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Patient limit on caregivers entices mixed reactions among marijuana stakeholders

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The Cannabis Control Commission of Massachusetts recently announced its policy to raise the patient to caregiver ratios in the state. The establishment of this ratio has received different reactions from stakeholders in the marijuana industry whereby the response to the decision has been extremely varied.

The patient: nurse dispute of Massachusetts

The conflict of the patient to nurse ratio has been an ongoing debate between marijuana stakeholders in the state of Massachusetts.

This equivocal matter has continued for more than two decades now. Consequently, these contentions have led to the conduction of an indirectly initiated state statute in the region.

In 2018, Massachusetts was asked to participate in the Nurse-Patient Assignment Limits Initiative. The purpose of this was to get the opinion of the majority on the issue.

The results of this ballot showed that about 70.24% of the ballot participants were against patient assignment limits on caregivers.

This was a huge disappointment for the Massachusetts Nurses Association, whereby by a lack of limit was sighted as a an exploitation of caregivers. Likewise, a lack of limits is also a huge risk to the well-being of the patients which subsequently puts them in harm’s way.

In comparison to this, these results were much celebrated as a victory by the Massachusetts Health and Hospital Association. The president, Steve Walsh was content with the creation of the MHHA program to address overburdened caregivers. These results had allowed hospitals to reduce their nursing staff, helping to keep their costs low.

Changing Marijuana Policies in Massachusetts

Massachusetts was among the first states to ban marijuana usage back in the day. In recent years, the state has witnessed marijuana policy revisions that have been monumental.

These years have seen the legalization of marijuana consumption at different levels across the state. 2014 allowed medicinal consumption, followed by subsequent recreational use permission in 2016.

Stakeholder groups like Cannabis Control Commission, Massachusetts Patients Advocacy Alliance, and Massachusetts Nurses Association were among the topmost supporters of this legalization initiative.

The involvement of such well-structured organizations had a massive impact on flexing marijuana policies. Their efforts finally made Massachusetts the eighteenth state to legalize the use of marijuana.

Marijuana patient limit: A Clash of interests of Stakeholders

The irony as of now is that following the public hearings held on August 3, there has been a clash of interests between the stakeholders of the marijuana industry in Massachusetts.

The reason? Contradictions relating to the patient to caregiver ratios.

According to the new policies pertaining to medical marijuana usage, the patient to caregiver ratio would now be 10:1. This means that every Medical Marijuana treatment facility will have one caregiver for accommodating patient needs.

This new development has invited mixed reactions from different stakeholders of the marijuana industry.

Changes in marijuana policies has placed 10 marijuana patients under one caregiver, worrying highly dependent patients.

For stakeholding groups like the Massachusetts Patient Advocacy Alliance, the increased ratio of medical marijuana patients to caregivers is not only going to diminish the quality of care that each patient receives, but will also increase the chances of an unregulated ‘gray market’.

The reason for this being the authority marijuana caregivers will or already have as per state laws of the region. Furthermore, some Medical Marijuana facilities also have approval to cultivate marijuana for their patients. This has become raise doubts regarding legal compliance and well will be carried out.

For the most part, the association supports multiple patients under caregivers, it is but it is particularly against the proposed limit number of ten patients. The only encouragement seen by this association is the expected reduction in marijuana costs for patients whereof caregivers will provide the drug at prices lower than pharma companies.

The current ratio of 10:1 is an encouraging figure for the nurses in the Medical Marijuana treatment centers. Consequently, it can act as a compensation to the previously faced defeat in  Nurse-Patient Assignment Limits Initiative of 2018.

With further flexibility in marijuana laws, these facilities can expect an increased percentage of patients. Regulating them with limiting the patient numbers per healthcare worker is surely going to be move in a positive direction.

 

 

A graduate in Bachelors of Business Administration, Yumna Haq is an ardent researcher and a dedicated writer. Having lived in three different counties, her cultural exposure is vast, allowing her to reflect more knowledge in her work. She's currently working for Cannabis Health Insider as a news writer.

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Recycling Of Tonnes Of Cannabis Containers

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Cannabis Recycling

Cannabis products formulations in solid, liquid, and smoke-able forms are available in the market for medical and recreational use. Marijuana products are kept under storage conditions set out by the manufacturer. 

 

Cannabis products come in containers of variable sizes and shapes. The material used to prepare containers depends upon the manufacturer’s choice and demand for the stability of marijuana products. 

ALSO READ: Cannabis Products Association With Perceived Risks And Availability

 

Recycling of containers is occurring for decades to reuse items or process used items into new ones. Doing so reduces pollution and helps to use one material multiple times. 

 

Returning And Recycling Of Cannabis Containers To SDQC

 

In less than 12 months, about 21 tonnes of empty plastic containers were sent to recycle to the SQDC. SQDC is the company that does the recycling under the name Societe Quebecoise du cannabis. It is a government-owned company. 

 

The company began its recycling package or recovery program in August 2020. Since August, a lot of plastic containers have gone through recovery programs, precisely 2291143 containers.

 

The use of cannabis products has hugely increased in the market. The number of marijuana containers purchased by consumers is likely to be much more than the number of containers send to SQDC to recycle. There is only a deposit on SQDC beverages included in the RECYCQUEBEC consignment system. 

 

However, there is no deposit on the SQDC containers in the system. Quebecers who do return pot containers do so not for money as they do not get money. They do so to keep containers away from trash.

 

According to the SDQC, the benefit of returning empty containers is that others materials cannot contaminate cannabis containers. Moreover, doing so ensures that these packaging materials do not end up in the blue boxes. Collecting these empty plastic packaging allows sending a uniform material to businesses that reuse it easily after quick processing.

 

What Happens To Marijuana Containers After Recycling

 

The Societe Quebecoise du cannabis signed a partnership with TerraCycle. TerraCycle is a U.S.-based recycling business company. The SQDC sends collected cannabis containers to TerraCycle and other such companies that are in agreement to recycle them. 

 

TerraCycle recycling business company focuses on using the used items to form urban furniture such as park benches, flower boxes, etc. According to some individuals, TerraCycle recycles bags that could have added to pollution or result in a landfill otherwise.

 

According to the Canadian press, it is uncertain what happens to those containers. It is also unclear how many of such packagings go into and out of the company. No one knows the exact number of plastic packaging required to produce urban furniture. Furthermore, there is little knowledge about other formulations that use this recyclable material. So far, there is no way to find it as the TerraCycle recycling business company does not respond to emails or phone calls as per the Canadian press. 

ALSO READ: Changes In Cannabis Proposed Ordinance By Santa Fe County Planning Commission

 

The SQDC, in a Facebook post on a page, announces that they will continue to work to improve the environment. They are working with a team of experts to develop an efficient action plan for cannabis containers and packaging recycling that is eco-friendlier. They are looking forward to going further with their environmental efforts. 

Environmentally Unsustainable?

Some people are criticizing SDQC for its products that are considered over-packaged or are environmentally unsustainable. Individuals complain that they have to wait in line to return the cannabis containers, and it would be much better if SQDC places outdoor bins in front of SQDC branches. Some individuals, while returning multiple marijuana containers, feel embarrassed. 

 

SQDC replied to these complaints and said that they are aware of the critical remarks. However, they cannot do much about it as they are to abide by the law. Placing outdoor bins cannot ensure control over the material. Outdoor recycling bins can increase the risk of accidental cannabis consumption in children and youth.  

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Pot Legal In NYC But Where To Buy Recreational Cannabis In New York

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Cannabis Companies Making Moves Before New York Begins Recreational Cannabis Sales

Pot products, including recreational cannabis and medical marijuana products, are legal in New York. The lawmakers have successfully approved the weed legalization and decriminalization bill. However, the administration working and policies to implement the bill is taking way too much time. 

 

The disagreements among legislators and the inability to develop a plan to implement the legislation delays implementation of the new bill. Due to delays in proceeding procedures, things have become difficult for almost everyone. 

 

Cannabis Legalization Program Of New York – A Train To Nowhere

 

Governor Andrew Cuomo and state legislatures did approve cannabis legalization and decriminalization bill in March this year. However, there has not been much progress. According to critics, the Governor is the real buzzkill on the issue. 

ALSO READ: Cannabis Products Association With Perceived Risks And Availability

Critics elaborate that Cuomo is yet to nominate an executive director for his new Office of Cannabis Management. He also has to name appointees to the Cannabis Control Board. The Marijuana Taxation and Regulation Act were passed months ago, yet the official is working slowly to appoint and name some people for the office to begin further proceedings. 

 

The Governor is delaying the procedure because the Senate members have not yet passed Cuomo’s proposed MTA legislation. Richard Azzopardi is the spokesperson of Gov. Andrew Cuomo. According to his spokesperson, there are multiple unfinished businesses in Senate. However, they will submit their nominees and names for designated positions. The spokesperson also mentioned that they hope Senate passes MTA legislation and let nominees selected by the governor implement order regarding cannabis. 

 

Politicians Against Delay In Implementation Of Cannabis Legalization Policy In New York 

 

Mike Murphy is the spokesman for Senate Leader Andrea Stewart Cousins. According to Murphy, MTA approval and nominating nominees are separate issues with no interlinkage. Thus, these matters need separate resolutions, and it is best not to try to relate them. 

 

According to State Senator Diane Savino, after observing the current situation, it is evident that the cannabis legalistic program is likely to delay for much a longer time. She added that the public and officials of New York are in between a rock and a solid hard place. 

 

Moreover, apart from the politicians, the public is angry and frustrated at the delay of matters. Residents of the state are unable to understand the logic or reasoning behind the pending situation. 

 

According to Diane Savino, legislatures or lawmakers should walk and sign a joint agreement at the time regarding the subject to settle things as quickly as possible.

 

The politician further added that nothing can happen concerning marijuana sale policy and license issuance to begin a legal business. At least until regulators develop a set of ground rules to conduct cannabis business, following legal practices is impossible. 

 

What Is More About Marijuana Policy In New York State?

 

According to Diane Savino, no operation involving marijuana is practicable unless legislators set some ground rules. Licenses to individuals to begin a legal sale, cultivation, processing, manufacturing, or distribution of marijuana is unapprovable before settling some limitations. Moreover, it is inappropriate to approve licenses without designing a regulatory system. 

ALSO READ: Cannabis Dealer Stopped By Police

Governor needs to select three people to begin the formation of the five-member Cannabis Control Board. The nominees will first get approval from the Senate to offer their services. The selection of the other two members falls on the legislatures. One member of the five-member committee will be selected by lawmakers from the Assembly and one from the Senate. 

 

The selection of nominees and their approval is the next step after passing the bill, and it took almost a year for completion. Delaying the process cause trouble for the state and the public who had to go to borders to purchase cannabis legally from neighboring states like Massachusetts. 

 

Unless the regulatory and administrative procedures are incomplete, the state is unable to generate revenue. Pending them will only slow down the development process of the cannabis business field and delay experiencing possible benefits from its tax revenue. 

Originally covered on: NYPost

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Cannabis Products Association With Perceived Risks And Availability

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Medical cannabis

Cannabis products are in use for medical and recreational purposes in more than thirty states of the United States. Some of these states allow medical marijuana products, while others allow pot for all purposes, including adult and medical purposes. 

 

Multiple studies have been conducted relating to cannabis, including pot effects and associations with other factors. Perceived risks and availability links with marijuana use disorders. Moreover, research findings can demonstrate how perceived risks can alter pot use disorders in individuals. 

 

According to a new study at Columbia University Mailman School of Public Health, perceptions of the risks and availability of cannabis influence the risk of pot use. This influence is more than the perceived risk and effect of perceived availability alone. 

ALSO READ: Marijuana Growing In Zimbabwe Is The New Farming Trend

 

The research discovers that individuals that perceive cannabis as a low-risk and available drug are more likely to use cannabis. There are some other findings too. Researchers discovered that individuals with perceptions that cannabis is high-risk and unavailable drug report fewer drug use cases. You can find research discoveries in the journal Drug and Alcohol Dependence. 

 

More About Research Regarding Perceived Risks And Availability Effects On Cannabis Use

 

Natalie Levy is a Doctoral Student of the Department of Epidemiology at Columbia Mailman School and the first author of the study. According to this research, perception of cannabis risk affects its use, frequency of use, and pot use disorders. Moreover, the availability of cannabis does influence the chances of drug use, its frequency, and marijuana use disorders. 

 

However, the findings show that cannabis risks and availability together influence pot use more frequently. The research focused on the evolution of collective perceptions of marijuana risk and availability from 2002 to 2018. 

 

Data of 949,285 participants helped in doing the investigation or survey studies. These participants are from the National Surveys on Drug Use and Health. Researchers found that over the years from 2002 to 2018, more people perceive marijuana as a low-risk drug. The prevalence of individuals who perceive pot as a low-risk drug doubled in these years. However, the influence of the change in availability perception was comparatively less evident. 

 

The joined perceptions influence was evident in these years. The percentage of individuals with the perception of cannabis as low-risk and available increased from 17% to 36% from 2002 to 2018, respectively. The number of individuals who perceive marijuana as a high-risk and available or unavailable drug decreases in these years. The percentage of people who perceive pot as high-risk and available is 26 percent. Meanwhile, the percentage of individuals that consider weed as high-risk and unavailable is twenty-seven percent. 

 

Marijuana Perception Effects

 

According to findings, individuals who regard cannabis as low-risk have reported and are likely to report six times more about pot use. Individuals with the perception of cannabis being available are five times more likely to use pot.

ALSO READ: Cannabis Legislation Back From The Dead For Better In Arizona

However, joined perceptions increase the chances of pot use. Individuals with joined perceptions are twenty-two times more likely to use marijuana. That is, people who perceive cannabis as a low-risk and available drug are more than 22 times more likely to use pot than people with the opposite perception.

 

Marijuana perceptions vary from males to females. A large percentage of the male population views marijuana as a low-risk, more available drug when compared to females. Researchers noted variations in pot perceptions in different age groups of each gender. According to the study, individuals of age 12-17 years show minimal cannabis perception differences. 

 

Silvia Martins, MD, Ph.D., is an associate professor of epidemiology at the Columbia Mailman School. She is the director of the Substance Use Epidemiology Unit of the Department of Epidemiology. She is also the senior author of the study. According to Martins, their research will open a new pathway for searching specific hypotheses. Moreover, the study highlights the importance of exploring joint perceived risks and availability on cannabis use. 

Originally covered on: news-medical

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