When the White House commissioned this report in response to the passage of California’s Compassionate Use Act of 1996, many in the mainstream media, and many more lawmakers, were still skeptical about marijuana’s potential therapeutic value.  The publication of the Institute of Medicine’s findings — which concluded that cannabis possessed medicinal properties to control pain and nausea, and to stimulate appetite — provided the issue with long-overdue credibility, and began in earnest a political discourse that continues today.

So what have we learned in the ten years following the release of this groundbreaking study? As I write today in both Reason Magazine online and in The Hill.com’s influential Congress blog (post your feedback here):

In Ten Years, Medical Marijuana Has Gone From Fringe to Mainstream — So Why Is It Still Against The Law?
via The Hill.com

We’ve affirmed that the use of medical marijuana can be used remarkably safely and effectively.

We’ve learned that cannabis possesses therapeutic value beyond symptom management, and that it can, in some cases, moderate disease progression.

We’ve discovered alternative methods to safely, effectively, and rapidly deliver marijuana’s therapeutic properties to patients that don’t involve smoking.

We’ve learned that restricted patient access to medicinal cannabis will not necessarily result in higher use rates among young people or among the general public.

And finally we’ve learned — much to the chagrin of medical marijuana opponents — that in fact the sky will not fall if we grant patients the right to use it.

Today, the only practical impediments prohibiting the legal use of medical marijuana are political ones.  The Obama administration should heed the advice of the Institute of Medicine and initiate clinical trials regarding the medical use of cannabis, and it should remove federal legal restrictions so that states can regulate marijuana like other accepted prescription medicines.

“We have important work to do outside the Congress in order for us to have success inside the Congress.” Pelosi said. “[W]e need peoples’ help to be in touch with their members of Congress to say why this (marijuana law reform) should be the case.”

Ask and you shall receive.

In the past few months the public has taken their message to the hallowed halls of Washington, DC in unprecedented numbers:

Over 700 individuals have posted comments to The Hill.com’s influential Congress Blog calling on lawmakers to amend federal marijuana policy;

In December, a question calling for the legalization of marijuana bested over 7,300 public policy issues to claim the top spot in Change.gov’s inaugural ‘Open for Questions’ poll;

In a follow up poll conducted by Change.gov this month, marijuana law reformed was the eighth-most popular question voted on by the public, out of a staggering 76,000 issues;

This week, the question “legalize the medicinal and recreational use of marijuana” finished first (by nearly 5,000 votes) in Change.org’s inaugural “Ideas for Change’ online poll;

And finally, in yet a third poll hosted by the Obama Transition Team, the public’s call for “ending marijuana prohibition” is — you guessed it — polling ahead of all other issues. (To participate in this latest poll, please visit: http://citizensbriefingbook.change.gov and click on “popular ideas.”)

In short Madam Speaker, the people have done their part — just as you requested. The question now is: When are your colleagues and the incoming administration going to do their part to end the federal government’s war on marijuana consumers?