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CHINA'S GREAT LEAP BACKWARDS

Peter Kwong gives us the "New China" without illusions: from the "millionaires' fair" in Shanghai, with $60,000 diamond-studded dog leashes to one of the most savagely repressed working class and peasantry on the planet. How China's leaders swapped Marx and Mao for Milton Friedman. Alexander Cockburn on What's wrong with the U.S. left. They're sitting in darkened rooms weaving conspiracy fantasies about 9/11; they're blogging; they're confusing a medium with a movement; they're not doing enough to stop the war in Iraq. John Ross takes us along the stormy trail of the Mexican election. CounterPunch Online is read by millions of viewers each month! But remember, we are funded solely by the subscribers to the print edition of CounterPunch. Please support this website by buying a subscription to our newsletter, which contains fresh material you won't find anywhere else, or by making a donation for the online edition. Remember contributions are tax-deductible. Click here to make a donation. If you find our site useful please: Subscribe Now!

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Today's Stories

July 8 / 9, 2006

Ralph Nader
The Wail of the Oceans

July 7, 2006

John Ross
Anatomy of a Fraud Foretold: Mexico's Surreal Elections

July 6, 2006

Nick Dearden
Profiting from the Occupation: the Corporate Interests Behind the War on Palestine

John Stanton
Nationalize the Defense Industry

Ralph Nader
The Politics of the Minimum Wage

Laray Polk
Cambodia Then; Gaza Now

Saul Landau
Who Mourned the Victims of the US Covert War on Chile?

Joshua Frank
Sweet Angst, Power Chords and Politics: Farewell Sleater-Kinney

William S. Lind
To Be or Not to Be a State? Hamas and 4th Generation War

Adelman / Lindorff
Impeachment Comes to Main Street, USA

Jonathan Cook
An Experiment in Human Despair

Website of the Day
Adulterers in Chief?


July 5, 2006

Mike Whitney
Is Cheney Betting on Economic Collapse?: the Veep's Curious Investment Portfolio

Saul Landau
False Axioms: Star Democrats and Iraq Massacres

Ramzy Baroud
And Israel Shall Be Safe Again

Missy Comley Beattie
An Axis of Nuts: Ready, Aim, Fear

Arthur Neslen
A Way Out of the Gaza Crisis?

Vincent Maruffi
Party Politics in Connecticut: Lieberman, Lamont and the Greens

Paul Cantor
Aberrations: Hell, High Water and the Moral High Ground

Paul D. Johnson
Mystery Meat: Let's Be Honest About Food's Origin

David Price
Shouting Down Nazis in Olympia


July 4, 2006

Col. Dan Smith
Iraq and Independence Day: Lessons from the War of 1812

Chris Floyd
American Power in Mahmudiyah

Marjorie Cohn
Israel's Collective Punishment of Gaza

James Brooks
Israel 9,000 Palestine 1: Destroying the Gaza Strip

Medea Benjamin
"Dictatress of the World:" Has America Become JQ Adams' Worst Nightmare?

Matt Reichel
An Independence Day Lesson for the American Left from France

Elisa Salasin
Why I am Fasting Today

Rick Wilhelm
Will Lieberman Apologize to Ralph Nader?

Paul Craig Roberts
Rape, Lies and Murder

Website of the Day
A Mighty Handsome Family

 

July 3, 2006

Robert Bryce
Gaza in the Dark: Poor, Frustrated and Powerless

Dr. Bouthaina Shaban
"I Hope You're Not Here to Talk About the Palestinians"

Julia Olmstead
The Biofuel Illusion: Running on Top Soil

Dave Lindorff
The Real Meaning of the Hamdan Ruling: Bush Adm. Has Committed War Crimes

Andres Gomez
A Mockery of Justice

Alan Singer
Another Encounter with Chuck Schumer: Just as Hawkish as Hillary, But Nastier

Alexander Cockburn
Temple of Mammon, Planet of Doom


July 1/2, 2006
Weekend Edition

Paul Craig Roberts
Bush's Assaults on Freedom: What's to Stop Him?

Stephen T. Banko
Echoes from Vietnam; Nightmares in Iraq

Daniel Cassidy
How the Irish Invented Slang: the Bunkum of Bunkum (for Dizzy Gillespie)

Fawzia Afzal-Khan
The Class Behind the Muslim

Jeff Taylor
The Sandy Foundation of the White House: a Bible-Believing Christian's View of Bush

John Ross
Mexico: There's a Riot Going On

Greg Moses
Psycho-Management Hits Mexico's Maquiladoras

Laura Carlsen
Mexico's Elections: a Choice for Change

Justin E.H. Smith
Lethal Injection and Other Fashion Trends

Brian Cloughley
Different Worlds: When Liberation is Worse Than Oppression

Anthony Papa
Punishing Addiction: No Walk in the Park for Dwight Gooden

Mike Ferner
Getting Busted for Wearing a Peace T-Shirt

Jerry Tucker
Liberalism's Long Goodbye: McGovern Hoists the White Flag

Jane Goodall / Rick Asselta
Remembering the Marshall Islands

Phyllis Pollack
Roll Over Beethoven: Chuck Berry is Back in Town

Poets' Basement
Salasin, Swindell, Ferri-Smith and Engel

 

June 30, 2006

Marjorie Cohn
Supreme Rebuke: Bush Loses Gitmo Case

Heather Williams
Will Mexicans Ignore What Bolivians Learned?

Burbach / Cantor
Yellowback Democrats: the Party of Cut-and-Run (from Principle)

Nick Dearden
Crime in the Valley: Life on the Other Side of Palestine

Michael J. Smith
Under the Broadcast Flag: Intellectual Property as Intellectual Theft

Brian Concannon
The Return to Haiti: a Homecoming for Aristide?

Virginia Tilley
Israel's Appalling Act: Starving in the Dark

 


June 29, 2006

Bill Quigley
Gutting New Orleans

Ron Jacobs
Killing a Nation to Rescue a Soldier

Paul Craig Roberts
The High Price of American Gullibility

June 28, 2006

Jorge Mariscal
Mexican-American Soldiers, Iraq and the Politics of Immigrant Bashing

Greg Moses
Down in Pinal County: Where the Pun's on Us

Mark Weisbrot
Mexico: Their Brand is Crisis

Ramzy Baroud
Re-Interpreting Iraq: the Latest Propaganda Campaign

Dave Lindorff
Redacting the Constitution: Why Signing Statements Matter

William S. Lind
Neither Shall the Sword: War in a Fouth Generation World

Mike Ferner
50 Years Down the Wrong Direction: Taken for a Ride on the Interstate Highway System

Zoltan Grossman
Military Resistance: a Brief History

 


June 27, 2006

Marjorie Cohn
Playing Politics with Timetables

Benjamin / Jarrar
Leading Dems Froth Over Amnesty Plan

William Hughes
Roadmap to Starvation

Doug Giebel
Showdown in Montana: Burns vs. Testor

Uri Avnery
The World Cup and Middle East Peace

Alexander Cockburn
Hitchens Hails the "Glorious War"

 

June 26, 2006

Don Santina
American Rituals: Massacres, Baseball and Apple Pies

Ralph Nader
Beyond Binary Politics

Dave Lindorff
CounterPunch v. CounterPunch: Taking Impeachment on the Road

Rafael Rodriguez-Cruz
An Interview with Mumia Abu-Jamal on Hispanics and Latin America

Evelyn Pringle
Big Pharma's Big Graveyard: Drug Profits, Fraud and Death

Jonathan Cook
Israeli "Retaliation" and Double Standards

 

June 23, 2006

Youmans / Erakat
Divestment, Corporate Engagement and Israel

Dave Lindorff
Cut and Run: a Winning Strategy

Ron Jacobs
Dogs of War Barking at the Moon

Col. Dan Smith
Iraq: Fool Me Twice

 

June 22, 2006

Marjorie Cohn
Friendly Fire Ambush

Winslow T. Wheeler
Lockheed, the Senator and the F-22

Tanya Reinhart
A Week of Israeli Restraint

Mike Marqusee
The Forest Gate Raid

William Blum
Why Bush's Iraq is Worse Than Saddam's

 

June 21, 2006

Ramzy Baroud
Zarqawi's Death: Myth vs. Reality

Patrick Cockburn
Embassy Work as Death Sentence

Gary Leupp
Making the Case for Impeachment

Greg Moses
Elite Logic at the Border

 

June 20, 2006

Fred Gardner
The Long War on Aspirin

Omar Waraich
Ode to Joy: Watching Blair Sink

Christopher Reed
Japan Nixes Payments to Its Wartime Slaves

CP Newswire
Coca Cola Takes a Hit

Jonathan Cook
Israel Engineers Another Cover-Up

 

June 19, 2006

Bill Quigley
HUD's Bulldozers and the Poor of New Orleans

John Walsh
Tears of a Clown: Al Franken's War

Mike Whitney
The Zoom Lens War: Bush's Baghdad Photo Op

Alexander Cockburn
The Left and the Blathersphere

 

June 16 / 18, 2006
Weekend Edition

Kathy / Bill Christision
The Power of the Israel Lobby

Joseph Nevins
On the Migrant Trail: No More Walls, No More Deaths

Farrah Hassen
An Interview with Syria's Ambassador to the US, Dr. Imad Moustapha

Greg Moses
The Real Mission of the Uniformed Ghost at the Border

Nicole Colson
"There's No Hope at Gitmo"

John Scagliotti
How MoveOn Wastes Its Donors' Money

Mokhiber / Weissmann
Corporate Democrats

 

June 15, 2006

Kathy Kelly
Look Them in the Eye: Honest Abe and the Residents of Ramadi

Norman Solomon
Premature Triangulation: Hillary's Big Problem

Ron Jacobs
Publicity Stunts as Public Policy

Sam Bahour
Cover Up on Gaza Beach

Ramzy Baroud
Palestine on the Brink

CounterPunch Wire
Death Squads at Colombia's Universities

Gabriel Kolko
Why a Global Economic Deluge Looms

Website of the Day
Antje Duvekot: Music You've Been Waiting Years to Hear

 

June 14, 2006

Nicole Colson
"They Want the Fear Level at a High Pitch": An Interview with Lawyer Lynne Stewart

Jonathan Cook
Israeli Law and Order

Joseph Schechla
Bulldozing Palestine: an Open Letter to Caterpillar, Inc.

Michael Carmichael
Bolton at Oxford: Jeered and Taunted

Evelyn Pringle
Karl and George, the Teflon Partnership

Ward Churchill
My Trial By Media: Turning Quibbles Over Footnotes into Felonies

Rev. William E. Alberts
Decoding the Coders of Christ: Jesus the Political Insurgent?

Website of the Day
Marines Iraq Snuff Film

 

June 13, 2006

Medea Benjamin
Take Back America Suppresses Anti-War Dissenters at HRC Speech

Anthony Alessandrini
The Evil of Banality: the General, the New York Times and the Gitmo Suicides

Paul D'Amato
The Meaning of Haditha

Dave Lindorff
The Strange Death of Zarqawi: Was He Killed So He Wouldn't Talk?

John Ross
Elections and the World Cup: If Team Mexico Advances, Will Anyone Show Up to Vote for Lopez Obrador?

Gabriel Garcia
Venezuela and Drug Trafficking: Bush Bashes Chavez Despite Positive Results

Hilton Obenzinger
DIvestment is a Stand for Equality in Israel

Yitzhak Laor
The Secret of Authority

Juan Antonio Ocasio Rivera
Puerto Rico at the UN

Jennifer Van Bergen
The Story Behind Zarqawi's Death: What's the Legality of the Assassination?

Website of the Day
Paul Wright: a Real American Freedom Fighter

 

June 12, 2006

Paul Craig Roberts
Bush's Armageddon Wish: a Final End to History?

Patrick Cockburn
The US Already Misses Zarqawi

Mike Marqusee
Rebranding a Team: English Nationalism and the World Cup

Lee Sustar
"I Never Had the American Dream:" Left with No Future by GM and Delphi

Robert Fisk
Has Racism Invaded Canada?

Michael J. Smith
Enter Sandman; Exit Kosland

Felice Pace
NPR's Warped Covereage of the MIddle East

Jennifer Loewenstein
Setting the Record Straight on Hamas

Website of the Day
Our Way Home

 

June 10 / 11, 2006
Weekend Edition

Robert Fisk
Zarqawi's End is not a Famous Victory

Diane Christian
Zarqawi's Face

Joe Allen
The American Way of Atrocities: Marine Corps' Killer Virtues

Ralph Nader
Let Us All Praise the Dixie Chicks

Fred Gardner
Tylenol Toxicity Terror

Dave Lindorff
Nothing New About Haditha

Dave Zirin / John Cox
Will Racism Spoil the World Cup?

Dennis Perrin
Death is Patriotic: Necro-Porn, Live on CNN

Greg Moses
Militarizing the Border: Why Operation Jump Start Worries Me

John Chuckman
Terror in Toronto or Tempest in a Teapot?

Michael J. Smith
Babes in Kosland: Dem Blogfest, Day Two

Roger Burbach
Bachelet in DC: Chilean President Refuses to Back Down to Bush

Ira Moskowitz
Israeli Court Finds Mad-Dog US Prof Libeled CounterPuncher Neve Gordon

Sam Bahour
The Gaza Air Strikes: Begging for a Response

Seth Sandronsky
Grocery Chains and Bush's Ownership Society: Profits Fall, Stores Close

Michael Berg
A Father's Day Message: Both Parties Have Betrayed America

Kirsten Roberts
Desmond Dekker and the Music of the Shantytowns

Ron Jacobs
Who's Fooling Who?

Jeffrey St. Clair
Playlist: What I'm Listening to This Week

Poets' Basement
Jones, Davies, Engel and Louise

Website of the Weekend
Miles and Trane, So What?

 

June 9, 2006

Alexander Cockburn
Make-Up for a Corpse!: In a Month Zarqawi will be Forgotten and the War Will Rage On

Paul Craig Roberts
War Criminal Nation: You'd Better Shut Up!

Gary Leupp
The Iran Deal: Come Down or Set Up?

Eric Ruder
Police Torture in America: the Chicago Files

Evelyn Pringle
The Noe Drama: Was the Ohio Vote Rigged?

Mickey Z.
America: Land of Denial

Michael J. Smith
Our Man in Kos; They're Not in Kansas, Anymore

Patrick Cockburn
The Short, Strange Career of Abu Masab al-Zarqawi

Website of the Day
Georgia ... Bush

 

June 8, 2006

Chris Floyd
Hubub in Hibhib: the Timely Death of al-Zarqawi

Michael Dickinson
Criminal Collage: the Bush Dog Case

Ron Jacobs
You Can't Call Me Zarqawi, Any More

William S. Lind
The Power of Weakness, Again: Haditha, 4GW and the Abu Ghraib Precedent

Joshua Frank
From Bush to Hillary: Holding the War Parties Accountable

Missy Comley Beattie
Ann Coulter and Rev. Fred Phelps: a Romance

Lloyd Williams
Ann Coulter's Blood Lust

Bill Christison
Proviing the Case: What Bush Wants is More War

Website of the Day
Bedtime for Bono?

 

June 7, 2006

Dave Lindorff
The Iraq Money Trail: the Case of the Missing $21 Billion

Sunsara Taylor
CDC to Women: Prepare to Give Birth!

John Walsh
Flunking the Art of War: Master Sun-Tzu, President Hu and Bush

David MacMichael
No More Hadithas

Mickey Z.
Haditha and Rumsfeld's Ratio

Evelyn Pringle
Gagging Public Employees

Myles Palmer
Dark Star Chasm: a Sneak Peak at Roger Waters' Dark Side of the Moon Tour

Laura Ribeiro
The Israeli Boycott of Palestinian Education

Website of the Day
Thank You, Lt. Ehren Watada

 

June 6, 2006

Diane Christian
Negatives: Torture, Massacres and Denial

Paul Craig Roberts
Outsourcing Smarts: the Death of US Engineering

Ralph Nader
The Battle for South Central Farm

Norman Solomon
The Urbanity of Evil: Tariq Aziz and Bush's Enablers

Darmont / Genovali
Wolf Sterilization Scheme Backfires

Manuel Garcia, Jr.
Blacks, Hispanics and Immigrant Bashing for Colonial Control

Subcomandante Marcos
The Other Campaign: a Plan for Action on June 11, 2006

Patrick Cockburn
Bloodbath Beyond the Green Zone

Website of the Day
Greatest Music Video?

 

June 5, 2006

Bruce Jackson
Why Haditha Happened

Chris Floyd
Return to Ishaqi: the Pentagon's Shaky Self-Exoneration

Michael Neumann
Jewish Opposition to Zionism

Heather Gray
War in the 20th Century: a Canadian Family's Experience

William Hughes
Bipartisan War Profiteers

David Swanson
Should We Stay or Should We Go Now?

Alexander Cockburn
Palestine: It's All Over

Website of the Day
Klamath Spring

 

June 3 / 4, 2006
Weekend Edition

Robert Fisk
Liberators as Murderers

James Petras
Is Latin America Really Turning Left?

Rosemary Radford Ruether
"We Have No One to Talk To:" Israel's Targeted Assassination Policy

Harry Clark
Truman and Israel: How It All Began

Jeffrey St. Clair
What a Miner's Life is Worth

Ron Ridenour
Return to Cuba

Ron Jacobs
Hand Wringing and Warfare: What Do Owe Iraq

Fred Gardner
Dr. Tashkin Makes the News

Peter Montague
The System in Crisis

John Walsh
MoveOn Rigs Its Own Vote; Betrays Its Membership

Greg Moses
Eyes of Texas: Neocon Border with Mexico Begins Next Week

Sean Donahue
Atlantica: Mainer's Won't Be Fooled Again

Mike Whitney
Swan Song for the Greenback?

Dave Patten
Final Examination

Ali Khan
Story of the Two Kings

Robert Dotson, MD
Couch Time for America

Hammond Guthrie
Revisiting Mondo Hollywood

St. Clair / D'Antoni
Playlists: What We're Listening to This Week

Poets' Basement
Bina, Engel, Ford and Landau

Website of the Day
Send Dr. Suzy Your Love

 

June 2, 2006

Kathy Kelly
Right Livelihood

Alan Maass
"A Mercenary Army": an Interview with Jeremy Scahill on Blackwater in New Orleans

Mickey Z.
Haditha Massacre was Inevitable

Dave Lindorff
Don't Think Twice: Bush and Rumsfeld as Ethics Advisers

Chris Kutalik
Troqueros Flex Muscles at Long Beach

Sunsara Taylor
Countdown to a Betrayal: Making Change Without Democrats

Sam Husseini
Can Pacifica Live Up to Its Promise?

Mike Ferner
More, Lots More

Website of the Day
Free Daniel McGowan!

 

June 1, 2006

Brian Cloughley
Haditha and the Farrago of Lies: War Crimes Start at the Top

David Peterson
Iran: a Manufactured Crisis

Lee Ballinger
Media Myths About the South: What Backlash Against the Dixie Chicks?

Jonathan Cook
Olmbert in DC: Bold Ideas and Ugly Intentions

Mike Whitney
Offers and Ultimatums: Endgaming Iran

Paul Rockwell
Smearing Ron Dellums

Clifton Ross
Millennium Blues

Kevin Zeese
Return of the Petri Dish Warriors: a New Biowar Arms Race Begins in Maryland

Website of the Day
The Monkees and Johnny Cash

 

May 31, 2006

Dave Lindorff
DNC Death Wish 2006: the Do Nothing Party

Joshua Frank
Al Gore, Environmental Titan?: Some Inconvenient Truths About the Ozone Man

Roxanne Dunbar-Ortiz
Stop Saying This is a Nation of Immigrants!

P. Sainath
Three Weddings and Funeral: Farmer Suicides in Vidharbha

Ramzy Baroud
On Palestinian Violence

Seth Sandronsky
The War on Nurses: a Joint Attack by US Senate and NLRB

Mickey Z.
Scapegoating Mexicans is an American Tradition

Ralph Nader
Breakaway Bases: Keeping LIttle Leaguers Safe

Jeffrey St. Clair
Dirk's Dirty Money: Gale Norton in Slacks

Website of the Day
Storm Cloud Over New Orleans

 

May 30, 2006

Lee Ballinger
The Real Reason Rock the Vote is Falling Apart

Jonathan Cook
Shin Bet and the Israeli Academy: Partners in Human Rights Abuses?

Gary Leupp
Now Introducing, the Office of Iranian Affairs

John Ross
Disappearing the Disappeared

Robert Jensen
The Four Fundamentalisms

Michael Dickinson
Silencing the Peace Protester of Parliament Square

Michael Carmichael
Zionist Democrats: the DLC and Israel

Tim Wise
Of Immigrants and "Real Amurkans"

Harry Browne
Ken Loach's History Lesson

Website of the Day
Louisiana

 

May 27 / 29, 2006
Weekend Edition

Paul Craig Roberts
The Evil Within

Kathleen Christison
Surrender vs. the Right to Exist

Kathy Kelly
Fear of Flowers in Iraq: a Report from
Sulaymaniyah

Christopher Reed
The Abominable Dr. Ishii: the Pentagon and the Japanese Mengele

Lawrence R. Velvel
The Moral Rot in Congress: a Constitutional Right to Graft?

Tom Barry
The Politics of Tom Tancredo

Gary Leupp
The Latest Neocon Lies About Iran

Col. Dan Smith
Freezing History: Iran and the Uses of "Preventive" War

Ron Jacobs
Blocking Military Ports: One, Two, Three Many Olympians

Don Fitz
EPA Goes Lead Wild: Acceptable Levels of Poisoning

Fred Gardner
What's the Matter with Oregon?

Peter Montague
Radioactive Troika: Bush, the Nuclear Power Industry and the New York Times

Raymond Garcia
Teens as Political Scapegoats

John Farley
Euston Manifesto: the Latest Gameplan from the Pro-Imperialist Left

Seth Sandronsky
Mexico After NAFTA: the Washington Post's Trouble with Numbers

Tia Steele
A Gold Star Mother's Memorial Day Plea

Lenni Brenner
"Howl", 50 Years Later: Allen Ginsberg's Silly Liberal Politics

Dr. Susan Block
God Has Sex, Makes Big Box Office

Scott Michael Perey
An Open Letter to Bono: Why are You Financing a Video Game Promoting the Invasion of Venezuela?

Jeffrey St. Clair
Playlist: Please Help Hilton Ruiz

Poets' Basement
Davies, Smith-Ferri, Mickey Z,, Buknatski, and Engel

Recipe of the Weekend
Impeach-Mint Punch

Website of the Weekend
Trojan Syndrome

 

May 26, 2006

Col. Douglas MacGregor
Fire the Generals!: the Failure of Military Leadership in Iraq

Brian J. Foley
Who Will Stand Up to Bush's Drive to Attack Iran?

Michael Dickinson
Mining Glaciers: Water or Gold?

Missy Comley Beattie
Stuck in a Cake-Walk War

Pierre Tristam
The Few, the Proud, the Murderers

Joe Allen
Put a Disclaimer on the Bible, Not the Da Vinci Code

Kona Lowell
Thank You, Fox News

Roger Burbach
Bush Targets Chavez and Morales

Website of the Day
Women Resisting War from Within

 

May 25, 2006

Les AuCoin
Faith-Based Missile Defense: the Folly of Star Wars

Jeff Halper
Countdown to Apartheid

Dave Lindorff
Bombing Without Regrets

Ron Jacobs
Voting Rights and Multilingual Ballots

Bob Wing
Finding Common Ground in New Orleans: an Interview with Malik Rahim

Elise Gould
College Grads Face Weak Labor Market

Robert Bryce
Iraq's Fuel Crisis

Website of the Day
Oh Lay!

 

May 24, 2006

Michael Donnelly
Operation Backfire: Criminalizing Eco-Dissent

Patrick Cockburn
Why the US May Have to Quit Iraq Sooner Than It Planned

Lucinda Marshall
Involuntary Motherhood: the Cacophony Over RU 486

Dave Lindorff
A Winning Impeachment Argument

Shmuel Rosner
Israeli Advice on Wall-Building: Be Ruthless

Moshe Adler
The Promised Land: Immigration, Israeli Style

Heather Gray
Land Reform and American Agriculture

Pratyush Chandra
Angels and Demons in Nepal

Paul Craig Roberts
In Memoriam: Lloyd Bentsen

Floyd Rudmin
Why Does the NSA Engage in Mass Surveillanc of Americans?

Website of the Day
Presentensing the Future

 

May 23, 2006

Paul Craig Roberts
Paranoia as Policy: How Bush Brewed the Iran Crisis

Sharon Smith
Shooting to Kill on the Border

Sunsara Taylor
Meet the New Christian Conquistadors: Ron Luce's Holy Warriors

Joel Whitney
The Most Tenacious Man on Capitol Hill?: an Interview with John Conyers

Alice Cherbonnier
Total Information Awareness for Whom? FOIA, the Press and the Spooks

Ron Jacobs
Optimism of the Will

Kristen Ess
The Crisis for Palestinian Political Prisoners

Patrick Cockburn
Which is the Real Iraq?

Website of the Day
Pearl Jam: Life Wasted

 

 

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Weekend Edition
July 8 / 9, 2006

Why Judges Shouldn't Have Control Over Everything

Cannabis is a First-Line Treatment for Childhood Mental Disorders

By Dr. TOD MIKURIYA

In 1996, California legalized cannabis as a treatment for "any... condition for which marijuana brings relief." Although the law does not constrain physicians from approving the use of cannabis by children and adolescents, the state medical board has investigated physicians for doing so, exerting a profoundly inhibiting effect.

Even doctors associated with the Society of Cannabis Clinicians have been reluctant to approve cannabis use by patients under 16 years of age, and have done so only in cases in which prescribable pharmaceuticals had been tried unsuccessfully. The case of Alex P. suggests that the practice of employing pharmaceutical drugs as first-line treatment exposes children gratuitously to harmful side effects.

Alex P., accompanied by his mother, first visited my office in February 2005 at age 15 years, 6 months. At that time he had been prescribed and was taking Fioricet with codeine (30 mg, 3x/day); Klonopin (1 mg, 2x/day); Ativan (1 mg, 2x/day); and Dilaudid "as needed" to treat migraine headaches (346.1), insomnia (307.42), and outbursts of aggression to which various diagnoses -including bipolar with schizophrenic tendencies- had been attached by doctors in the Kaiser Healthcare system.

Alex had previously been prescribed Ritalin, Prozac, Paxil, Maxalt, Immitrex, Depacote, Phenergan, Inderal, Thorazine, Amitriptaline, Buspar, Vicodin, Seroquel, Risperdal, Zyprexa, Clozaril, Norco, and Oxycodone.

A history taken from Alex and a separate interview with his mother, Barbara P., were in full accordance. The mother described Alex as a healthy baby who was "never a good sleeper." She had "a rocky relationship" with Alex's father, who had three children from a previous marriage. Alex, their second son, "always saw himself as the peacemaker when there was arguing... I think that's why, when it was time for him to go to school, he never wanted to go. He just didn't like to leave the house."

Although Alex showed facility communicating verbally, his reading and writing skills disappointed his teachers and prior to going to middle school he was evaluated for an Individual Educational Plan.

According to his mother, "They didn't say he was dyslexic, they said he 'had trouble processing things.' He wasn't acting wild in school. He was always well behaved. But they said he had ADD because he couldn't concentrate and process things." At age 11, Alex was prescribed Ritalin for attention deficit disorder.

In middle school Alex befriended some 13- and 14-year-olds, with whom he was caught stealing a car (and with whom he had shared his stimulant medication, and who introduced him to marijuana). Thus began a four-year sojourn through institutions of the Central Valley juvenile justice system and Kaiser-affiliated hospitals and clinics.

In this period, according to Barbara P., "They put him on all these medications and not only couldn't he sleep at night, but he started having rampages, hitting -mainly me. He fought with his brother and his dad, too. He beat up the truck. He couldn't remember afterwards what he actually did. He seemed like a completely different person. I don't think that's because of who he is. I think it was because of the medications he was taking." Barbara P. expresses remorse that she obeyed court orders to force Alex to take his prescribed medications.

At age 13 Alex made a serious attempt at suicide by hanging himself from a tree outside his house. He was rescued by his brother returning home unexpectedly. He reports making other attempts to overdose on pills.

Alex had known since age 11, when he first smoked cannabis with his older friends, that it had a calming effect. Many of his encounters with the juvenile justice system were for marijuana possession. His mother says, "He was aware that it helped him not feel stressed out and not have headaches. It helped him concentrate. It helped him sleep. All the things he needed. But I wasn't for smoking it." She reports feeling social pressure from her Central Valley community and pressure from her husband to oppose Alex's attempts to obtain and use marijuana.

"Alex went through three rehabs--two inpatient and one outpatient, all court-ordered, all for marijuana. He could not do inpatient and I told them that. It's not that Alex wanted to be out there doing drugs, he wanted to be home! He had a thing where he didn't want to be put in an institution where he didn't know anybody. That would drive him more crazy. He ended up running from one rehab house and getting kicked out of another."

Perceiving that Alex's mental state was worsening, and in response to his repeated requests to be allowed to smoke marijuana, Barbara did research on the internet that alerted her to similarities between cannabis and Marinol (dronabinol), a legally prescribable drug. Her request that a Kaiser physician prescribe Marinol for Alex was rejected.

Through the internet she identified the author as a specialist in cannabinoid therapeutics and arranged an appointment for Alex.

A prescription was written in February 2005 for Marinol (10 mg), along with a recommendation to use cannabis by means of a vaporizer. Alex has consistently maintained he prefers smoking cannabis to ingestion by other means, due to rapidity of onset and ability to titrate dosage. ("It works great and you can use just as much as you need," he says.)

When a drug test ordered by the Probation department turned up positive for cannabinoids, Alex had a hearing at which a Superior Court judge declared that because Marinol use could mask marijuana use, he would not allow it. He explicitly refused to recognize the validity of a specialist in the field of cannabis therapeutics and ordered Alex to take only drugs prescribed by Kaiser.

Barbara P. says: "I guess judges have authority over anything. He thought Alex had a drug problem with marijuana because he had smoked it before." At a subsequent hearing another judge rescinded the order. When Alex's Probation ended in May, 2005, he began medicating exclusively with smoked cannabis.

Dramatic improvement

Alex and Barbara P. were seen by the author at a follow-up visit in February 2006. Alex reported dramatically improved mood and functionality with only one migraine attack in the past year, not severe enough to require a trip to the hospital for a Dilaudid injection. He is in an independent study program at a small public school and getting straight As and Bs. "They love me at school," Alex asserts. His teacher is aware that he medicates with cannabis with a physician's approval. He smokes approximately one ounce per week and would use 50% more if it were cheaper to obtain. He does not vaporize because a vaporizer is "too expensive" (although he has taken up the guitar and purchased several models). He summarizes his status thus: "I use(d) to use a lot of medication like Klonopin and other pain medication but I haven't had to since the use of cannabis."

His mother reports: "We knew after about three months on Marinol that he was going to be okay. He started doing a lot better. He sleeps well, he's not on any of the other medications, I haven't had to take him to the emergency room for migraine since he first went on Marinol. He's been totally fine. He walks the dog, cleans up his room, does chores for the family. And I know that he's going to be okay. Before, I never knew what was going to happen. I couldn't picture him getting a job." Alex's father has relented in his disapproval of Alex's cannabis use, having seen its effects on the household.

The case of Alex P. is one of iatrogenic illness in which drug-oriented school counselors and administrators played a harmful role. In a previous era, psychologists would have put more emphasis on examining the family constellation. An adequate work-up would have identified Alex's insomnia as the likely cause of his poor scholastic performance. Failing an adequate work-up, the quasi-diagnosis "inability to process" led to a prescription of methylphenidate, a stimulant, for an 11-year-old with persistent insomnia. The resulting disinhibition led in turn to trouble with law enforcement, a cycle of extreme anxiety and distress, and the prescription of more drugs, irrationally chosen to counteract drug-induced symptoms.

As a result of the federal prohibition, there exist no official guidelines governing when and how cannabis should be used by patients suffering from a given condition. The Institute of Medicine Report of 1999 acknowledges the feasibility of cannabis being used to treat certain conditions when all pharmaceutical options have failed. The case of Alex P. suggests that employing pharmaceutical stimulants, antidepressants and anti-psychotics exposes children gratuitously to harmful side effects in violation of Hippocratic principles. The first-line treatment for any condition, efficacy being equal, would be the drug or procedure least likely to cause harm. Given the benign side-effect profile of cannabis, it should be the first-line of treatment in a wide range of childhood mental disorders, including persistent insomnia.

Physicians and parents both face stigma and take risks in authorizing cannabis use by children, but the risks are legal and social rather than medical. The case of Alex P. exemplifies this reality.





 

 

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