My wife and I brought our daughters to a Christmas party a few years back that was put on by friends from the community. After good food, the kids and adults largely separated, with the children playing games and the adults socializing. In the midst of our fraternizing, something caught our eyes. As part of the dessert options, up on a high shelf, were plates of brownies that had handwritten labels denoting the THC (tetrahydrocannabinol, the psychoactive component in marijuana) content contained in them. I must confess, I didn’t have weed brownies on my bingo card for a kid-friendly Christmas party. Call us sheltered, but that was our first time being offered weed. We did not partake.
How Christians engage marijuana use is going to be an increasingly frequent ministry conversation, as more and more people in our communities and in our pews will be using marijuana products. For several churches and pastors, gone are the days where you could utter, “Well, it’s illegal…” and move on as though that settles the issue. Almost every state allows some form of medical marijuana use, and 24 states have legalized recreational use.
Sharing that you’re working on an article about weed brings out interesting stories from friends. One friend had his first seizure after smoking weed, and believes it is what caused his chronic seizures that he has battled for years. Pastor Friend A shared with me that he gets asked by parishioners about how they should approach weed 2-3 times a year. Pastor Friend B recounted stories of a small group leader at his church who got addicted to cannabis and had a very bad time with it, and of his barber confessing that he had a weed addiction that severely harmed his life, leading to him eventually having to be hospitalized. Pastor Friend C divulged that the medical marijuana he was prescribed after being in therapy for many years was the only thing that has significantly helped lift his depression. Another friend told of when his mother was battling cancer and how medical marijuana was the only thing that gave her relief in her war against the disease that eventually took her life. Still another friend disclosed he had a therapy patient experience psychosis after using legally obtained cannabis. Different people come from different places concerning the topic.
As the church has done with other substances throughout the centuries, we need to be prepared to help people evaluate marijuana use in terms of faithfulness to Jesus, particularly in places where weed is legal. This post is going to focus on cannabis products that have THC in them, not on CBD (cannabidiol). Jenny Collins wrote a good piece in Christianity Today on CBD oil and its medicinal properties a few years ago. CBD products often are used to reduce inflammation and have other curative applications (like treating seizures, anxiety, or insomnia), and research has indicated that it does not cause impairment or addiction, though one doctor friend told me that CBD had a hard time overcoming the placebo effect in some studies. Whenever you see pot leaves all over stores and gas stations in states where marijuana is illegal, they’re probably selling CBD products–or at least we hope that’s all they’re selling.
Evaluating Weed
A lot of debate today wages over how people should view cannabis. Is it medicine? A mostly harmless substance, the dangers of which have been overblown? A dangerous drug? To begin, let's look at some of the effects of marijuana.
Let’s start with the positives. Both the National Institute of Health and the Cleveland Clinic cite sources that indicate cannabis has applications in treating multiple sclerosis symptoms, nausea, and is good for increasing appetite. Dr. Peter Grinspoon of Harvard Health Publishing reports applications for treating Parkinson’s tremors, endometriosis, interstitial cystitis, fibromyalgia, HIV issues, irritable bowel syndrome, and Crohn’s disease. Some studies have indicated therapeutic results for pain management and treating PTSD, while other studies have either indicated a failure to overcome the placebo effect or brought about worse outcomes in those areas. While some details are debated, suffice it to say that research does indicate that cannabis can bring relief to people who are suffering in some circumstances.
Now let’s look at the risks. Marijuana is not the most addictive substance in the world, but research does demonstrate that it poses risk for addiction, and that risk gets higher the more potent the THC is. “Brain scans of marijuana users show changes in the structure of the brain’s reward center to be consistent with addiction and up to 47 percent of regular users experience withdrawal symptoms when they cease use. The National Institute on Drug Abuse reports that around 30 percent of marijuana users have some form of marijuana use disorder and that people who begin using marijuana before the age of 18 are four to seven times more likely to develop a marijuana use disorder compared with those who start later” (Kevin Sabet, Smokescreen: What the Marijuana Industry Doesn’t Want You To Know, p. 219). The population that is most at risk from marijuana use are children and young adults, and parents would do well to be vigilant and not simply shrug it off as experimentation. Some research indicates that marijuana use among youth “can lead to a permanent 8-point drop in IQ, as well as a significant increase in the risk of schizophrenia and suicidal thoughts. Since pot was legalized in Colorado, the state has continued to see increases in youth suicide coinciding with an increase in marijuana, which far outweighs alcohol, showing up in their toxicology reports” (Ibid., p. 22). I have a woman in my church who works at a hospital, and she shared that in a single day there were three separate kids who were hospitalized because they ate their parents THC edibles. Many other areas are seeing an uptick in child hospitalizations from THC edibles, some of which are made to look like candy.
According to the Cleveland Clinic, some of the effects of marijuana include: issues with thinking and problem solving, impaired memory, disorientation and confusion, sedation/sleepiness, slowed reaction time, impaired coordination, and risk of a panic attack. There are increased risks of psychotic disorders for people who use, particularly with high potency and/or high frequency cannabis use. For those who smoke or vape marijuana, the same dangers associated with smoking tobacco (lung damage, increased risk of stroke, increased risk of cancer, increased heart rate, and damage to the cardiovascular system) are present. Long-term weed use is linked to gum disease and impaired sperm development in men. Still another adverse outcome for some who build up a lot of cannabinoids in their system is Cannabinoid Hyperemesis Syndrome (CHS). This involves severe, persistent nausea and excruciating abdominal pain. The lovely term “scromiting” was coined to describe the common experience of CHS, where people scream from abdominal pain while vomiting at the same time. The Food and Drug Administration advises against the use of both CBD and THC for pregnant and breastfeeding women, as there are increased chances of impaired fetal brain development, low birth weight, premature birth, and stillbirth.
Naturally, states that legalize recreational marijuana have more accidents related to marijuana use. “A study conducted in Washington State from 2011-2014 found that the percentage of work-related injuries and illnesses was significantly higher among marijuana users (8.9 percent) compared to nonusers” (Sabet, Smokescreen, p. 241); this is not to mention losses in workplace productivity. In Colorado, the first state to legalize recreational weed, DUIDs (driving under the influence of drugs) citations have risen over time:
In a 2017 report of DUID data, marijuana was detected in 3,170 of all case filings where a cannabinoid screen was conducted after a driver was pulled over for demonstrating impaired driving. Of these positive screens, 84.4 percent tested positive for 1.0 to 5.0+ active THC. What’s more, 59 percent of those who tested positive for THC tested positive for extremely high levels of the drug (THC level of 5.0 or higher). […] Twenty percent of all traffic fatalities in Colorado in 2018 involved a driver who tested positive for marijuana (Ibid., pp. 243-244).
While your grandpa’s “Woodstock weed” from the 60s usually only had 1-3 percent THC, today the average potency of all products is much higher, with some concentrates (like budder, dabs, and shatter) reaching extremely high levels of THC. These high potency products are very dangerous. There are a number of regulatory issues related to the marijuana industry. Some providers end up selling contaminated weed that is covered in mold, bacteria, yeast, or pesticides, which can cause severe health problems. There has been widespread concern about inaccurate labeling of the potency of THC products. One study collected 107 cannabis flowers from three different states (Oregon, Colorado, and California), and tested them to see if their THC potency matched their labeled potency. Less than 1/3 of the products were within ± 20% of the control range of the labeled THC percentage. The marijuana industry’s mislabeling fiasco has been confirmed across multiple studies (see here and here for just a sampling). Chances are the labels you find on products at a marijuana dispensary are basically guesswork.
What about microdosing, or taking edibles with a very small amount of THC in them? The government defines any cannabis product that contains 0.3% THC or less as hemp, so some companies offer products with minute percentages of THC to customers, touting that they are legal and can help improve focus and mood. I’d be interested in seeing more legitimate, large scale medical studies on microdosing–a lot of the information highlighting the purported benefits seems to be coming from profiteers trying to make a buck instead of from large-scale, methodologically sound studies done at respected institutions. Further, the aforementioned problem of accurately labeling the potency of THC products comes into play with microdosing as well. In an article by Alabama Daily News, a Trussville police officer named Chuck Bradford purchased 12 products from nine different stores, all purporting to be below the illegal 0.3% THC threshold. He sent them off for testing in a lab, and found that every single one of them was above the legal limit, ranging from 1-10.7% THC. His findings should make us wonder: in an industry that is rife with regulatory issues, what assurances do we have that microdoses are really “micro” at all?
How Should the Church Respond?
We’ve covered potential benefits and risks above. But how should followers of Jesus respond? (I’m going to focus on the individual level; if you’re interested in policy, I’d recommend you read Kevin Sabet’s book Smokescreen: What the Marijuana Industry Doesn’t Want You To Know and check out the education and advocacy organization he co-founded, Smart Approaches to Marijuana). Let’s say someone in your church’s small group gathering shares that they smoke weed frequently and love it. Or you’re visiting with someone from church and you notice THC edibles on a shelf in their home. Or you’re a pastor and someone meets with you to ask what God’s will might be concerning their marijuana use. How would you respond? What biblical principles come into play here?
There are several passages of Scripture that indicate the presence of physicians and the use of medicines, balms, salves, poultices, and other curative items. One thinks of 1 Timothy 5:23–“Stop drinking only water, and use a little wine because of your stomach and your frequent illnesses.” See also Gen. 50:2; 2 Kgs. 20:5-8; 2 Chr. 16:12; Job 13:4; Ps. 147:3 Prov. 16:24; 31:6; Isa. 1:6; 38:21; Jer. 8:22; 30:13; 46:11; 51:8; Mat. 9:12; Mark 5:26; Luke 10:34; Col. 4:14; and Rev. 3:18 for other passages that reference the use of medicines. There also are Scriptures that warn against being detrimentally impaired by substances and the importance of being sober-minded. Ephesians 5:18-19a is an example–“Do not get drunk with wine, which leads to debauchery. Instead, be filled with the Spirit, speaking to one another with psalms, hymns, and songs from the Spirit.” See also Proverbs 20:1; 23:29-35; 31:4-7; Isaiah 5:11-12; Rom. 13:13; 1 Cor. 6:10; Gal. 5:21; 1 Thes. 5:6-8; 1 Tim. 3:3; Titus 2:2-3; and 1 Peter 4:3 for more passages in that vein. Biblically speaking, the authors of Scripture are open to medicinal substances, while also being cautious against loss of control and the destructive potential of some substances.
I can see Christians embracing legitimate medical use of cannabis, as long as it is prescribed by a medical or mental health professional, supported by research, is properly used by the patient, and brings positive results to the patient. We are fine using other medicines that can bring about impairment in trying to combat acute short-term suffering (like undergoing surgery and recovery from surgery), as well as in long-term battles with chronic illnesses, whether mental or physical. I have yet to meet a Christian who says something like, “1 Peter 5:8 says we are to be alert and of a sober mind, therefore Christians shouldn’t be put to sleep by anesthesia for surgery, mothers giving birth shouldn’t be offered an epidural, Christians in severe pain from surgery should be denied opiates, and someone who is bipolar should be denied the use of lithium.” We recognize that mind-altering drugs can temporarily help ameliorate periods of severe suffering that can accompany the pursuit of greater healing, and they also can be utilized to help someone deal with chronic or terminal illness. That does not mean that dangers disappear concerning the use of these products, as our recent nationwide opioid crisis has demonstrated. Christians who, due to legitimate, medically verifiable ailments, are using medically prescribed cannabis products deserve our prayers, love, and mercy as they seek to find relief from whatever is ailing them. I would urge them to remain vigilant in their use, as there still can be dangers of addiction and negative effects, and to seek help if they find themselves developing an unhealthy dependence or spiraling out of control.
What about people who use weed recreationally? If Christians are using cannabis in a state where it’s illegal (which is still the case in my state of Kentucky), then they should desist and follow the law, for both Paul and Peter tell us to submit to governing authorities who are properly carrying out their functions (Rom. 13:1-7; 1 Pet. 2:13-17). Further, anyone who is abusing marijuana should seek help and seek to get free (even in states where it’s legal), for all the above-mentioned Scriptures about sobriety and the dangers of drunkenness apply just as much to weed as they do to alcohol. God’s invitation is to get clean and to be set free from damaging addictions. Some resources for seeking freedom and help are groups like Celebrate Recovery, the Substance Abuse and Mental Health Services Administration (SAMSHA), Marijuana Anonymous, and there are probably a slew of local recovery ministries and addiction treatment centers in your region.
What about Christians using weed recreationally in states where it’s legal and they manage it? Is there any meaningful difference between someone who consumes a low THC edible/microdose every now and then versus someone who occasionally drinks a beer with a meal? Is marijuana the new alcohol, and society is just going through growing pains to figure out how to use it responsibly? I’m not a teetotaler when it comes to alcohol–social drinking is permissible as long as people don’t impair themselves or cause someone else to stumble in their sobriety–so in theory it seems like responsible recreational weed use is possible. In practice, however, I’m not sure I’ve ever met a recreational weed user who has modeled responsible use. For most people who aren’t using marijuana medically, getting high and losing themselves is pretty much the point of their use. According to Colorado Cannabis, “For occasional consumers, smoking, eating, or drinking even one serving (10 mg) of cannabis is likely to cause impairment. This affects your ability to drive, bike, or perform other safety-sensitive activities.” It seems like it doesn’t take much THC to make someone impaired. And impairment doesn’t just affect driving and work; it affects how you parent your kids, the quality of the decisions you make in social situations, what you choose to spend your money on, and more. It seems to me that the group that has the most potential for responsible recreational use is the microdosing community, but again, see the above-mentioned concerns about accurately labeling potency and the questionability of the research supporting the benefits of microdosing. And why not just use CBD products that don't have the same risks of addiction and impairment?
I think of what Paul says in 1 Corinthians 6:12–“‘I have the right to do anything,’ you say–but not everything is beneficial. ‘I have the right to do anything’–but I will not be mastered by anything.” In context, Paul is speaking about sexual immorality, but there is crossover to the topic at hand. Just because you can do something doesn't mean you should or that it’s helpful. Even if you use legal recreational cannabis in a way that is very controlled, I think at best it could be compared to the use of tobacco products. Both are legal, but there are negative outcomes you could avoid if you simply didn’t use them, and you’re probably hurting yourself more than helping yourself. If we change the question from “What am I legally permitted to do” to “What is God’s best for me,” then I think it becomes clear for 95%+ of users that God’s best involves dropping weed.
Healing and wholeness are good things. Jesus loves all people, desires to heal them (though full healing doesn’t come until we depart this life and go to be with Jesus), and gives all people hope. Medicines and substances, when used wisely, can play a positive role in people’s healing journey. Healthcare professionals can offer wisdom in these areas as they guide people toward greater wholeness as part of the healing ministry of the Great Physician. But sometimes the substances we look to for healing pose risks, and at worst can bring great harm into our lives.
Let’s not let the smoke of the marijuana crusaders cloud our thinking. Weed has some positive medicinal applications and we should pray for those who use it as such. It also remains a risky substance that is plagued by dangerous correlations. Let the church of Jesus tread wisely here, and be a sober-minded community of hope and joy in the midst of a world where many people are hurting themselves and others in a quest to feel good.