
More Americans are now daily weed smokers than daily drinkers. To better understand this public health experiment, we turn to Canada, which has federally legalized marijuana. This episode was produced by Avishay Artsy, edited by Amina Al-Sadi, fact-checked by Laura Bullard, engineered by Andrea Kristinsdottir and Patrick Boyd, and hosted by Sean Rameswaram. Transcript at vox.com/today-explained-podcast Support Today, Explained by becoming a Vox Member today: http://www.vox.com/members An unlicensed smoke shop selling marijuana in New York City. Photo by Deb Cohn-Orbach/UCG/Universal Images Group via Getty Images. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Chapter 1: Why are more Americans choosing marijuana over alcohol?
Puff puff pass.
Some like one in five people who do dry January say they're smoking weed instead. And more Americans are now smoking weed daily than drinking daily. Current president is into it. No one should be in jail merely for using or possessing marijuana, period.
Future president is into it. I've had friends and I've had others and doctors telling me that it's been absolutely amazing, the medical marijuana.
Failed president and former prosecutor was down to clown? People shouldn't have to go to jail for smoking weed. Even health-conscious brainworm guy likes it.
My position on marijuana is that it should be federally legalized.
Everyone's getting down with pot, but legislatively we're still stuck with a hot mess in the United States. We're going to see what we can do about that on Today Explained.
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Chapter 2: What is the current trend in marijuana consumption?
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Maren Kogan, senior correspondent at Vox. What's up with weed right now?
So researchers found in 2022, for the first time, more Americans were using marijuana every day or nearly every day than consuming alcohol at the same rate.
More Americans are doing daily weed than daily booze.
Yeah, it's a huge phenomenon. And if you think about it, the numbers are something like 17.7 million Americans say that they're getting a little high or smoking a little weed daily or near daily. That's not nothing. That's like 5% of the American public.
So I smoke marijuana sometimes a lot every day, and I'll tell you.
I smoke weed all day, so I would imagine it would be worse if I didn't.
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Chapter 3: How does marijuana use affect health?
Chapter 4: What is cannabinoid hyperemesis syndrome?
Yeah. So contrary to popular belief, it can be habit forming for some people. It can increase risk of dependence on other substances. And a recent analysis by Columbia University researchers found that as many as 18 million people in the U.S. might have some form of cannabis use disorder. In other words, addiction. So it's simply not true that it's completely harmless for everyone.
Tell me more. What do we know about the harms, especially as we undergo this massive nationwide experiment and see more people smoking weed every day?
So one really good example of this is cannabinoid hyperemesis syndrome.
Cannabinoid hyperamnesis syndrome.
It's a really fancy term for people who have used a lot of marijuana, heavy amounts over a long period of time, who begin throwing up really violently and are sort of unable to stop these cycles of nausea and vomiting.
Huh.
Doctors and hospitals across the country are seeing people come in with cannabinoid hyperemesis syndrome, and it can be really, really bad.
Crazy stomach pains and migraines and nausea and diarrhea and all this other stuff.
I was losing weight. I was getting nauseous. I wasn't throwing up, but I was getting the joint pain. I really couldn't work out anymore without massive amounts of discomfort.
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Chapter 5: What are the risks of daily marijuana use?
No. So high levels of consumption is being associated with higher risk of stroke, cardiovascular disease. But the real issue here, and I think the real concern that a number of researchers have, is what regular marijuana use is doing to teens.
Hmm.
There is particular concern about what regular heavy marijuana use does to adolescent and teen brains. So there have been studies that have shown an increased likelihood of depression and suicidal ideation associated with heavy marijuana use. In a few cases, it has been associated with the development of schizophrenia and other psychotic disorders among young people.
Studies have also shown disruptions in the anatomy of a developing brain. And teens often have, and honestly, adult consumers too, often have really no idea what they're consuming and how safe it is. A big issue is a lot of people don't know dosing.
So they tend to overconsume and then they have a very bad experience.
quote the ambulance because I thought I was having a heart attack.
Once those edibles kicked in, my whole entire soul left my body and I'm not being dramatic. I literally disassociated. I was talking to the refrigerator, bawling my eyes out, throwing up.
Why don't we know more about what we're consuming and how safe it is?
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Chapter 6: Why is marijuana still illegal on a federal level?
A lot of it is because every state is sort of running their own experiment with marijuana legalization. So different states have different laws. They have different requirements for what sort of health or safety inspections things have to go through.
And then the other thing is just the market is evolving so fast and customers are sort of rushing in to buy new products and they don't necessarily themselves know what's in the product. And it's confusing for the consumers. It's confusing for the researchers, too. The regulations basically have not caught up to where the market is evolving.
Por que no?
One of the big reasons is that the federal government has basically allowed the states to liberalize their marijuana laws, so decriminalizing or legalizing in different cases. Today, marijuana is legal for medical use in 38 states and recreational use in roughly half of all states, plus the District of Columbia. But it's still kept marijuana as illegal on a federal level as a Schedule I drug.
So the government doesn't recognize it for medical use. And that's made getting safety approvals and government funding necessary to study the drug really difficult. So essentially, researchers say it's like they've been handcuffed all these years, right? And the handcuffs are just sort of coming off.
Should we use it in place of an opioid? Should we use it in the place of another pain medication? Where and how should it fit into medicine?
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Chapter 7: How can we ensure consumer safety with marijuana?
Chapter 8: What challenges do researchers face studying marijuana?
We don't know. So now you'll see these scientists emerging in this natural health field, really opening up the field so that they can evaluate the therapeutic effects, which patients already know that cannabis has.
Meanwhile, all these states have legalized marijuana, and they're trying to figure out now, how do we establish a public health response to make sure people are aware of what they're taking as consumers, aware of what they're putting in their bodies, similar to what we have around, say, cigarettes or alcohol?
OK. And has there been success on that front? Is there consistency in what people are getting across this country or at least consistency in the labeling of what people are getting across this country?
Oh, no, absolutely not. Certain states have better labels. I think, testing and safety standards than others. But no, I mean, essentially it's on you to sort of be an expert both about like reading labels and figuring out what it is exactly you're taking and then also figure out what amount works for your body. I mean, and it seems like there is really wide variations.
The problem is that, you know, people don't always know their own limits. They don't always know what they're taking and there can be real health consequences as a result.
Not to mention this stuff's just generally a lot stronger than it used to be, right?
Yeah, so the products out there are a lot stronger than the sort of dime bags that were floating around, you know, in the early 2000s. Over the last 25 years, the government has been testing the percentage of THC in marijuana seized by the Drug Enforcement Agency. And they have seen that the percentage of THC has more than tripled in those samples from 5 to 16%.
This sounds all very messy, Maren, as we enter a new year and approach this country with this potent drug that a whole lot of people love to take, that increasingly people are taking every day with this patchwork of laws and a whole, you know, inconsistent patchwork of regulations. Is anyone having buyer's remorse on all the legalization we've done?
Definitely. There are some people who argue that legalization was a mistake as they point to these health consequences that I've been noting. They say that it hasn't really had the sort of positive impact on racial disparity in the criminal justice system that they expected it to.
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