Patient Rights Treatment Decisions & Safety Medical Marijuana Pros and Cons of Legalizing Marijuana By Angela Morrow, RN Updated on March 29, 2023 Medically reviewed by Chris Vincent, MD Fact checked by Sarah Scott Print Table of Contents View All Table of Contents The Pros of Legalizing Marijuana The Cons of Legalizing Marijuana Scientific Evidence The pros and cons of legalizing marijuana are still being debated. Today, 37 U.S. states allow for the medical use of marijuana. A growing number allow recreational use. However, as a Schedule I controlled substance, marijuana is illegal under federal law. This Drug Enforcement Administration designation means that marijuana is considered to have "no currently accepted medical use and a high potential for abuse." It also limits medical studies into the potential benefits of cannabis. This article explains the pros and cons of legalizing marijuana, as some have argued them. LPETTET / Getty Images The Pros of Legalizing Marijuana Americans overwhelmingly support the legalization of marijuana. In fact, according to the Pew Research Center, 88% of Americans support legalizing marijuana. Of those, 59% say it should be legal for medical and recreational use and 30% say it should be legal for medical reasons only. Several possible health benefits of medical marijuana have been proposed: Nausea: Marijuana is effective in relieving nausea and vomiting. Studies have shown that cannabis can decrease nausea caused by chemotherapy and almost eliminate vomiting. Spasticity: Marijuana can relieve pain and spasticity associated with multiple sclerosis. Appetite: Marijuana can help treat appetite loss associated with conditions like HIV/AIDS and certain types of cancers. Chronic pain: Marijuana can relieve certain types of chronic pain, including neuropathic pain, which is caused by nerve damage. And arguments in favor of using medical marijuana include: It's safer: Marijuana is safer than some other medications prescribed to treat pain. For example, some people may use it instead of opioids for pain management. Opioids are highly addictive and are typically not recommended for long-term use in treating chronic pain. You can use it in many ways: You do not need to smoke cannabis for its benefits. Products such as cannabidiol oil (CBD), topical pain relief treatments, edibles, and other non-smoking applications are now available. You don't need to get high: As studies continue, researchers are finding benefits in the individual compounds in cannabis. When these chemicals are isolated—such as CBD has been—they can offer treatment options without the "high" produced by the compound commonly known as THC. It's natural: People have used marijuana for centuries as a natural medicinal agent with good results. Recreational Marijuana Marijuana is legal for recreational use in 20 states and the District of Columbia. In 20 other states, marijuana has been decriminalized. This means there are no criminal penalties in these states for minor marijuana-related offenses like possession of small amounts or cultivation for personal use. The Cons of Legalizing Marijuana Those who oppose the legalization of marijuana point to the health risks of the drug, including: Memory issues: Frequent marijuana use may seriously affect your short-term memory. Cognition problems: Frequent use can impair your cognitive (thinking) abilities. Lung damage: Smoking anything, whether it's tobacco or marijuana, can damage your lung tissue. In addition, smoking marijuana could increase the risk of lung cancer. Abuse: Marijuana carries a risk of abuse and addiction. Accidents: Marijuana use impairs driving skills and increases the risk for car collisions. The fact that the federal government groups it in the same category as drugs like heroin, LSD, and ecstasy is reason enough to keep it illegal, some say. As Schedule I drugs are defined by having no accepted value, legalization could give users the wrong impression about where research on the drug stands. Scientific Evidence Remains Limited In the past, clinical trials to to determine if marijuana is effective in treating certain conditions have been restrictive and limited. However, as medical marijuana becomes more common throughout the world, researchers are doing more studies. Expert reviews of current research continue to say more studies are needed. In addition, many hurdles involve controlling the quality and dosing of cannabis with what is legally available to researchers. One review of research noted that the long-term effects of cannabis are still unknown. Without more research into dosage and adverse effects, scientific evidence of risks and therapeutic effects remains soft. Researchers need to evaluate marijuana using the same standards as other medications to understand whether it is valuable for managing any conditions. Until the federal government downgrades marijuana from a Schedule I drug, widespread clinical trials are unlikely to happen in the United States. Summary Medical marijuana is increasingly available in the U.S. It is often used to treat chronic pain, muscle spasms, and nausea and vomiting, and to increase appetite. However, it can affect thinking and memory, increase the risk of accidents, and smoking it may harm the lungs and lead to cancer. More studies are needed to understand the benefits of medical marijuana. However, unless the federal government removes it as a Schedule I controlled substance, research, access, and legality will remain complicated. Why Smoking Marijuana Might Be Bad for Your Bones A Word From Verywell There are both benefits and risks to medical marijuana. If you're considering using marijuana medicinally, don't be afraid to talk to your doctor about it. They can help you determine whether marijuana may be the proper treatment for you. Medical marijuana remains controversial, but it is gaining traction as a legitimate recommendation for various symptoms. Even though many states have legalized cannabis for medicinal purposes and recreational use, more research is needed. 16 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Conference of State Legislatures. State medical marijuana laws. United States Drug Enforcement Administration. Drug scheduling. Pew Research Center. Americans overwhelmingly say marijuana should be legal for recreational or medical use. Badowski ME. A review of oral cannabinoids and medical marijuana for the treatment of chemotherapy-induced nausea and vomiting: a focus on pharmacokinetic variability and pharmacodynamics. Cancer Chemother Pharmacol. 2017;80(3):441-449. doi:10.1007/s00280-017-3387-5 Corey-Bloom J, Wolfson T, Gamst A, et al. Smoked cannabis for spasticity in multiple sclerosis: a randomized, placebo-controlled trial. CMAJ. 2012;184(10):1143-1150. doi:10.1503/cmaj.110837 American Cancer Society. Marijuana and Cancer. Hill KP. Medical marijuana for treatment of chronic pain and other medical and psychiatric problems: A clinical review. JAMA. 2015;313(24):2474-83. doi:10.1001/jama.2015.6199 Choo EK, Feldstein Ewing SW, Lovejoy TI. Opioids out, cannabis in: Negotiating the unknowns in patient care for chronic pain. JAMA. 2016;316(17):1763-1764. doi:10.1001/jama.2016.13677 Corroon J, Sexton M, Bradley R. Indications and administration practices amongst medical cannabis healthcare providers: a cross-sectional survey. BMC Fam Pract. 2019;20(1):174. doi:10.1186/s12875-019-1059-8 Morales P, Reggio PH, Jagerovic N. An overview on medicinal chemistry of synthetic and natural derivatives of cannabidiol. Front Pharmacol. 2017;8:422. doi:10.3389/fphar.2017.00422 The Council of State Governments. State approaches to marijuana policy. Harvard Health Publishing, Harvard Medical School. The Effects of Marijuana on your Memory. Ghasemiesfe M, Barrow B, Leonard S, Keyhani S, Korenstein D. Association between marijuana use and risk of cancer: a systematic review and meta-analysis. JAMA Netw Open. 2019;2(11):e1916318. doi:10.1001/jamanetworkopen.2019.16318 Preuss U, Huestis M, Schneider M et al. Cannabis use and car crashes: A review. Front Psychiatry. 2021;12. doi:10.3389/fpsyt.2021.643315 Deshpande A, Mailis-Gagnon A, Zoheiry N, Lakha SF. Efficacy and adverse effects of medical marijuana for chronic noncancer pain: Systematic review of randomized controlled trials. Can Fam Physician. 2015;61(8):e372-81. Hill KP, Palastro MD, Johnson B, Ditre JW. Cannabis and pain: a clinical review. Cannabis Cannabinoid Res. 2017;2(1):96-104. doi:10.1089/can.2017.0017 Additional Reading Maida V, Daeninck PJ. A user's guide to cannabinoid therapies in oncology. Curr Oncol. 2016;23(6):398-406. doi:10.3747/co.23.3487 Meier MH, Caspi A, Cerdá M, et al. Associations between cannabis use and physical health problems in early midlife: A longitudinal comparison of persistent cannabis vs tobacco users. JAMA Psychiatry. 2016;73(7):731-40. doi:10.1001/jamapsychiatry.2016.0637 By Angela Morrow, RN Angela Morrow, RN, BSN, CHPN, is a certified hospice and palliative care nurse. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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