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An Ethical Framework to Manage Patient Requests for Medical Marijuana
Michael Redinger1, Nicole Fledderman2, Parker Crutchfield2
1From the Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI. Michael.redinger@med.wmich.edu.
Journal of the American Board of Family Medicine : JABFM
|January 8, 2020
Summary
Physicians face ethical challenges when patients seek medical marijuana access due to conflicting state and federal laws. This article offers a framework to guide physicians through these complex medical marijuana requests.
Area of Science:
- Medical Ethics
- Pharmacology
- Public Health Policy
Background:
- Increasing state-level legalization of medical marijuana contrasts with federal criminalization and FDA Schedule I status.
- Physician involvement is often required for patient access to medical marijuana in legal states.
- Physicians may encounter ethical objections or scientific uncertainty regarding medical marijuana efficacy and safety.
Purpose of the Study:
- To address the ethical quandary faced by physicians when patients request assistance with medical marijuana access.
- To provide an ethical framework to guide physicians in managing these patient requests.
- To consider the multifaceted factors influencing physician decisions regarding medical marijuana.
Main Methods:
- Ethical analysis of the physician's role in medical marijuana access.
- Review of legal, regulatory, and scientific factors impacting clinical practice.
- Development of a structured ethical framework for physician guidance.
Main Results:
- Identifies the core ethical conflict arising from differing legal statuses and scientific evidence.
- Highlights the physician's responsibility in navigating patient requests for medical marijuana.
- Proposes a framework to support ethical decision-making in this evolving area.
Conclusions:
- Physicians require clear ethical guidance to manage patient requests for medical marijuana.
- An ethical framework can help physicians balance patient needs with professional obligations and legal complexities.
- This guidance is crucial for ensuring responsible patient care in the context of medical marijuana.
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