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Michael J. Armstrong does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. When Canada legalized recreational cannabis use on Oct. Patients already using cannabis legally for medical purposes were especially concerned. They worried that recreational legalization might prompt physicians to stop authorizing cannabis treatments. Or that cannabis producers would abandon the small medical market to pursue the larger recreational one. After recreational legalization, the medical cannabis system did see declines. Between June and December , the number of registered patients fell 32 per cent , while product sales fell 29 per cent. Some people thought the medical cannabis system had failed or become obsolete. As someone who studies the business aspects of cannabis legalization , I wondered about these issues, too. Legal medical use itself had only become accessible a few years earlier. Canada began allowing medical use of cannabis in But it remained difficult to get until regulations changed during The new rules allowed any physician to authorize patients to use cannabis. Those patients could then register to buy products online from licensed cannabis producers. Online orders could not exceed a day supply. Instead of buying cannabis products, some patients grew their own plants instead. Under this new procedure, the number of patients registering to buy cannabis soared. However, registration levels differed greatly between provinces. Interestingly, less than half of registrants bought medical cannabis in any given month. Or maybe they found it too expensive, inconvenient or ineffective. June was also when the federal government passed its new cannabis legislation. The law took effect in October , when recreational sales of dried cannabis and cannabis oils began. After initial product shortages were overcome, recreational cannabis sales grew rapidly as more stores opened , even during the COVID pandemic. Consumer choice expanded in December when edibles and vapes became available. This is where my new study came in. This included how many patients registered, how often they placed orders, and how much cannabis they bought. I found that as soon as parliament passed the new cannabis law, medical registrations began slowing down, despite recreational legalization still being four months away. But the response differed noticeably between provinces. Other provinces were in between. Perhaps Alberta, with its copious cannabis clinics , had many patients only mildly interested in using cannabis medically. When recreational sales started in October , patient registrations seemed unaffected. But they bought medical cannabis slightly less often. This might have been due to retail convenience. At that time, medical producers and recreational stores were selling similar products: dried cannabis and cannabis oils. So, perhaps some patients started topping up their supplies occasionally at recreational stores but saw no reason to leave the online medical system completely. When edibles and other processed products began selling in December , registrations dropped further. But the patients who remained bought medical cannabis slightly more often and in increasingly larger quantities. Product selections might explain this patient split. Perhaps producers with good edible products retained their customers and received larger orders from them. Conversely, maybe medical producers offering few edibles lost their patients to the recreational shops and their vast product assortments. In Europe, for example, The Netherlands is experimenting with recreational sales. Meanwhile, Germany has legalized recreational use but not retail sales. Will those countries experience medical cannabis changes like Canada did? Conversely, some countries barely tolerate even medical use. It is very difficult to legally obtain medical cannabis in the United Kingdom , for example, much like in Canada 20 years ago. And France has only conducted a few medical cannabis trials. Other countries, like Australia and New Zealand , are somewhere in between. Either way, I hope they can learn from our experiences as they chart their own cannabis paths. Edition: Available editions Europe. Become an author Sign up as a reader Sign in. Medical marijuana is shown with its packaging label in Toronto, Nov. Recreational use was legalized in October Armstrong , Brock University. Author Michael J. Marijuana Cannabis Medical cannabis Cannabis legalization Recreational cannabis. Events More events.

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