Jacob Sullum at reason
summarizes the results of a survey reported in the
Journal of Psychoactive Studies. The responses are remarkably supportive of the medical model, and so suggest less "cheating" than I might have thought. On the other hand, casual observation suggests that most people above the age of 25 or 30 tend to have some stress or strain in their lives that they can rely on to remove any cognitive dissonance around using the medicinal path to gain access to legal pot.
I tend to think of medical marijuana laws as de facto legalization for users clever enough to work the system, though I am sure this varies across states depending on the exact wording of the law, as well as in how it is implemented and enforced. I also think we'll see full legalization and taxation in the next decade or two, spurred on by the fact that medical marijuana laws do not turn out to cause civilization to collapse around us.
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