Category: Connect

  • Working and driving rights are human rights

    Working and driving rights are human rights

    If your prescribed medicine prevents you from driving and working, what does that mean for your human rights?

    The UK’s Cannabis Industry Council released a report this week into workplace issues for medicinal cannabis patients who are regarded as disabled under UK work, health and safety laws. Despite its specificity, it is a worthwhile read for us in the Australian space.

    Similar issues are arising in Australian workplaces. Employers are mostly standing people down/moving them on or not hiring them at all if prescribed THC becomes a live issue.

    When it comes to the British colonies of the Australian mainland and adjacent islands, Workplace laws ought be clarified to explain that when an employee asks for reasonable adjustments to be made on the basis of a temporary illness/permanent disability requiring them to take a medication outside of work hours that all medications ought be treated the same. As a Uno card, that’s a Draw Two right there. Problem being that employer medico-legal advisors flag unknown risks due to the current lack of an impairment proxy for THC. They need to cover their backsides and record that they advised their clients to exercise caution. The takeaway for many employers is “don’t hire the stoner, hire the other lady.” in work, health and safety terms, that’s a probable Draw Four. 

    Am sure that those who monitor the MC socials noted an uptick in hospo workers reporting pre-screener issues when a medicinal cannabis prescription is disclosed. These people are doing the right thing. As is usually the case when legal medicinal cannabis butts up against prohibitionist-era-oriented legal and social institutions, these people doing the right thing get punished for doing so. 

    How do we get this clarification that MC ought be treated the same as other prescription medicines? A few ways. With a series of sensible workarounds likely to be discussed in the upcoming Victorian LCA’s review/committee/process to have an adult discussion about fixing this so that the hospitality industry (at-least) doesn’t come to a screeching halt.

    Another way is for clarification to be expedited by way of a matter/case with good facts and NO whiff of non-medicinal cannabis use going through various courts and tribunals. That will certainly provide guidance.

    For readers who know him, it won’t come as a surprise that Veteran advocate Derek Pyrah is already aiming up at a Human Rights angle for all veterans to received subsidised MC, even on MH-only grounds. An opinion via a senior HR counsel is in the works but it will take some time. Derek’s arguments are also applicable to the MC and workplace and driving issues. 

    Ultimately it’s a question of whether Adequate Medical Care in Article 25 of UN Declaration of Human Rights means whatever The Literature says or whether there is scope for a human rights angle in circumstances where a person can demonstrate that harms were caused by an unwise and voluminous combination of prescription drugs over many years?

    The DSM says that Derek received nine years of the best mental health care that any system could offer. Five of them separated from Missy as a result of being on psych wards. Everything from antidepressants, antipsychotics, sleeping pills and opioids. But all at once and in large amounts. You try lifting your head on 1800mg of quetiapine.

    Is there a court on earth that would believe Derek’s subjective opinion on whether CBD:THC is more safe and effective for him than whatever the prevailing wisdom of the prestigious Medical Colleges and prevailing expert psychopharmacologists say? Would any of those academics accurately be able to tell you which picture of Derek below is the guy who vapes (but used to smoke) cannabis and which is the guy taking his many different prescription medicines as directed?

    For workers faced with the conundrum of going back to the meds that didn’t work and/or harmed them, the immediate gut feel of adverse action being taken them is that their human rights are being violated. In some Australian jurisdictions this is worth a closer look when it comes to the nature of their work and the actions taken against them.

    If a worker being prescribed THC oils or flos for nighttime/bedtime/non-work days only for:

    1. Specific indications “ABC/XYZ”; and
    2. As a harm reduction measure from many years of using tobacco spin and combustion + lowering overall THC consumption.

    If you’re a doctor scratching your head wondering how you’re going to frame a letter to an employer for this class of patients then please get in touch.

  • Precarious working lives and longest days

    Precarious working lives and longest days

    Drive Change’s David Heilpern got some great soundbites in last Saturday morning and ABC News ran them on the hour, every hour, all day. This is the benefit of having elected reps in Victoria, WA and NSW bringing on topical parliamentary debates on cannabis law reform. Journalists will ring us to discuss this News, interview us and then items are broadcast as News because debates on the floor of parliament are News.

    News is a thing you can legitimately discuss and share. So make sure you share this far and wide.

    Now for for another novel workplace situation from this past week. Doug (not his real name and three situations merged into one here) was always shy and withdrawn. Spends a lot of time online. Occasional bouts of sadness due to isolation and feeling out of place in the world. Conventional cookie cutter mental health services and the DSM had the guy on the SSRI-benzo conga line from the age of 16-36. Doug didn’t have many good days in that time. 

    After 18 months on CBD daily and THC at bedtime (and tapering down to half dose of an SNRI). Doug has started reporting this new thing. Good days. 

    Doug’s job is to sit behind a computer and purchase things by mouse-click and do his bit in a supply chain. Good worker. It’s a good job, good crew. Everyone’s matey. Outside of his online world, these work friendships are key keeping Doug socialised. 

    People noted he was a different (better) guy the last 18 months and commented on him coming out of his shell and smiling a bit more. Poor Doug fell victim to the human tendency of confiding in the people we share our workdays with. 


    Noelene from Accounts: Did you hear?

    Nelly from Marketing: About Doug, yeah. Good on him. He seems to be doing better and he’s happier. His work certainly hasn’t suffered.

    Noelene: No, because it’s the medical cannabis with THC in it they stood him down pending a big chat between doctors and lawyers. 

    Sure enough, HR bundled him off home and had their own expert medical advisors look into this medical cannabis stuff. Doug got good letters and support from his MC prescriber. Doug didn’t have a list of high THC flos prescriptions longer than a Leonard Cohen song (to quote the fictional Malcolm Tucker). Doug has a CBD isolate oil by day, a dedicated night time flower with a vanilla and not-rasta-sounding product name for bedtime. Strain/Chemovar names are what they are. They are the inchoate property marker hangover from the prohibition era when breeders of cannabis phenotypes couldn’t exactly defend rights in their creations in the courts but those creations needed names and many of those names are derived from the unique terpene bouquet given off by that chemovar.

    Some employer-side advisors grasp this and can gloss over the product being prescribed having [insert whacky strain name] and focus more on:

    1. What are the conditions being treated?
    2. What is the ratio of cannabinoids + dose being used to achieve a therapeutic benefit? What times of day/night are doses taken?
    3. Is there reasonable basis to claim that all conventional meds have failed to achieve the same benefit and overall improvement in quality of life?

    Guess what? Common sense prevailed. Doug will be welcomed back to full duties after a 4 week stand down.

    But there are other ways employers can move people on and MC patients will always feel extra vulnerable in uncertain economic times. This means the R word (redundancies) but it can also mean adverse action via means that are hard to challenge, esp for gig economy delivery workers who need their licenses.

    We too are deeply disappointed by the hold up in Victoria but we’re also getting on with it. Good days are a bonus when life is short (even in its longest days).

    Nothing herein to be construed as medical or legal advice.