Safed, Israel — Moshe Rute survived the
Holocaust by hiding in a barn full of chickens. He
nearly lost the use of his hands after a stroke two
years ago. He became debilitated by recurring nightmares
of his childhood following his wife's death last year.
"But after I found this, everything has been
better," said the 80-year-old, as he gingerly
packed a pipe with marijuana.
Rute, who lives at the Hadarim nursing home outside
of Tel Aviv, is one of more than 10,000 patients who
have official government permission to consume marijuana
in Israel, a number that has swelled dramatically, up
from serving just a few hundred patients in 2005.
The medical cannabis industry is expanding as well,
fueled by Israel's strong research sector in medicine
and technology — and notably, by government
encouragement. Unlike in the United States and much of
Europe, the issue inspires almost no controversy among
the government and the country's leadership. Even
influential senior rabbis do not voice any opposition to
its spread, and secular Israelis have a liberal attitude
on marijuana.
Now, Israel's Health Ministry is considering the
distribution of medical marijuana through pharmacies
beginning next year, a step taken by only a few
countries, including Holland, which has traditionally
led the way in Europe in legalizing medical uses of the
drug.
Marijuana is illegal in Israel, but medical use has
been permitted since the early 1990s for cancer patients
and those with pain-related illnesses such as
Parkinson's, multiple sclerosis, and even post-traumatic
stress disorder. Patients can smoke the drug, ingest it
in liquid form, or apply it to the skin as a balm.
A hot topic in America
In stark contrast, medical use is still hotly
contested in the United States, with only 17 states and
Washington, D.C., permitting medical marijuana for
various approved conditions. The U.S. Drug Enforcement
Administration says smoked marijuana is not medicine,
and "has not withstood the rigors of science."
In Europe, Spain, Germany and Austria have allowed or
decriminalized some degrees of medical marijuana use.
The numbers of patients authorized to use marijuana
in Israel is still far lower than those in the U.S.
states, where it is legal. Colorado, for example, has
82,000 registered users in a population of 5 million,
compared the 10,000 in Israel, a country of 8 million
people.
But Israelis seem enthusiastic about advancing the
industry.
"When push comes to shove, and people see how
suffering people are benefiting, I'm sure everyone will
get behind it," said Yuli Edelstein, Israeli
Minister of Public Diplomacy, as he toured Israel's
largest marijuana growing farm, Tikun Olam, on Thursday
and lauded the facility as an example of Israel's
technological and medical advancements.
The Hadarim nursing home, which encourages medical
marijuana use, gives its patients cannabis produced at
Tikun Olam farm, tucked away on nearly 3 acres in the
picturesque Galilee region.
The company, one of around eight
government-sanctioned grow-operations in Israel,
distributes cannabis for medical purposes to almost
2,000 Israeli patients who have a recommendation from a
doctor. The cannabis can be picked up at the company's
store in Tel Aviv, or administered in a medical center.
This year, the company also developed a marijuana
strain used by a quarter of its customers, said to carry
all the reported medical benefits of cannabis, but
without THC, the psychoactive chemical component that
causes a high. The cannabis is instead made with high
quantities of CBD, a substance that is believed to be an
anti-inflammatory ingredient, which helps alleviate
pain.
"This is just the tip of the iceberg. It's the
future," says Zach Klein, head of research and
development at Tikun Olam, whose logo reads "This
is God's doing, and it's marvelous in our eyes."
Itay Goor Aryeh, director of the Pain Management
Center at the Sheba Medical Center near Tel Aviv, noted
that THC was first isolated in marijuana by Israeli
scientists in 1964. "So we are really on the
cutting edge of not just the growing and distribution,
but also on the basic science of cannabis," he
said.
Legalization allows research
He said legalizing medical cannabis allows
authorities to conduct more research and learn more
about how to regulate its use.
"It has to be researched more, it has to be
regulated more, so we know what exactly we're giving the
patient, which strains are better," Aryeh said.
"If you don't allow it, you will never know."
Aryeh and other proponents say medicinal marijuana is
cost-effective and dramatically reduces patients' needs
for other pain medications, like morphine, that can
produce unwanted side effects.
Ruth Gallily, a professor of immunology at the Hebrew
University of Jerusalem, has been studying the supposed
anti-inflammatory effects of CBD for the past few
decades. "We're finally reaching the stage where
it's becoming accepted, and not thought of as 'bad,' but
we still have a ways to go," she said. "Now
the next challenge may be the major drug companies
accepting the plant."
Inbal Sikorin, the head nurse at Hadarim Nursing
Home, said the benefits of cannabis for her patients are
undeniable.
"We know how to extend life, but sometimes it's
not pleasant and can cause a great deal of suffering, so
we're looking to alleviate this, to add quality to
longevity," she said, while administering cannabis
to a patient using a vaporizer. "Cannabis meets
this need. Almost all our patients are eating again, and
their moods have improved tremendously."
Rute, the nursing home resident, said the cannabis
may not change his reality, but makes it easier to
accept.
His small room at the residence is adorned with
pictures of his deceased wife and figurines of chickens,
which he collects because he sees them as a symbol of
pain and hope from his years in hiding during the
Holocaust.
"I've been a Holocaust child all my life,"
says Rute, recalling how his father died at the
Buchenwald Concentration Camp in Germany, and how nights
were cold in the barn where his neighbor kept him and
his several siblings safely hidden.
"I'm now 80 and I'm still a Holocaust child, but
I'm finally able to better cope."