Capt. (ret.) Yaron Adel, a post-traumatic patient and leader of the fight for post-traumatic stress disorder (PTSD) victims in Israel, expressed his frustration with the Israeli government for leaving out patients like him from the recently approved medical cannabis reform.
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"Politicians say that post-traumatic patients are the most important, that we need to prioritize soldiers in the military. We see time after time how easy it is for them to send us to battle, to be killed and injured, but fail to alleviate hurdles standing before PTSD patients in acquiring treatment using medical cannabis, which can be triggering,” he said.
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Yaron Adel, Amit Esther Aqwa, Reuven Amir - their medical cannabis licenses will expire soon and they won't have access to the treatment
(Photo: Romi Erdan, Courtesy)
Many patients will soon be able to receive cannabis through a regular prescription, rather than the cumbersome license process that was in place in Israel until now. However, post-traumatic patients and those with chronic pain conditions, such as fibromyalgia, have been left out.
Describe the process and complexity of being approved to use medical cannabis.
"After several diagnoses, doctors realized I required medical intervention for the difficulties I was facing in my life. I and my psychiatrist realized that treatment with cannabis was something I needed,” he said.
“From there, I needed to show the Health Ministry that I’ve tried other medications, excluding cannabis, for at least four months. In other words, in order to obtain a cannabis license, post-traumatic patients are required to consume very strong drugs, in addition to the requirement to undergo psychiatric treatment."
"The second stage was to find a psychiatrist specializing in cannabis treatment for issuing the license. There are 100 such psychiatrists in Israel. Once the doctor submits the license to the Health Ministry, there’s another process to undergo, and we need to wait for some time until we receive the license itself,” Adel explained.
“Only when the license arrives can we start using cannabis. It’s a process where each stage is triggering and very difficult to manage. This is one of the reasons why many post-traumatic patients avoid cannabis. They avoid the whole process because of its complexity.”
However, Adel also adds that “I somewhat understand the government's decision not to include post-traumatic patients in the cannabis reform. There are a million post-traumatic patients in Israel – that's a staggering number. One in every 10 Israelis is post-traumatic, so if we ease the bureaucracy for post-traumatic patients, it essentially means we’re legalizing cannabis."
Amit Esther Aqwa, a 34-year-old woman from Ma'ale Adumim who suffers from fibromyalgia (chronic muscle pain condition), is also left out of the cannabis reform.
There are quite a few people who suffer from it, but fibromyalgia still isn’t widely known in Israel.
"Right, it’s a sensory pain condition that affects the body and has an impact on the patient’s life. Unfortunately, it is quite invisible, and people don't understand until you explain."
Do you use cannabis yourself?
"Yes, I have a license. If Yaron said he had to go through a four-month process of strong psychiatric medications to get the license, we need at least a year of consuming opioids and narcotic drugs, which damage the body, create addiction and have severe side effects."
In the U.S., the health care system has realized that these drugs are much more hurtful to the body than cannabis.
"Exactly. Being a patient in a pain clinic that also injects various drugs is also dangerous. It took me three years of fighting to receive medical cannabis."
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Many post-traumatic patients avoid the whole process for getting a license for cannabis because of its complexity
(Photo: Shutterstock)
And today, how much does cannabis help compared to narcotic drugs?
"Besides relieving the pain, cannabis has also been proven in studies to have anti-inflammatory properties. It doesn't eliminate the pain but reduces it to a level that allows me to lead as normal a life as possible, rather than living within it.”
“Cannabis is actually the only medication that helps fibromyalgia patients,” she added. “And the fact that the disease hasn't been included in reform is a tough pill for us to swallow. We want to work, study, develop and live well. And the reform forces us to rely on hard drugs instead of something that really helps.”
Reuven Amir, a 72-year-old fibromyalgia patient living in Rishon LeZion, describes his hardships in acquiring a cannabis license, which is set to expire at the end of the year. "I couldn't find a doctor within Maccabi Health Care Services, the health care provider I'm a member of, who’s willing to renew my license.”
“When I approached the health care provider’s public inquiries department, they told me the responsibility for the license belongs to the Health Ministry via a special website, and that many doctors have stopped practicing in the field due to changes in the ministry’s guidelines.”