1. Organizing and Message Development to Push Back Against Medi-pot Sue Thau CADCA Public Policy Consultant

2. The marijuana issue is where policy and politics meet

3. The folks pushing for “medical marijuana,” decriminalization and/or legalization found a way to make their issue resonate with regular Americans. 3

4. They reframed the issue so it is about: Voting for compassion for the sick and dying Reducing our prison population and drug-related crime Stimulating the economy 4

5. They secured legislative champions at all levels and got support of grasstops leaders 5

6. They’ve organized at the state level 6

7. They’ve mobilized major grassroots and student supporters. 7

8. They’ve gotten the attention of the media 8

9. They have major donors 9

10. They built a “Permission Structure” about the acceptability of marijuana use with the general public. 10

11. We are working hard to catch up, but still seem to be one step behind. 11

12. Why? 12

13. Our messages have been too complicated and nuanced 13

14. We are not sufficiently organized at the state level 14

15. We have not raised sufficient amounts of unrestricted funds 15

16. We have not done as good a job of engaging and getting the public support of grasstops leaders 16

17. We have not effectively engaged the media 17

18. We have not cultivated enough legislative champions 18

19. How Can We Turn This Around? 19

20. Develop messages that are salient, compelling and that will resonate with voters and policy makers based on facts and statistics Mobilize and raise the funds to get your messages out in print on radio on TV Do the advocacy to beat back the opponent’s position 20

21. Know The Facts And Keep Them Simple In 1979, after 11 states legalized marijuana, the United States saw the highest rates of marijuana use in history by teenagers: more than 51% by high school seniors that year. 1 1 U.S. Department of Justice, Drug Enforcement Administration, “Speaking Out Against Drug Legalization”. Page 15, May 2003. 21

22. What Should Our Messages Be?

23. If you care about academic performance in your state, you need to oppose medi-pot

24. Why? Because marijuana use negatively effects motivation, memory, AND learning. 1 Because youth with an average grade of D or below were more than four times as likely to have used marijuana in the past year than youth with an average grade of A. 2 1 National Institute on Drug Abuse, “Marijuana: Facts Parents Need to Know.” 2011. Available: www.nida.nih.gov/marijbroch/parents/001.phpwww.nida.nih.gov/marijbroch/parents/001.php 2 Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). SAMHSA’s National Household Survey on Drug Abuse Report—Marijuana Use among Youths. July 19, 2002. Available at www.samhsa.gov/oas.nhsda.htm.www.samhsa.gov/oas.nhsda.htm

25. Because early and persistent marijuana use negatively effects an IQ Persistent Cannabis Users Show A Significant IQ Drop between Childhood and Midlife Source: Meier MH et al., PNAS Early Edition 2012

26. Who Will Care and Who to Mobilize: Students Teachers/Teacher Unions School Board Principals Faith Leaders 26 Youth Development Groups Colleges/Universities Parents Employers

27. If you care about jobs you need to oppose medi-pot.

28. Why? Because More than 6,000 companies nationwide, and scores of industries and professions require a pre-employment drug test. 1 1 The Definitive List of Companies that Drug Test. March 2010. Available: www.testclear.comwww.testclear.com

29. Because 6.6% of high school seniors smoke marijuana every day 1, rendering them virtually unemployable. 1 Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. Monitoring the Future national survey results on drug use, 2011. Volume I: Secondary school students. Ann Arbor: Institute for Social Research, The University of Michigan. Available: http://www.monitoringthefuture.org/data/10data.html#2011data-drugshttp://www.monitoringthefuture.org/data/10data.html#2011data-drugs

30. Who Will Care and Who to Mobilize: Employers/Business Leaders Military Members/Police/Fire Fighters Teachers Parents Members of Congress/Mayors/Community County Commissioner Youth Looking for Jobs Real Estate Agents 30

31. If you care about the safety of medicines in our country, you need to oppose medi-pot. 31

32. Why? Because there is a longstanding, effective national process in place to approve the efficacy and safety of medicines through the FDA and ballot initiatives circumvent this process Because there is no scientific basis for using smoked marijuana as a medicine. 1 1 Institute of Medicine. "Front Matter." Marijuana and Medicine: Assessing the Science Base. Washington, DC: The National Academies Press, 1999. 32

33. Who Will Care and Who to Mobilize: Doctors Parents Health Officials Patients Parents Citizens in General 33

34. If you care about the environment, you need to oppose medi-pot. 34

35. Why? Because marijuana grow sites are already having major adverse environmental impacts including 1 : Vastly increasing the amount of carbon released into the atmosphere, which negatively effects global warming; Vastly increasing fish kills from fertilizer runoff that creates toxic aquatic conditions; and Poisoning watersheds with arsenic and acaracide, used to keep rodents away from the marijuana plants. Marijuana legalization will further exacerbate these environmental issues 1 Allen, Hezekiah, Mattole Resoration Council and Scott Greacen, Friends of the Eel River. The Ugly, the Bad and (Maybe) the Good? (April 17, 2012). Available; www.treesfoundation/org/publications/article-486www.treesfoundation/org/publications/article-486

36. Who Will Care? Environmentalist Animal Rights Activists Local Businesses Land Developers Farmers Real Estate Agents Public Land Advocates 36

37. If you care about youth drug use and addiction rates, you need to oppose medi-pot. 37

38. Because among youths age 12 to 17, marijuana usage rates were higher in states with medical marijuana laws (8.6%) compared with those without such laws (6.9%). 1 38 1 Wall, M. et al (2011). Adolescent Cannabis Use from 2002 to 2008: Higher in States with Medical Cannabis Laws, Cause Still Unclear, Annals of epidemiology, Vol 21 issue 9 Pages 714-716. Why?

39. Who Will Care and Who to Mobilize: Parents Teachers Students School Board Religious Leaders Employers 39 Treatment Emergency Room Personnel Poison Control Centers

40. According to the 2012 Monitoring the Future Survey, more 8 th, 10 th and 12 th graders smoke marijuana than cigarettes

41. If you care about public safety in your state, you need to oppose medi-pot.

42. Why? Because marijuana is the most prevalent illegal drug detected in impaired drivers, fatally injured drivers, and motor vehicle crash victims. 1 1 National Highway Traffic Safety Administration. Drug Involvement of Fatally Injured Drivers. U.S. Department of Transportation Report No. DOT HS 811 415. Washington, DC: National Highway Traffic Safety Administration, 2010.

43. 20% of crashes in the U.S. are caused by drugged driving. 1 –This translates into about 8,600 deaths, 580,000 injuries and $33 billion in damages each year. 1 The Institute for Behavioral Health, “Reduce Drug Impaired Driving.” 2010. Available: http://www.ibhinc.org/dd.htmlhttp://www.ibhinc.org/dd.html

44. According to the Colorado Department of Transportation, drivers who tested positive for marijuana in fatal car crashes DOUBLED between 2006 and 2010

45. A 2007 roadside survey of weekend nighttime driver showed that 8.6% tested positive for marijuana, nearly four times the percentage of drivers with a BAC of.08 or more. 1 1 Compton, R., and Berning, A. Results of the 2007 National Roadside Survey of Alcohol and Drug Use by Drivers. Traffic Safety Facts Research Note. 2007.

46. In a study of seriously injured drivers admitted to a Level-1 shock trauma center, more than a quarter of all drivers tested positive for marijuana. 1 1 Romano, E, and Voas, R. B.; Journal of Studies on Alcohol and Drugs, Drug and Alcohol Involvement in Four Types of Fatal Crashes, June 2011.

47. Who Will Care? Parents Hospitals/Health Boards/Emergency Room Personnel Law Enforcement School Board 47

48. If you care about our economy, you need to oppose medi-pot.

49. Why? Because the total overall costs of substance abuse in the U.S., including productivity, health and crime-related costs, exceed $600 billion annually. 1 This includes approximately: $235 billion for alcohol $193 billion for tobacco $181 billion for illicit drugs 1 Office of National Drug Control Policy. The Economic Costs of Drug Abuse in the United States, Executive Office of the President (Publication No. 207303). 2004. Available at www.ncjrs.gov/ondcppubs/publication/pdf.economic_costs.pdfwww.ncjrs.gov/ondcppubs/publication/pdf.economic_costs.pdf

50. Federal and state alcohol taxes raise $14.5 billion, covering only about 6% of alcohol’s total cost to society. 1 Federal and state tobacco taxes raise $25 billion, covering only about 13% of tobacco’s total cost to society. 2 1 Dupont, Robert M.D., Director of the National Institute on Drug Abuse (1973-1978), “Why We Should Not Legalize Marijuana.” April 2010. Available: www.cnbc.com/id/36267223/Why_We_Should_Not_Legalize_Marijuana www.cnbc.com/id/36267223/Why_We_Should_Not_Legalize_Marijuana 2 Ibid

51. Who Will Care and Who to Mobilize: Businesses Groups Members of Congress Parents Tax Payers Law Enforcement Community Groups 51