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Wednesday 5 February 2020

CBD OIL. Why does pharmaceutical medicine not want to know? Whatever happened to Patient Choice?

Medical cannabis, CBD oil, or cannabidiol, based on cannabis or marijuana, is controversial.

In the UK there are an increasing number of parents who are demanding access CBD oil through the NHS. A gruop of parents today (5 February 2020) have travelled to Westminster to lobby MP's, demanding free medical cannabis prescriptions for their children. Cannabidiol is very expensive, and the conventional medical establishment does not appear too keen on granting anyone access to it, certainly not the UK's Department of Health, and the NHS.

The makers of Cannabidiol claim that it is non-psychoactive (it doesn't act like cannabis), and make many marketing claims for CBD oil.
  • it is claimed to be the answer to many illnesses, including chronic pain, diabetes, depression, anxiety, epilepsy, seizures, and autism.
  • over 50% of patients using can stop taking pharmaceutical drugs.
  • that it has been clinically proven in treating a wide range of health benefits
  • it can regulate mood patterns and sleep cycles
  • it can mitigates inflammatory response
  • improve cognitive performance
So what is the row about? Why is there such disagreement? If parents want it for their children; and it has such sweeping benefits why is it not being offered to them, free on the NHS? Is it the expense? Pharmaceutical drugs which are equally expensive can be obtained on the NHS. Or is the problem that CDB oil is effective and might reduce demand for pharmaceutical drugs? The drug companies would not welcome this.

Medical cannabis was made legal in he UK in 2018, yet many parents are spending more than £1000 per month on buying it for their child. The campaigners visiting Westminster are mainly parents of severely epileptic or autistic children who have decided to take legal action to challenge the NHS's refusal or failure to prescribe it. Very few people obtain a prescription for medical cannabis, a few children and adults with rare and severe forms of epilepsy, some who have serious side effects from chemotherapy, and some people with multiple sclerosis (MS).

The NHS defends this stance in a number of ways.
  • There are concerns about the safety of medical cannabis (although there are no concerns about the pharmaceutical drugs currently being prescribed). 
  • There has been inadequate scientific trials (the testimony of parents who have used it and found it to be transformational is not sufficient). 
  • Medical cannabis is not required when there are pharmaceutical alternatives (and parents can have as many of these drugs as they need, even if parents say they do not work).
  • The fact that prescribing CBD oil might damage sales of the pharmaceutical drugs currently being used is, of course, denied.
I am not entering into a discussion about any of these political/financial/medical arguments. I would rather the NHS, and these campaigning parents, discovered the advantages of (i) not using pharmaceutical medicine, and particular childhood vaccines, which have most likely caused the problems of epilepsy and autism in the first place, and (ii) the benefits of homeopathy, and other natural therapies, which would offer safer, more effective, and less expensive solutions.

However, the issue surrounding medical cannabis clearly demonstrates another important issue: Health Freedom and Patient Choice.

The Conservative government came to power in 2010 advocating patient choice. Remember the White Paper - "no decision about me without me". Whatever happened to that? It was never publicly reversed, just left on a shelf to be forgotten, to gather dust! The pharmaceutical companies certainly did not like it; perhaps they thought too many people would not want to take their drugs and vaccines. And perhaps the drug companies were too powerful for the weak, irresolute conservative politicians.

At the same time there was also a pilot policy to develop direct payments to patients: personal health budgets. This was a system where sick people (or their parents) could receive a lump sum payment from the NHS which they could then allocate to the treatment of their choice. Whatever happened to that? Perhaps the drug companies thought too many people might opt for treatment that did not include their highly profitable drugs and vaccines.

So, 10 years on, patient choice has not advanced. It has been reversed. Politicians are no longer talking about patient choice. Indeed, they are more likely to be heard advocating mandatory drugging and vaccination policies. And this is the case even though 'patient choice' and 'personal health budgets' would resolve the problem.

So whatever the rights and wrongs of medical cannabis the current row is informative. It is still the conventional medical establishment that decides who can have what treatment. The patient can either accept their decision, do without, or bankrupt themselves by paying for it themselves.

Patients have absolutely no rights in health care.
 There is no health freedom.  
"All decisions about me without me"
The doctor knows best. His decision is final.