Sunday, February 5, 2023

Recreational Marijuana Access Reduces Demand for Prescription Drugs


The following is a press release from Cornell University:

[Photograph provided by Brandy Moulton]

Legalization of recreational marijuana reduces the demand for costly prescription drugs through state Medicaid programs, according to an analysis by a Cornell researcher and a collaborator.

When states legalize marijuana, the volume of prescriptions within the drug classes that align with the medical indications for pain, depression, anxiety, sleep, psychosis and seizures significantly decline, the researchers found.

Shyam Raman, a doctoral student in the Cornell Jeb E. Brooks School of Public Policy, and Indiana University doctoral student Ashley Bradford conducted the research. Their article, “Recreational Cannabis Legalizations Associated with Reductions in Prescription Drug Utilizations Among Medicaid Enrollees,” published April 15 in the journal Health Economics.

Most cannabis research has focused on the impact of medical marijuana on demand for prescription drugs or the impact of recreational use legalization on opioid demand. This is among the first studies to focus on the impact of legal personal-use cannabis on a broad range of prescription drugs.

“These results have important implications,” Raman said. “The reductions in drug utilization that we find could lead to significant cost savings for state Medicaid programs. The results also indicate an opportunity to reduce the harm that can come with the dangerous side effects associated with some prescription drugs.”

Raman and Bradford based their study on an analysis of data retrieved from the Centers for Medicare and Medicaid Services in all 50 states from 2011 to 2019, a period that saw growth in the number of states permitting personal use of marijuana. 

About 40 states have legalized medical marijuana that must be prescribed by a doctor. So far, about 20 states have legalized personal-use cannabis for all adults, but that number is likely to rise. In those states, Raman and Bradford found a meaningful change in the demand for drugs used to treat sleep and anxiety disorders but no real impact on drugs used to treat nausea.

Raman and Bradford caution that cannabis use is not itself without harm, noting the many studies that associate it with a potential triggering of anxiety and psychoses such as schizophrenia. Also, patients who use marijuana to treat their medical conditions may be shifting away from visiting their doctor and therein creating discontinuities in primary care.



  1. One: Medicare and Medicaid patients could also simply be using less health insuring drugs because they have less money to spend in states that have legalized cannabis. With the current administration the price of drugs are soaring. False assumptions and comparisons do not make a study valid. Two: There a people who’d rather get high than pay attention to their health.

    • Not all cannabis products are geared toward “getting high”. Cannabis can be grown for its CBD content, which does not produce those types of effects but is effective in treating the conditions mentioned in this report. It is tragic that some states are depriving the population of the option of safer “drugs” as opposed to opiates and anti-depressants. People who are prescribed these harmful drugs are eventually taken off the drugs, as continual use becomes harder to manage as time goes on. At that point, people seek “street drugs”, which are often laced with fentanyl, resulting in death. There are also complications from the legal drugs themselves which can cause life-threatening problems. Unschooled dislike of cannabis is causing needless suffering and even death. The report is correct in saying there are psychological problems with cannabis, but that is the THC content, which has become too strong due to the trend in growers to make a stronger product. THC cannabis is mostly recreational, not medicinal. However, alcohol is far more dangerous than THC cannabis, in that it causes so many tragic accidents, violence and alcoholism-related diseases.

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MendoFever Staff
MendoFever Staff
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