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Specialists will be able to prescribe medicinal cannabis from November


There's so much wrong with this decision, difficult to know where to start. Except within the confines of their particular practice, 'specialists' overall know less about medicine in general and less about other 'specialists' practice than do general practioners. Ask the dermatologist about medications or current protocols for heart failure or the cardiologist for targeted therapy with biologic agents. The old maxim that specialists know more and more about less and less until they know all about nothing has validity. They certainly have no insight, nor wish to have, into the actual lifes of patients. Still, since there is little known about the real, rather than anecdotal, therapeutic benefits of cannabis, maybe that 'nothing' will fit well with their practices. Whether cannabis should be prescribed at all, whether it should be decriminalised or legalised (as per Canada Oct. 2018) is the fundamental question. However that question is answered it should be on based on the BIo-Psycho-Social Model. If it is to be prescribable, it is the GP who works within that framework, not any of the anatomically / system based specialists. Until cannabis has been vetted in clinical trials as any other pharmaceutical / 'drug' and has been determined to efficacious and safe, it should not be a prescribable medication, by anyone. Finally, maybe there is something in the distorted thinking that only a 'specialist doctor' can prescribe unlicensed medicines, this on the base that they will not know anything about it anyway. Nothing could be clearer about the GMC's lowly view of General Practice as a 'decision must made only by a secialist doctor - not a GP'. Apparently supported by the BMA GP Committee's endorsement. If the 'Specialists' had any sense they would refuse to accept this politicised responsibility.

Posted date

12 Oct 2018

Posted time