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In 2013, Dr. Steven Adelman of Physician Health Services (PHS)—a powerful nonprofit founded by the Massachusetts Medical Society that provides help to residents and doctors struggling with substance abuse problems—published a now-infamous article on KevinMD titled, “Against the Medicalization of Marijuana,” in which he lambasted the 63 percent of voters who supported the Massachusetts initiative petition to eliminate criminal and civil penalties for marijuana by qualifying patients with diagnosed debilitating medical conditions. Blasting the mandate for the Department of Public Health to “operationalize the so-called medicinal use of cannabis in the Commonwealth,” Adelman wrote, “the community of physicians has been scratching its collective head and wondering, ‘What in the world are we going to do about patient requests to become certified to purchase, or grow, so-called medical marijuana?’”

In his report, Adelman noted the alleged perilousness of addiction, withdrawal, and cognitive impairment related to cannabis, and warned of the potential onslaught of underground entrepreneurs waiting to capitalize. Adelman, a so-called addiction expert at Harvard Vanguard, predicted a floodgate of unscrupulous profiteers diverting “massive” amounts of this “valuable” “addictive” “substance” to “non-patients,” and guessed that the health and well-being of the “greater public will be jeopardized for the relief of a few.”

As noted by many activists but ignored by all but niche marijuana media, in another instance, Adelman blamed the bombing of the Boston Marathon on “marijuana withdrawal.” One of his cohorts, Dr. Robert Dupont of the Institute for Behavior and Health, rode a similar bandwagon, arguing that Dzhokhar Tsarnaev smoked his way to failure and, because of a disappointing report card, said, “Fuck it, I’ll become a terrorist.” DuPont also served as director for the National Institute on Drug Abuse and currently runs one of the largest Employee Assistance Programs (EAP) in the U.S. with former DEA honcho Peter Bensinger. These guys are in the drug-testing business!

Most doctors don’t think like this. That includes most members of the Massachusetts Medical Society. But very few speak out about the fraud being carried out against the legalized medicinal use of cannabis. How does the same medical society that publishes the New England Journal of Medicine allow this type of tripe and rabble to evade editorial scrutiny? Why no backlash from dissenting doctors? Easy, no one has stood up to Adelman because as the head of an influential Physician Health Program (PHP) like PHS, he has power over the license of every doctor in Mass.

Such state operations have come under major scrutiny. A recent Medscape article titled “Physician Health Programs: More Harm Than Good?” reveals patterns of anonymous referrals, false diagnoses, and a lack of credible process. These state-based programs appear to have created a climate of fear in doctors, as all it takes is an anonymous referral to someone like Adelman to ruin a career. For these reasons, many doctors will not even talk about medical marijuana privately, let alone in public out of fear that they might get referred to their state PHP.

It’s hard to know who to hold accountable for these lies. PHS operates under the national Federation of State Physician Health Programs (FSPHP), which is located in Massachusetts. Meanwhile, the FSPHP is an arm of the American Society of Addiction Medicine (ASAM), which also pushes self-serving public policy under the guise of contributing to the greater good. That despite the Massachusetts Medical Society’s charge to “do all things as may be necessary and appropriate to advance medical knowledge, to develop and maintain the highest professional and ethical standards of medical practice and health care, and to promote medical institutions formed on liberal principles for the health, benefit and welfare of citizens of the commonwealth.”

Dr. Langan was an instructor in medicine at Harvard Medical School and an assistant professor of medicine at Massachusetts General Hospital for more than 15 years. He is a co-founder of a medical device startup and blogs at disruptedphysician.com.