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As the use of medical marijuana expands, it is important to consider its implications for the patient-physician relationship. In Colorado, a small cohort of physicians is recommending marijuana, with 15 physicians registering 49% of all medical marijuana patients and a single physician registering 10% of all patients. Together, they have registered more than 2% of the state to use medical marijuana in the last three years. We are concerned that this dramatic expansion is occurring in a setting rife with conflicts of interest despite insufficient scientific knowledge about marijuana. This system diminishes the patient-physician relationship to the recommendation of a single substance while unburdening physicians of their usual responsibilities to the welfare of their patients. (copyright) 2011 Society of General Internal Medicine.
A.M. Nussbaum. Behavioral Health, Denver Health, MC 0490, 777 Bannock Street, Denver, CO 80220, United States. Email: Abraham.Nussbaum@dhha.org