Marijuana consulting?

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DrAwsome

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What are your thoughts on jobs for marijuana consulting/prescribing? I was recently contacted about one of those jobs from a recruiter agency. It's crazy that they pay like 4k/day at some places.


Curious what the consensus is about the morality/appropriateness of these type of jobs?
 
What are your thoughts on jobs for marijuana consulting/prescribing? I was recently contacted about one of those jobs from a recruiter agency. It's crazy that they pay like 4k/day at some places.


Curious what the consensus is about the morality/appropriateness of these type of jobs?

Although medical marijuana is allowed in some states, federally, it is supposedly illegal, so i would stay far away from it if I were you. Forget money when ur license is potentially on the line.
 
Although medical marijuana is allowed in some states, federally, it is supposedly illegal, so i would stay far away from it if I were you. Forget money when ur license is potentially on the line.

How so? How would one's license be affected since it's perfectly legal in certain states?
 
What are your thoughts on jobs for marijuana consulting/prescribing? I was recently contacted about one of those jobs from a recruiter agency. It's crazy that they pay like 4k/day at some places.


Curious what the consensus is about the morality/appropriateness of these type of jobs?

I think it is suspect, even if the federal government doesnt get in the way.

Think about these operations -- these are NOT places where they want an objective unbiased professional medical opinion -- they want an easy bogus "sign off" for everybody who walks in the door.

It would be the same thing as a doctor being employed directly by a pharmaceutical company for "consulting" with patients who would supposedly benefit from the company's drug. It is a sham process designed to facilitate a predetermined outcome.
 
How so? How would one's license be affected since it's perfectly legal in certain states?

The DEA is a federal institution. You need a DEA number to prescribe certain drugs.
The same DEA reguarly raids medical marijuana establishments in states where it is legal so they obviously are not big fans of state mandates
 
Gali
How so? How would one's license be affected since it's perfectly legal in certain states?

Yea for 2 reasons

1) Its legal at the state level but illegal at the federal level and not recognized as the standard of care by any licensing body. So if you prescribe it you are ultimately just hoping the state never prosecutes you.

2). The guys who make 4K/day aren't practicing medicine. They aren't pain management guys, they exist to give literally anyone who talks in the door a prescription. No different from making 4k a day in a Florida narcotic pill milk. If you want to treat pain go into pain management. If you want to legalize MJ lobby for that. But don't be a drug dealer.
 
Gali

Yea for 2 reasons

1) Its legal at the state level but illegal at the federal level and not recognized as the standard of care by any licensing body. So if you prescribe it you are ultimately just hoping the state never prosecutes you.

2). The guys who make 4K/day aren't practicing medicine. They aren't pain management guys, they exist to give literally anyone who talks in the door a prescription. No different from making 4k a day in a Florida narcotic pill milk. If you want to treat pain go into pain management. If you want to legalize MJ lobby for that. But don't be a drug dealer.


So figure you work 250 days out of the year. 4k/ day makes it a one million dollar per year job. Not too shabby.
 
How so? How would one's license be affected since it's perfectly legal in certain states?

It's not perfectly legal anywhere in the U.S.

Federal crimes are federal crimes regardless of whether the local police force decides to enforce the law. The DEA has sent plenty of people to jail for the rest of their lives for participating in the business of pot in the states where it isn't illegal on the state level. These folks are following every state guideline and still get nailed by the feds.

Some guy in Colorado just got like 80 years. Funnily enough, if you have a gun around you when you break federal law it is considering committing a felony while armed, and you get extra time. He had some rifles at the farm he was growing the pot at under the state laws. Unfortunately when you fill out mountains of paperwork for the state, it's pretty easy for the DEA to nail you to a cross.

Personally I think it's nuts for physicians to get involved in this in any way. If you want to participate in illegal activity, at the very least pick a less conspicuous way to do so.
 
It's not perfectly legal anywhere in the U.S.

Federal crimes are federal crimes regardless of whether the local police force decides to enforce the law. The DEA has sent plenty of people to jail for the rest of their lives for participating in the business of pot in the states where it isn't illegal on the state level. These folks are following every state guideline and still get nailed by the feds.

Some guy in Colorado just got like 80 years. Funnily enough, if you have a gun around you when you break federal law it is considering committing a felony while armed, and you get extra time. He had some rifles at the farm he was growing the pot at under the state laws. Unfortunately when you fill out mountains of paperwork for the state, it's pretty easy for the DEA to nail you to a cross.

Personally I think it's nuts for physicians to get involved in this in any way. If you want to participate in illegal activity, at the very least pick a less conspicuous way to do so.

I was merely asking, I have never been involved in any illegal activities. Other than a few parking tickets, I don't have any run in with the law. I guess I just don't get how you could possibly go to jail for doing something like that if it's done in the state that's legal. That doesn't make any sense.

But ok.
 
I was merely asking, I have never been involved in any illegal activities. Other than a few parking tickets, I don't have any run in with the law. I guess I just don't get how you could possibly go to jail for doing something like that if it's done in the state that's legal. That doesn't make any sense.

But ok.

Federal law trumps state law. Your DEA license is a federal license. Don't risk your license. Your utility as an MD vanishes without a license. It's like moonlighting at a quickie pill mill pain clinic, you're playing russian roulette for a quick buck and it won't be worth it.

-The Trifling Jester
 
If you get charged with a federal crime wouldn't you have to report that to your state medical board?
 
I guess I just don't get how you could possibly go to jail for doing something like that if it's done in the state that's legal. That doesn't make any sense.

But ok.

Do you really not understand the difference between federal and state law?

On a related note (and in your defense), I don't know how the laws are written in all states that have medical marijuana, but the one where I practice - and regularly sign paperwork for medical marijuana cards - the form simply asks a licensed physician to state that the applicant has one of the approved medical conditions (cancer, HIV, etc) and explicitly states "this is not a prescription for marijuana." So, at least in this scenario, there's no federal legal liability on my part.
 
maybe in your case.... I imagine that if a doctor in your state recommended the use of marijuana, there might be some fed liability.

Agreed. Different issues.

And there's definitely a big difference between those of us who sign medical MJ forms in the setting of an ongoing physician/patient relationship and the Weed Docs that DrAwsome is talking about. If you need to go to one of these people to get a medical MJ app signed, it's unlikely that you actually have a condition that qualifies you for medical MJ.
 
Agreed. Different issues.

And there's definitely a big difference between those of us who sign medical MJ forms in the setting of an ongoing physician/patient relationship and the Weed Docs that DrAwsome is talking about. If you need to go to one of these people to get a medical MJ app signed, it's unlikely that you actually have a condition that qualifies you for medical MJ.

I certainly do understand the difference between the 2 laws, but it's like saying that people who have abortions in certain trimester in certain states that are allowed will be jailed if they cross over to other states where abortion is not allowed in certain trimesters.

I'm not planning on doing the whole marijuana thing but again I would find it hard to believe that any doctor would actually be prosecuted/have their license yanked for prescribing marijuana medically in legally allowed states. Some people have been doing it for quite a while, and I don't see them being arrested and having their practices closed down. So I'm sure it's more complex than that, but I'll leave it at that.
 
I agree with others who have said messing around with the DEA is unwise. You need the DEA even if you dont write for narcotics (see below).

I'm a pediatrician and I can count on one hand the number of times I've had to script narcotics over the last year. In fact I use them so rarely that I thought about not renewing my DEA.

Here's the catch though -- many hospitals REQUIRE you to have a DEA number to gain privileges, EVEN IF YOU NEVER EVER PLAN ON WRITING FOR NARCOTICS. It's completely ridiculous, but it is what it is.
 
I certainly do understand the difference between the 2 laws, but it's like saying that people who have abortions in certain trimester in certain states that are allowed will be jailed if they cross over to other states where abortion is not allowed in certain trimesters.

No...no it's not the same. State laws do not extend across their boundaries. Therefore, what's legal in my state may be illegal in yours (or vice versa). Federal laws OTOH supersede state laws. So even though the state legislature/voters/governor in State X say something is legal (like medical MJ), if it's illegal at the federal level...it's still illegal in State X. All the state legality means is that the local fuzz won't come down on you and the Stage AG won't prosecute you for anything. But that doesn't mean the DEA or the US AG couldn't do it.

Your example is parallel to somebody from Idaho going to Oregon or Washington to smoke up (with or without a medical MJ card, depending on which side of the border they're on). Idaho can't prosecute them for that...but the feds still can.
 
Another point, now that a few states have legalized recreational use there will be no need to Rx it anymore.

THE ONLY WAY I would take this lucrative position is if I were on the verge of retirement and could care less about future job prospects. I am not at the level of recruiting etc, but I GUARANTEE they would hire the doc that DIDN'T previously Rx marijuana all other things being equal...guarantee (okay unless it was another weed clinic you are applying to).
 
Another point, now that a few states have legalized recreational use there will be no need to Rx it anymore.

THE ONLY WAY I would take this lucrative position is if I were on the verge of retirement and could care less about future job prospects. I am not at the level of recruiting etc, but I GUARANTEE they would hire the doc that DIDN'T previously Rx marijuana all other things being equal...guarantee (okay unless it was another weed clinic you are applying to).

Yes, you may be right, I have seen some ads say retired ok or something.
 
these marijuana places i think like to take advantage of naive doctors who don't know what they're getting themselves into. even retired docs. its not the owners license on the line, it is yours, and you have a duty to make sure it is protected. They promise lots of money, but in the end is it really worth it? They're using you.
 
these marijuana places i think like to take advantage of naive doctors who don't know what they're getting themselves into. even retired docs. its not the owners license on the line, it is yours, and you have a duty to make sure it is protected. They promise lots of money, but in the end is it really worth it? They're using you.

The people accepting these contracts are doctoral educated middle aged professionals who are taking >1 million/year to deal illegal recreational drugs to recreational drug users. The docs who do this know exactly what they're doing, why they're doing it, and what they're risking. No one is being taken advantage of.
 
Even if you were ready to risk your license/reputation, do you really see no moral/ethical issues with being effectively a drug dealer, for patients who for the most part have no actual medical indication for marijuana? 😕
 
The people accepting these contracts are doctoral educated middle aged professionals who are taking >1 million/year to deal illegal recreational drugs to recreational drug users. The docs who do this know exactly what they're doing, why they're doing it, and what they're risking. No one is being taken advantage of.

I am doctoral educated and middle aged, but i still think people that join are naive. because i was about to join. i had no idea, but i thought it was legal and okay--until i talked to a few people about it more about federal vs state laws. if you are in your right mind you wouldn't bother with anything illegal as an MD or DO, even at the federal level.
Additionally, from what i've been reading, now NPs and PAs are fighting to be able to Rx marijuana. They really don't know what they're getting themselves into.

i guess to give it to a cancer patient who is about to die is controversial and more would lean toward giving it; however, i've seen people with minor back pain, who are not even on vicodin, get medical marijuana licenses to smoke it. some doctors give it out like candy.

educate yourselves:"Cannabis remains illegal throughout the United States and is not approved for prescription as medicine, although 18 states - Alaska, Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Maine, Massachusetts, Michigan, Montana, Nevada, New Jersey, New Mexico, Oregon, Rhode Island, Vermont, and Washington - as well as the District of Columbia approve and regulate its medical use. The Federal government continues to enforce its prohibition in these states." http://en.wikipedia.org/wiki/Medical_cannabis_in_the_United_States

it is just like rx ing oxycodone or opana or percocet like candy. i used to do it for patients, thinking nothing of it, most docs didn't even care either, until the place i worked at got shut down by the fbi. then i stopped. i did not know any better. now i dont rx that anymore.
 
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i guess to give it to a cancer patient who is about to die is controversial and more would lean toward giving it; however, i've seen people with minor back pain, who are not even on vicodin, get medical marijuana licenses to smoke it.

people with minor back pain typically SHOULDN'T be on Vicodin, not to get OT but just to make a point...
 
I certainly do understand the difference between the 2 laws, but it's like saying that people who have abortions in certain trimester in certain states that are allowed will be jailed if they cross over to other states where abortion is not allowed in certain trimesters..

This statement makes me think you in fact do not understand the difference. The two circumstances have no relation to each other.

Abortion is not outlawed by the federal government. States that allow 2nd trimester abortions are not in violation of federal law.
By being an abortion provider, you are not violating federal law.

Marijuana is federally illegal. It is a DEA Class I narcotic - meaning "no medical use", meaning that doctors can not prescribe it according to federal/DEA law/regulations.
States violate the federal law by allowing medical/nonmedical marijuana.
By writing/giving marijuana you are violating federal law, and the organization that investigates/punishes such crimes just happens to be the same organization that gives you a DEA number.
Without a DEA number, it will be near impossible to get work in a hospital/clinic.
 
For the record, the docs at these places don't prescribe or administer Marijuana. They just certify that somebody meets that particular states medical marijuana requirements.

They're mostly lying of course, because anyone who really does meet the requirements already has a doctor to sign the paperwork. I do it once or twice a week.
 
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