B4 THE ASTORIAN • TUESDAY, JUNE 11, 2019 Taming fearful thoughts Medical pot takes hit when weed legal for all Dear Annie: My wife more desirable job. and I have three perfect Instead of focus- grandchildren, ages 1, 5 ing on the referrals that and 7. We love watch- you don’t have, or the ing them at least one day idea that you’re not good a week. Their parents are enough for the job, focus caring and careful. But on your strengths. Out of occasionally when I am the 100-plus applicants, just about to fall asleep, one has to get the job, I have “waking dreams” and the question is, “Why that the most horrible not you?” That is a ques- things happen to the kids. tion you have to ask your Why? I am able to self-esteem. You DEAR push these disturb- deserve to have ANNIE ing thoughts out of your dream job, my brain in a few and you will land seconds. I don’t it once you shake want to pay a psy- off a negative chiatrist for the attitude. answer. — Wor- Dear Annie: I ried in Kentucky am writing about Dear Wor- ANNIE LANE “Passionless Part- Creators ried in Ken- ners,” to the Syndicate Inc. tucky: While I man who loves admire your abil- the woman who ity to push those disturb- nursed him back to health ing thoughts out of your but lacks passion during mind, nonetheless, that sex. which we resist, per- The guy’s suspicion is sists. It might be benefi - right: The passion, if not cial to talk to your wife there now, will never be. or a counselor about You can fool yourself and these thoughts. Some- think it will get better, times just acknowledg- but it ain’t gonna happen. ing and talking about your Simple. Grin and bear it. fears make your fears There’s a statement lessen. If you try to go at I saw once, which is: “I it alone, you will continue can think of a million rea- to suffer. sons to leave my wife, It could be a sign of but then I look for only generalized anxiety or a ONE reason to stay.” He form of OCD, but I would needs to realize what’s consult with a profes- important and that some- sional. In the meantime, times what’s important is keep up the good work unachievable. with your grandkids. The message of the They are fortunate to have Serenity Prayer is: “God, you and your wife. grant me the power to know Dear Annie: I’m seek- the difference between ing a new job. Pretty things I can change versus much all the jobs I’ve had things I can’t.” have been facilitated by There are probably referrals (I know someone hundreds of situations who knows someone). So that could be substituted I’m pessimistic about my for the word “passion- chances of landing some- less,” but whatever word thing in a place where I you use — money, sex, don’t know anyone. How in-laws, children, what- can I make myself stand ever — if it ain’t there out? now, it ain’t gonna be. All These jobs I’m apply- the therapy in the world ing for have 100-plus won’t help. It may help applicants, and thanks you have a deeper under- to imposter syndrome, I standing of the problem, don’t feel all that qualifi ed but you’ve got to solve it. to begin with. My motiva- — Realistic Expectations tion is lacking, though I Dear Realistic: Thank am committed to the end you for your interest- goal. What should I do to ing perspective. It sounds nip the bad juju and fi ght like you have experienced the good fi ght? — Jaded similar things as “Pas- Job-Seeker sionless Partners.” How- Dear Jaded Job- ever, people can and do Seeker: One way to make change in some instances. yourself stand out is to Otherwise, we would all walk around with a chip be doomed to fi rst impres- on your shoulder, which is sions. Life is about hope what you are doing. I hope and love and change, and you are aware of just how those can be achieved negative your perspec- much more easily with tive is and what it will do a positive attitude and a to sabotage your fi nding a good therapist. By GILLIAN FLACCUS and ANGELIKI KASTANIS Associated Press PORTLAND — When states legalize pot for all adults, long-standing medi- cal marijuana programs take a big hit, in some cases losing more than half their registered patients in just a few years, according to a data analysis by the Associated Press. Much of the decline comes from consumers who, ill or not, got medical cards in their states because it was the only way to buy marijuana legally and then discarded them when broader legalization arrived. But for people who truly rely on marijuana to con- trol ailments such as nausea or cancer pain, the arrival of so-called recreational canna- bis can mean fewer and more expensive options. Robin Beverett, a 47-year- old disabled Army veteran, said she resumed taking a powerful prescription mood stabilizer to control her anxi- ety and PTSD when the cost of her medical marijuana nearly tripled after California began general sales. Before last year, an eighth of an ounce of dry marijuana fl ower cost her $35. Now it’s approaching $100, Beverett said. “It’s ridiculous. The prices are astronomical,” said Bev- erett, who moved to Sacra- mento from Texas because medical marijuana is illegal there. “Going to the dispen- sary is just out of the question if you’re on any kind of fi xed income.” It’s a paradox playing out nationwide as more states take the leap from care-centered medical programs to recre- ational models aligned with a multibillion-dollar global industry. States see a “massive exo- dus” of medical patients when they legalize marijuana for all adults — and then, in many cases, the remaining ones struggle, said David Man- gone, director of government affairs for Americans for Safe Access. Cost also goes up, a prob- lem that’s compounded because many of those who stay in medical programs are low-income and rely on Social Security disability, he said. The AP estimates if those states were added the num- ber would increase by about 1 million. Pushed aside AP Photo/Gillian Flaccus Scott Donnelly, assisted by his wife and licensed caregiver, Vicki Poppen, leaves Western Oregon Dispensary in Sherwood after buying medical marijuana to treat muscle spasms caused by his multiple sclerosis. shops fell from 400 to two, and hundreds of growers who contracted with individ- ual patients to grow specifi c strains walked away. Now, some of the 28,000 medical patients left are struggling to fi nd affordable medical marijuana products they’ve relied on for years. While the state is awash in dry marijuana fl ower that’s dirt cheap, the specialized oils, tinctures and potent edi- bles used to alleviate severe illnesses can be harder to fi nd and more expensive to buy. “Lots of people have started trying to fi gure out how to make these concen- trates and edibles themselves in their kitchen,” said Travis MacKenzie, who runs TJ’s Gardens, which provides free medical cannabis to children with epilepsy. “There are things that we don’t really want people to do at home, but the market conditions are such that people are trying to do more at home.” The numbers compiled by the AP through public records requests and publicly avail- able documents provide a snapshot of the evolution of marijuana as more states — Michigan was last in the door, and Illinois is about to follow — legalize pot for all adults. Ten states have both med- ical and recreational markets. Four of them — Oregon, Nevada, Colorado, Alaska — have the combination of an established recreational mar- ketplace and data on medi- cal patients. The AP analysis found all four saw a drop in medical patients after broader legalization. In Alaska, the state with the second-biggest decline, medical cardholders dropped by 63% after recreational sales began in 2016, followed by Nevada with nearly 40% since 2017 and Colorado with 19% since 2014. The largest of all the legal markets, California, doesn’t keep data on medical patients, but those who use it say their community has been in turmoil since recreational pot debuted last year. That’s partly because the state ended unlicensed cannabis cooper- atives where patients shared their homegrown pot for free. There is limited scien- tifi c data backing many of the health claims made by med- ical marijuana advocates, and the U.S. government still classifi es cannabis in any form as a controlled sub- stance like LSD and cocaine. Still, the popularity of medical pot is rising as more states legalize it. There are 33 such states, includ- ing the politically conserva- tive recent additions of Okla- homa and Utah. Oklahoma has among the more liberal guidelines for use and has approved more than 100,000 patient licenses since voters backed legalization last June. Getting a precise nation- wide count of medical patients is impossible because California, Washington and Maine don’t keep data. How- ever, absent those states, the AP found at the end of last year nearly 1.4 million peo- ple were active patients in a medical marijuana program. As more states legal- ize marijuana for all adults, some who have been using it medically are feeling disenfranchised. In Michigan, where med- ical marijuana has been legal for over a decade, the cre- ation of a new licensing sys- tem for medical dispensaries has sparked court challenges as the state prepares for the advent of general marijuana sales later this year. A cancer patient there fi led a federal lawsuit this month, alleging the slow licensing pace has created a shortage of the med- ical marijuana products she needs to maintain her weight and control pain. In Washington, medical patients feel they were pushed aside when that state merged its medical and general-use markets, which also is what’s happening in California. Los Angeles dispensary owner Jerred Kiloh sells medical and recreational marijuana and said those markets are quickly becom- ing one, since few companies are going to produce products for a vanishing group of cus- tomers. He said his medical business has dipped to 7% of overall sales and is dropping month to month. “It’s going to be gone,” said Kiloh, president of the LA trade group United Can- nabis Business Association. In Oregon, regulators are struggling to fi nd a path that preserves the state’s trailblaz- ing low-cost medical pot pro- gram while tamping down on a still-thriving black mar- ket. A special state commis- sion formed to oversee the market transition put out a report earlier this year that found affordability and lack of access are major hurdles for Oregon’s patients. “Patients have needs. Consumers have wants,” said Anthony Taylor, a med- ical marijuana advocate who sits on the Oregon Cannabis Commission. “Patients are in crisis right now.” More expensive In Oregon, where the medical program shrank the most following recreational legalization, nearly two- thirds of patients gave up their medical cards, the AP found. 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