MEDICAL POT: LEGAL, BUT STILL UNDER WRAPS

Every week, the ad runs on the front page of the Little Nickel:

If you have:

Chronic pain, chronic nausea, muscle spasms, seizures, cancer, AIDS

Medical Marijuana may help.

Call the number in the ad and you'll find a local clinic where, for a
fee, a doctor will write a note saying he believes the illegal plant
will help what ails you.

Not long ago, such a business plan likely would have the cops asking
a lot of questions. But for two years, The Hemp and Cannabis
Foundation has been operating the Bellevue clinic completely
aboveground, seeing thousands of patients.

It has Washington's 1998 medical-marijuana initiative to thank for
that. The law, approved by 59 percent of voters, said people with
certain debilitating conditions could use marijuana so long as their
doctor said it could help.

The biggest question has always been this: How is a sick person
supposed to get the stuff?

"People in the government want the pot fairy to come deliver it,"
said Douglas Hiatt, a lawyer who crusades on behalf of
medical-marijuana patients.

He laments -- curses, actually -- that medical marijuana still isn't
a part of the mainstream, that sick people with doctors'
authorizations are still getting charged with crimes, that some
police officers don't even remember that the law was passed.

And he is not alone. Organizers of the 15th annual Seattle Hempfest,
which runs Saturday and Sunday at Myrtle Edwards Park, have the same
complaints.

Despite the problems, however, patients are finding their way to
marijuana. Over the past eight years patients and entrepreneurs have
pieced together an ad hoc network of products and services ranging
from cookbooks to co-ops to classes that help patients get their
voter-approved medicine.

Parts of this world are discussed only in whispers. Others are quite open.

None is perfect.

Bare-Bones Operation

Ask Hiatt about The Hemp and Cannabis (THC) Foundation's Bellevue
clinic -- the only one of its kind in the Puget Sound area -- and
he'll roll his eyes. "Pothead capitalists," he calls them. "Doc-in-the-box."

Indeed, if you look around the clinic, that's pretty much what it
seems. You won't find any examining tables. There's not much aside
from several dozen chairs, piles of file folders and buckets of pens.

That's really all you need for the business model devised by Paul
Stanford, president of the nonprofit that oversees clinics in
Washington, Hawaii, Oregon and Colorado. Altogether they've seen
14,000 patients in four years, he said.

The organization's financial filings for 2003 show revenue of
$352,000 -- and for most of that year, its only operation was in Oregon.

"It just kind of snowballed and we're doing pretty well," he said.

A marijuana advocate since the 1980s, Stanford of Portland long ago
realized that a lot of doctors are skeptical of marijuana. Providing
a friendly doctor, he thought, would fill a niche. He placed an ad
and soon hired Dr. Thomas "Tim" Orvald, a heart surgeon from Yakima.

Stanford's clinics do not provide marijuana. Instead, they exist
solely to provide doctor's notes for patients who qualify.

A good chunk of their business comes from the 1-inch ad in the Little Nickel.

On a typical day, Orvald sees 30 to 40 patients. (The clinic is open
just one or two days a week.) Patients first must show medical
records that prove they've been diagnosed with one of the conditions
covered under the law. They'll fill out a bunch of paperwork and
watch a video that provides information on everything from growing
marijuana to jury-rigging a heat gun and a dimmer switch to make a
pot vaporizer.

Then a nurse gives a brief physical. Finally, the patient sees
Orvald, who after confirming the patient has a standing diagnosis
that's covered under the law, writes a letter stating he or she could
be helped by marijuana. The charge is $150 to $200, depending on
income, although Stanford said they see some low-income patients free
of charge.

Patients are also provided a list of organizations that might help
them find pot.

"There are about a dozen different quasi-legal/illegal organizations
in the state who are doing dispensaries," Stanford said. Quasi-legal?
"They're selling marijuana but the police turn a blind eye to it."

Seattle police Capt. Steven Brown said officers know it's going on.
But "we haven't been involved in that, quite honestly, in terms of priorities."

Patients Band Together

Green Cross. Emerald Cross. The Wormhole.

These are just a few of the patient-run clubs throughout Washington.

Commonly called co-ops, they bring patients together to get their
"medicine." Exactly how that's done usually isn't discussed openly.

That's because it's easy to run afoul of Washington's
medical-marijuana law. It doesn't legalize the sale of marijuana,
even to qualified patients. And patients can grow it only for
themselves. The exception is that patients can designate a caregiver,
who can grow for them and only them.

This leaves the co-ops playing a game of semantics. Patients don't
buy their marijuana; they make donations. Growers don't sell it;
they're patients helping other patients. Even the larger-scale
operations are labeled "P-patches," where several patients tend to the crop.

The co-ops have helped thousands of patients. But to some, this route
isn't all that comforting. Hiatt said one Seattle P-patch was busted
by police last year; prosecutors are still deciding whether to file charges.

In addition, patients say they're sometimes provided poor-quality
marijuana; some complain about "moldy pot." Quantities are variable.

Mark Wachter, a 46-year-old multiple-sclerosis patient from Renton
who uses the drug to battle constant pain, has encountered all of that.

"You feel pain coming on, and you know a lot's riding on this coming
through," he said.

Meanwhile, all the patients want is a straightforward way to get what
the voters said they could have.

"The frustrating part to me is being a sick person and having to go
out and find my medicine," Wachter said. "It's not like you can go to
Bartell's."

Misunderstandings

This is where Steve Sarich, a relative newcomer to the Washington
medical-marijuana scene, is filling another niche. Along the way, he
made some interesting discoveries about the way the law is enforced.

A 55-year-old with short hair and a phone that's constantly ringing,
he does not look like the stereotypical marijuana user. Degenerative
disc disease led him to use marijuana to ease the pain in his back.
Now he's leading an advocacy group called CannaCare.

"Our goal is to get these patients up and self-sufficient," he said.
He does that by teaching classes on marijuana growing and supplying
starter plants.

"You don't have to take a class to get a plant from us, but we make
it so cost-effective," he said.

Sarich also grows his own -- in considerable quantity. Visit his
garden and he'll brag about his team of volunteers who care for the plants.

Plants in different rooms range from 2-inch clones to 4-foot-tall
specimens that are nearly ready to produce usable buds.

Sarich got motivated last year when he heard about another
organization like his that was broken up by Seattle police. That's
when he first learned of the department's rule that medical-marijuana
patients are limited to growing nine plants.

Sarich and a friend decided to survey law-enforcement agencies around
the state to see how they were enforcing the law. The responses ran the gamut.

"A medical-marijuana law has not been passed," Yakima County Sheriff
Kenneth Irwin wrote in a February e-mail response.

Another county said the limit is five plants; a third said it's 27.

To Sarich and others, this is a big problem.

The 1998 medical-marijuana law never specified a limit on plants.
Instead, it limited patients to a 60-day supply, but that quantity
has never been defined.

Sarich thinks the law should be clarified so patients can be assured
that they're legal. He proposes a dry-weight limit of 24 ounces --
with no limit on plants -- and has been talking to law enforcement
and others about his idea.

Mostly, it seems, he's itching for a fight.

"Access Is the Gap"

Dominic Holden has been working for 12 years on medical-marijuana
issues and is a spokesman for Hempfest. He's heard all the arguments:
about the 60-day supply, the lack of access for patients, the
differences in enforcement from county to county.

In fact, he was a sponsor of I-75, which in 2003 made marijuana
enforcement the lowest law-enforcement priority in Seattle, and he
has supported other legislation to clarify the medical-marijuana law.

Washington's medical-marijuana law, he said, "isn't as strong as it could be."

Here's an analogy Holden likes to use: Imagine if a doctor prescribed
you penicillin but you had to somehow find it on the street -- or
make it yourself.

"Having access to medical marijuana is the gap in all of this," he
said. "If people really knew the trauma the patients go through,
there would be a different attitude."

[sidebar]

WASHINGTON'S MEDICAL-MARIJUANA LAW

The law:

Passed by voters in 1998, it says qualifying patients and their
caregivers may not be punished in state courts for growing or using
marijuana. The law limits patients to a 60-day supply and does not
permit the sale of marijuana.

Qualifying medical conditions:

Include cancer, HIV, multiple sclerosis, epilepsy, glaucoma, Crohn's
disease, hepatitis C, intractable pain or any illness that causes
nausea, vomiting, appetite loss, cramping, seizures or muscle spasms.