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Patient Advocate since 1977.

German Medical Marijuana Patients face mounting struggles to secure their medicine, while companies from the US and elsewhere are forbidden to help. #shameful

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Criticism of the cannabis lawThe struggle for cannabis

In March the policy was celebrated: cannabis on prescription – a breakthrough! But many patients are dissatisfied. The funds do not want to pay the costs, the pharmacies are struggling with supply bottlenecks. The fight for hemp is in full swing.

By Christin Jordan, SWR

Magdalena Sebelka has epilepsy, ADHD and severe asthma. She has already tried a few medications – helped only cannabis.

As with the 10th of March, cannabis can be prescribed for prescription and bought at the pharmacy. The new law makes it possible for the funds to pay the costs. As far as the theory. Practically, around 1000 people in Germany have already been allowed to buy and consume cannabis products in pharmacies with an exception. But they had to pay it out of their own pocket.

In severe diseases such as cancer, Crohn’s disease, multiple sclerosis or pain patients, medical cannabis is used for therapy. The hemp blossoms are imported, certified cultivating plants are available in Canada, the USA and the Netherlands.

Fighting with the health insurance companies

The young woman has an exception license, issued by the Federal Institute for Drugs and Medical Devices. So far she has received a prescription from the doctor and has been able to buy and consume hemp flowers – at her own expense. Your hope in the law was great. Then the disappointment: your doctor prescribes her the drug, but she must continue to pay for it herself. The checkout refuses to take over the costs.

According to the law, the first regulation has to be submitted and approved by a health insurance company at the health insurance – but this is rejected by Sebelkas Kasse. It is not proven that cannabis is the only active ingredient that helps her.

Many affected parties also report in Internet forums about the struggle with the coffers. Your guess: It’s about money. Because cannabino therapy is expensive – an average patient costs around 9000 euros per year.

Cannabis as a last resort

The leading association of statutory health insurance funds rejects the charge of wanting to save costs. The funds would have to adhere to the law whereby cannabis products can only be used as cash-in-service if no other therapy helps.

In addition, since the entry into force of the Act on 10th March, 1000 cost-taking has already been approved by the funds, so the number of legal cannabis users has risen significantly.

But why do people with an old exception permit like Magda Sebelka not automatically claim to be covered by the health insurance funds provided for by the new law? According to Speaker Florian Lanz, there is no legal basis for this. There was no provision for the existence of existing populations for the old patients; every regulation had to be examined separately, which could also reject cash applications – as in many other therapies.

Legal, but expensive

One gram of cannabis flowers costs 25 euros in the pharmacy – a lot of money for those who are self-paying. Sebelka reports that since the introduction of the law the price of medical cannabis products has almost doubled. The reason was that the pharmacists had to calculate the goods according to the German drug regulation. The German Association of German Pharmacists’ Associations rejects this – cannabis has always had to be treated as a medicinal product like any other medicinal plant. “I can not understand the alleged price increases,” explains deputy press singer Ursula Sellerberg.

Limited cannabis

But patients who have accepted the cost of taking over the costs can still not breathe. Medical cannabis is currently scarce, the foreign suppliers can not meet the needs. “Of ten cannabis medicines, I can only offer one at the moment”, says the chief pharmacist Martin Schmidt. He can only provide his regular customers – if new cash patients with cannabis recipes came, they probably went empty. Schmidt sees the fault with the policy: “The law was a quick shot, one had to have thought about where these quantities of medical cannabis products should come from.”

A quick solution is not in sight. Germany wants to build a state cannabis agency and control cannabis cultivation – however only two years. Until then, Magda Sebelka may perhaps consume at the expense of the cash box cannabis – she complains in an urgent case against the decision.

Your opinion about:Kritik am Gesetz für legalen Cannabiskonsum

July 26, 2017 – 11:22

A hemp plant

In March the policy was celebrated: cannabis on prescription – a breakthrough! But many patients are dissatisfied. The funds do not want to pay the costs, the pharmacies are struggling with supply bottlenecks. The fight for hemp is in full swing. By Christin Jordan.

Article on tagesschau.de

Comments

Finally legalize costs

Finally legalize, save money! There are arguments against it, but then one would have to honestly forbid alcohol etc.

What would the police finally release? You will not move the potatoes if you criminalize it. Consumption has been steadily increasing for years. We must pay the police.

The market regulates …

… the price and that is good so. And that the checkout does not pay is correct. I would not like to finance a cannabis as a cashier. Basta.

Simply laughable …

Delivery bottlenecks at something every 17 year old can grow. Welcome to Germany.
And what is the idea of ​​allowing hemp first when opiates do not have the desired effect?
Just look to Holland – the kids there are not as big as the one here – simply because it is nothing special – you can buy in the coffeeshop, nice to smoke there and then as after a beer to go home, the stub on the Way smoking and done.
The drilldown made here around the story is simply laughable.

Build yourself

If I was in a desperate situation would have a serious illness and would have to fight with bad pain, I would be mildly shed, whether the cultivation is illegal.
Then the just a seriously sick man in the jail are stuck …..

@ Ruffian

“I do not want to co-finance a cannabis as a cashier.” Basta. ”

I hope they stay healthy. My wife was not lucky enough, and cannabis is the only active ingredient of the (including).

@karawanke

“The market regulates the price”
The road price is around 10, – EUR per gram and thus far less than half as what pharmacies demand.

“And that the checkout does not pay is right.”
No it is not. The legal situation is clear and the coffers have to submit to this!

“I do not want to finance a cannabis as a cashier.”
And I do not want to co-finance your surgery and chemo if you get cancer, preferably by smoking. Or your physiotherapy when you break your bones while skiing. But I must. Therefore, your “desire” is irrelevant.

@ Karawanke

>>> I would like to co-finance no cannabis as a cashier. Basta.
,
Cannabis is cheaper and more effective than alternative products. Also less harmful / side effects than chemical drugs.
As a cashier, I would rather pay cannabis than an artificial, overpriced product of the pharmaceutical industry.

The only reasonable solution is

The free sale to all in pharmacies, or separate shops. Then there are also no bottlenecks. On the contrary, a new, lucrative industry for all parties would be created, decriminalizing consumers, thereby relieving the police / courts and generating tax revenues.

It is already disappointing

It is already disappointing to see how the health insurance companies are squirming, just not having to pay … what they actually have to do according to the law, so almost every complaint against social courts is also successful.

It’s damn cynical when one forces patients to be forced into illegality again.

Whoever can afford it and does not want to act illegally, can issue a private recipe. So what do you call two-class medicine ?!

Yes, I also like to see when my health insurance contributions are spent on safe and helpful substances like cannabis! To refuse a patient’s medicine is simply immoral (aka “is not at all!”).

Prices not traceable

“Because cannabino therapy is expensive – an average patient costs around 9000 euros per year.”

And what would be the cost if the legislator were to equate cannabis with the tobacco – 100 euros?

Looks to Uruguay

And learn how to do something like that!

Legal health insurance is called …

… the legislator defines the conditions, and that makes him very stringent and very concrete. Paragraph 12 of Book V of the Social Insurance Code states that
“(1) benefits must be sufficient, appropriate and economic, and must not exceed the extent of what is necessary.” Insured persons are not entitled to benefits which are not necessary or uneconomical And do not grant health insurance funds. ”
In this respect, the GKVs may only authorize if the conditions of § 31 (6) SGB V are fulfilled. In particular, no alternative recognized therapeutic method may be available for the purpose of use (cannabis is almost everywhere else).
To this extent, the hope of German consumers,

@karawanke

“I do not want to co-finance a cannabis as a cashier.” Basta. “… but the lush profit margins of the pharmaceutical industry … no further comment needed

Prices not traceable!

The pharmacy wants 25 €?
On the street the price is 10 to 12 €.

Who as a chronic patient illigal a Hanfzucht cabinet poses thereby long-term producer prices of under 3 € the gram realize.
On a large scale professionally cultivated hemp products would be spottbillig !!! “Pfennig Amounts” for the gram!

They would be cheaper than most pharma alternatives and the health insurance funds would be financially relieved by hemp medicine.

Earlier, hemp was grown on German fields. This was because of the fibers, but was the same kind.
Hemp cultivation is relatively easy: hemp is robust, needs little to no use of chemistry and the soil needs little preparation. For this purpose it is relatively dry-resistant (grows well on Moroccan fields).

The fact that we have supply bottlenecks and usurious prices is the only political failure!

@ Karawanke “no cannabis co-finance”

Aha?!

How is it with opioids? They finance you through your health insurance contributions on a grand scale.

Or benzodiazepines? A not insignificant proportion of the drug addicts are attributed to this drug. They also finance you.

What about amphetamines? You are funding Ritalin and others about your contributions.

What about cocaine derivatives? Lidocaine and other local anesthetics …

What I want to tell you: Many drug classes, which you know as an illigal drug, have at the same time a high medical potential, which has always been widely used.

The active ingredients in hemp also have high medical potential. And the side effects are relatively harmless compared to all the above active substance classes! These are facts, the medical world is largely in agreement. And although this is not in the sense of the pharmaceutical lobby.

From a scientific point of view, it is a scandal that a modern enlightened country like Germany so far does not use these drugs

@spetzki

Cent amounts per gram are nonsense! That would only go on the field so cheap and then the quality is not given. For medical purposes it is cultivated in enclosed spaces wherever it is allowed. There is the driving cost factor alone the current.

It is the GKV’s in Germany for a long time only around …

…Money.
Not only in patients who need cannabis, since other agents either do not help or have too much side effects.

Is not different with me.
My pain therapy costs around
2,662 € a year.
For cannabis it would be 3-4 times as expensive.
The big difference is that cannabis has much less side effects and is therefore less harmful to the body.
After all, I am talking about a lifelong application of the preparations.
At the moment I have to take Oxycodon acute (4 times daily).
With Hemp I need substantially less to zero.

But the coffers do not care.
Alone the regulation that if there is another means, cannabis not or difficult to maintain or even be bought at own expense, drives many people into the madness and ruin.

No, our health care system & The responsible politicians also take care of
the patient.

It’s just about money.

@ 11: 31 from OrwellAG – so please, it is not about the …

… Consumption of a killer who would like to have a intoxication.

It is a question of adopting a law that gives people free access to their medicine.

And then the cashiers are straining themselves with the simple assertion that there are substitute medications which the patient must take.
Or the patient has to pay himself.
The Otto-normal patient can not do this.
Especially since most people who need such a drug anyway can no longer work.

@ no idea


To be economical” “in particular, no alternative recognized method of healing may be available for the purpose of use (cannabis is almost everywhere else).”

Hemp is one of the oldest cultivated and medicinal plants of mankind.
This is not a new idea. And it is not an “alternative healing method”! This is not a Bachblütentee – hemp contains highly potent active ingredients.
They are well-known and well-researched active ingredients.
Hemp has been tried for decades to demonize (and still can not present any facts).
The fact is, in many cases, hemp should be the first choice, because:
– very low potential for side effects
– if done right
– unbeatable – great patient compliance. Many patients prefer a traditional herbal drug to a modern drug.

From the passages you quoted, I interpret that hemp medicine needs to be promoted more strongly.

@ Donidon: field went

One has to ask, of course, how the use of these drugs should develop in the long term.
I think: In the same as for all other active ingredients also: standardized medical products: tablets, drops, … suppositories 🙂

This would mean that the active ingredients are dissolved from the plant material and isolated and standardized products are produced therefrom.
For this application, the active ingredient content in the plant material may fluctuate smoothly.

And so “Pfennigsbeträge” can be realized.

If the hemp flower should have as much as possible reproducible concentrations of active ingredients, then you are right: you have to keep all parameters constant, including lighting, nutrient supply (via hydroponic systems), temperature and humidity.

It is not the best solution to leave the hemp flower to the patient. Because this self-medication (smoking, evaporating, baking cookies, …) is inaccurate and less effective than modern forms of administration.

11:49 by karawanke

“And that the cash box does not pay is correct, I would not like to finance a cannabis as cashier.” Basta. ”

Then I wish you heartfeltly that you will never get into the situation, that cannabis is the only way to live a certain human life and die later. My husband has ALS. Both (first and second) motoneuron are affected. Particularly painful are the muscle cramps. His doctor would prescribe in the cannabis, the cashier does not pay. For the other medicines, he has to reckon with enormous side effects, eg liver damage.

There are growing countries

There are more and more countries cunning and legalizing cannabis, why we have to make it more complicated than it is.
We leave it over pharmacies, health insurance and doctors, which is a bureaucracy.
Everyone is able to cultivate cannabis and it is made everywhere. So just legalize it and we save money and trouble.
This is a billion dollar market the D left. Cannabis has always been consumed. The purchase is as easy as buying biscuits.
This could create thousands of jobs in D, instead the pharmaceutical industry is supported, so they can sell their expensive preparations.
Even America has recognized this market. To ban a naturally growing plant and brewed beer, Baked liquor, & c. That’s funny!
D always notes it at the end!
I hope I ever experience the complete legalization!

“They are well-known and well-researched drugs.”

You should not write something, just to write something.
You can count yourself as an employee of a sawmill on one hand for an effective study for the treatment of diseases or even for the adjuvant use of dronabinol or nabilone. Evident studies, however, are a compelling basis for the preparation of therapiesand guidelines of the specialist companies.
In this respect, you can put your “facts” at least in health care in 99.5% of cases for the coming years, where the sun rarely has an opportunity to see them.
Because in exactly this relation, there are standardized procedures that are cheaper than cannabis on Rp. – and then we must prescribe this, The cash registers are not allowed to grant more expensive procedures and the patient can not claim them. That’s the way – and I do not want to be embarrassed to pay the bags of my patients myself.

We own one

We have an endocannabinoid system where the cannabinoids CBD, THC & Co. (over 100 exist) can dock. We also produce our own cannabinoids ourselves. However, since the research on cannabis has been suppressed for so long, studies are often lacking, and therefore the evidence. Look at all the people in the world to be scolded at the “Kiffer”. They are often better with the herb than with chemically produced “medicine”, the cannabis need only be determined, reaped, dried and taken.

As always, it is about maximizing profit, if patients have to suffer (see cancer medication). Not only does methadone show surprising results, cannabis too!

Doctor, “That makes psychoses!”
Patient: This with psychoses and cannabis is a hen and egg problem.

(Satire)
Is the risk of an induced psychosis very high when a “doctor” hears the word “cannabis”? Or was a psychosis VS ‘cannabis as medicine’, already there before?
(Satire off)

It is definitely harmful to health

Unfortunately, one must always keep in mind that the abuse of cannabis is a drug addictive and, just like drinking alcohol, is a serious damage to the nervous system.
Beautiful staining and Kiffer-Idyll bring there nothing.

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Author: Cenedella.de

Philip J. Cenedella IV - The 2-continent Cannabis Consultant. First and foremost, I am a Patient Advocate since 1977. I have also served as a Board of Director for the World Trade Center San Diego, as a Lead Consultant for Deutsche Telekom's Executive Board, Founded the Dayton Human Trafficking Accords and have been a C-Level Business Development Executive for over 3 decades. From California, now residing in Germany and providing professional business development services to firms from North America, Europe and worldwide. I support the work of United States Congressman Dana Rohrabacher (pictured below at ICBC Berlin) and the BERLIN PEACE ACCORDS which call for an end to the world war on Cannabis. https://cenedella.de/berlin-peace-accords Consulting Services: Sales and Business Development - all facets, C-level, ethical and professional Assist with Strategic Direction - but focused on its implementation Professionally represent your firm - at conventions, sales meetings, and events Research - licensing, compliance, distribution networks and qualify potential partners I am your resource, on the ground in Europe! Philip J. Cenedella IV Call +1.888.206.3264 USA / +49.0.151.720.16752 GERMANY Skype: philip.j.cenedella / eMail: phil@cenedella.de

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