy Zink, a spokesperson for the Michigan Chapter of Americans for Safe Access, a pro-medical marijuana organization.

Hmm, maybe a variant on the old Don't Ask, Don't Tell policy for gays in the military is pertinent to the medical marijuana patient.

Zink notes that the odor of marijuana in your vehicle is probable cause for police to suspect intoxication, and the presence of marijuana might give police a clue. Either of those things could lead to a blood or urine test to figure out if you've ingested marijuana. Bad behavior might qualify you for closer scrutiny too.

This is way more complicated than it sounds and prompts a lot of questions that have not been answered on the legal tip. For instance, police test drunk-driving suspects for alcohol, the intoxicating ingredient in beer, wine and distilled spirits, in their blood. A blood alcohol content of .08 or higher makes you a drunk driver in Michigan. When it comes to marijuana, a legal limit for the presence of THC hasn't been established. What's more, the majority of marijuana tests are for metabolites created from marijuana as the body processes it; they mostly do not test for THC, the part of marijuana that gets you high. While some tests do identify the THC level, most tests are for 11-COOH-THC (also known by several other names), a byproduct metabolite that does not get you high but stays in the body much longer than the psychoactive ingredient.

Under the prohibition-zero tolerance approach, police need only prove the presence of these metabolites to establish that someone had used marijuana. This is fairly new territory. For law enforcement in the past, the focus was on arresting users for possession, not for impaired driving.

In June, the Michigan Supreme Court ruled that, for registered medical marijuana patients, the presence of byproduct metabolites was not proof of intoxication at the time of citation — although there have been cases where police have charged drivers with medical marijuana cards for the presence of marijuana metabolites other than THC in their bloodstream since then. None of them have made it to trial.

Still, how does ingesting marijuana affect driving? In the past, there was no reason to figure out a level where legal impairment begins. Now medical marijuana patients want to know: How long do I have to wait before I can drive?

There is no established level of THC at which you are legally impaired for the purpose of driving. However, there are lots of opinions by experts and others involved. Attorney Matt Abel, of Cannabis Counsel TLC, says that THC, the substance in marijuana that gets you high, is out of your bloodstream in "four to six hours, although that doesn't mean someone has to wait that amount of time before they drive."

That seems based on the alcohol model where there is an established legal level. Paul Armentano, deputy director of the National Organization for the Reform of Marijuana Laws and expert witness on marijuana science issues, begs to differ. Armentano says THC intoxication for smoked marijuana has "about a two-hour window. If administered orally, we could be talking as long as four hours. This is a subject that has been studied. I'm taking calls on this subject every day now."

Armentano has also studied up on motor impairment caused by marijuana. "Acute intoxication from marijuana that could adversely affect motor skills lasts about 60 minutes. A study published just this past year on psychomotor impairment said that experienced users of the drug really didn't perform differently after they used marijuana."

Indeed, a study published this past fall in the journal Psychopharmacology, titled "Tolerance and cross-tolerance to neurocognitive effects of THC and alcohol in heavy cannabis users," reported: "In conclusion, the present study generally confirms that heavy cannabis users develop tolerance to the impairing effects of THC on neurocognitive task performance. Yet, heavy cannabis users did not develop cross-tolerance to the impairing effects of alcohol, and the presence of the latter even selectively potentiated THC effects on measures of divided attention."

Basically, they found that while drivers who smoked marijuana did not perform that badly on driving tests, adding alcohol to the mix was really bad. Nobody is saying that it's OK to drive while impaired by marijuana. However, when compared to alcohol use, the harms were much less. Or as Abel puts it, "marijuana is way safer than alcohol."

A 2007 research report from the Society for the Study of Addiction, "Developing limits for driving under cannabis," suggests a THC level of 7 to 10 nanograms per milliliter, which is analogous to .08 percent blood alcohol content in terms of driving impairment.

But that just addresses the high. There are actually some 400 different chemicals in marijuana, and indications that some of them are useful in treating some 30 different ailments. This prompts a few more questions from Abel: "What gives you the munchies? What relieves spasm? What causes short-term memory loss?"

Good questions all. They'll be addressed soon in another column.


People's initiative:
Bringing medical marijuana to Michigan was the result of activists writing the proposed law and gathering enough signatures to put it on the ballot for a statewide vote. In short, it was a people's initiative rather than legislation from lawmakers. Well, here's another people's initiative that brought some populist justice to a pot arrest. According Montana's Billings Gazette, potential jurors staged a revolt in Missoula when the court tried to seat a jury to try a man for possession of about 1.5 grams of pot. The paper reported that one juror wondered out loud "why the county was wasting time and money prosecuting the case at all." The judge asked whether anyone else agreed, and five of 27 potential jurors raised their hands (several others had already been dismissed because they said they wouldn't convict). "I thought, 'Geez, I don't know if we can seat a jury,'" the judge said.

The judge called a recess and arranged a deal for the defendant to make an Alford Plea, which is a guilty plea in which the defendant does not admit to the act and maintains his innocence, but admits that the prosecution could probably prove the charge. The idea sounds crazy but there is a lot of legal stuff I don't understand. However, it's apparent that citizens are beginning to understand when enough is enough in the drug war.

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