Wednesday, April 5, 2017

Stoned-Henge

Eight states and the District of Columbia have now legalized the use of recreational marijuana. While the federal government, particularly given uber-conservative Attorney General Jeff Sessions, is apparently retrenching in its opposition to such state-sanctioned marijuana use under federal law, the handwriting is rather clearly on the wall: the bans on recreational marijuana are going the way of Prohibition, sooner or later, across the land. A parallel process is about to transpire in Canada as well.
But as weed is legalized, we obviously need to adjust our traffic laws to set clarity in determining how much marijuana is enough to justify a “driving under the influence” arrest and conviction. The .01 to .05 (to as high as .08) blood alcohol standard – where some imbibing is permitted without risking a DUI – does not have really have an equivalent in marijuana usage. Should be easy for the medical community to create a viable standard to measure sufficient impairment by marijuana users before their driving becomes a threat, right? Not exactly. We’re still struggling with that standard, and the metrics of alcohol impairment may not easily apply to marijuana use.
Beth Schwartzapfel, writing for ABA Journal (Tech Monthly, April 1st), addresses the issues: “Late one February night in 2013, Massachusetts state Trooper Eric French pulled over a blue SUV with its rear lights out. When he approached the car, he saw smoke and smelled pot. The driver, Thomas Gerhardt, could count backward from 75 to 62 and recite the alphabet from D to Q. But he couldn’t stand on one leg or walk nine steps and turn—standard measures on a field sobriety test. The trooper determined that Gerhardt was impaired, and he was arrested and charged with driving under the influence of marijuana.
“Was Gerhardt even high? And if he was, was he too high to drive safely?... His lawyer argued in January before the Massachusetts Supreme Judicial Court that French proved neither that night. [That court has not yet ruled.]
“Massachusetts is one of eight states, plus the District of Columbia, where recreational marijuana use is now legal. Twenty more states have legalized medical marijuana. But science and the law have not kept pace with this rapid political change…
“The increased crash risk with pot alone ‘is so small you can compare it to driving in darkness compared to driving in daylight,’ says Rune Elvik, a senior research officer at the Institute of Transport Economics in Oslo, Norway, who conducted several major meta-analyses evaluating the risks of drugged driving. ‘Nobody would consider banning people from driving in the dark. If you tried to impose some kind of consistency standard, then there is no strong case, really, for banning it.’
“When it comes to alcohol, science and the courts have long established a direct line between number of drinks, blood-alcohol level and crash risk. As one goes up, so do the others. Not so for pot. Scientists can’t say with confidence how much marijuana, in what concentration, used in what period of time, will reliably make someone ‘high.’ (This is especially difficult to gauge because most of the existing studies used pot provided by the National Institute on Drug Abuse, which tends to be a lot less potent than what smokers can buy on the street or in shops.)
“Blood levels of THC—the chemical component of pot that makes you high—spike quickly after smoking and decline rapidly in the hours afterward, during the window when a smoker would feel most high. What’s more, regular smokers could have THC in their blood for days or weeks after smoking, when they are clearly no longer high.
“Still, laws in 18 states tie drugged driving charges to whether drivers have THC or related compounds in their blood. Some states prohibit driving with any amount, and some specify a threshold modeled after the 0.08 limit states use for blood alcohol. But the lag time between being pulled over and being transported to a hospital for a blood draw—on average, more than two hours—can lead to false negatives, while the tolerance developed by regular users (and the tendency for THC to stick around in their bloodstreams) can lead to false positives. This is why, researchers say, blood THC laws make little sense…
“Frequent pot users may not be able to stand on one leg, for example—even when they’re not stoned—whether they’re safe to drive or not. Marcotte and his colleagues are working on validating a new field sobriety test for pot use. Their iPad-based test measures skills such as tracking an object on the screen and accurately estimating time. Although police may not yet have a validated tool, apps have begun to appear for those who want to gauge their own ability to drive after smoking by analyzing reaction time, hand-eye coordination and the like…
“Some police departments use drug recognition experts—specially trained officers dispatched to evaluate suspected drugged drivers. These officers, commonly referred to as DREs, use an hourlong, 12-step process that includes taking the suspect’s blood pressure and pulse and conducting eye exams and balance tests. They use this information to generate an opinion about whether the driver is intoxicated—and, if so, by what. Preliminary research seems to indicate their opinions are of mixed quality, and not all judges allow DREs to testify to their findings.
“‘They’re not EMTs. They’re not medically trained,’ says [Nicholas] Lovrich, the Washington State professor who, in a recent study of five years of DRE data in Washington and New Mexico, found a false-positive rate for pot intoxication ranging from 38 percent to 68 percent. “Everyone in the DRE business knows it’s really hard to do this.”
“The gold standard would be a Breathalyzer-like device that can objectively measure whether someone has recently smoked, as well as how much. Lovrich is working on developing such a tool, using the same type of technology that security screeners use at airports to check for explosives. He says it will be at least two years before the technology is perfected, miniaturized and engineered to be durable enough to toss in the back seat of a squad car.” But weeding out marijuana-impaired drivers simply needs to happen, and long testing by field specialists does not seem to be an economically viable procedure.
I’m Peter Dekom, and there is always a lag between changes in legal and social mores and our ability to set workable standards around those trends and choices.

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