As medical cannabis gains legal recognition across the United States, many veterans are exploring it as an alternative to traditional pharmaceutical treatments for conditions like chronic pain and post-traumatic stress disorder (PTSD). This shift raises questions about the impact on veterans’ benefits and the comparative efficacy of cannabis versus conventional medications.
Medical Cannabis Use Among Veterans
Approximately 9% of U.S. veterans reported using cannabis in the past year, with about 40% of these individuals utilizing it for medical purposes . A study involving 510 veterans found that 91% believed medical cannabis improved their quality of life, and 30% used it to reduce reliance on other medications, including antidepressants and opioids : Marijuana Moment, Marijuana Moment
Veterans often turn to cannabis to manage symptoms such as anxiety, depression, insomnia, and chronic pain—conditions prevalent among this population : Health Systems Research
VA Policy on Medical Cannabis
The Department of Veterans Affairs (VA) maintains that veterans will not be denied VA benefits due to cannabis use. Veterans are encouraged to discuss their cannabis use with VA providers, who will document it in their medical records to inform treatment planning : Mental Health VA
However, due to cannabis’s classification as a Schedule I controlled substance under federal law, VA clinicians:
- Cannot prescribe or recommend medical cannabis.
- May not complete paperwork for state medical marijuana programs.
- Will not provide or pay for medical cannabis : Public Health VA,
It’s important to note that while VA benefits remain unaffected, cannabis use can impact other areas, such as federal employment and firearm ownership, due to federal regulations .
Comparing Cannabis and Pharmaceuticals
Many veterans consider cannabis a preferable alternative to certain pharmaceuticals, particularly opioids. The VA reports that 65% of veterans suffer from chronic pain and are twice as likely to die from accidental prescription opioid overdoses compared to non-veterans : DAV
Research indicates that veterans using cannabis often do so to reduce or replace other substances:
- 45% reported using fewer medications.
- 21% reduced opioid use.
- 46% decreased alcohol consumption : NORML, kynorml.org
These findings suggest that cannabis may serve as a harm-reduction tool, potentially mitigating the risks associated with certain pharmaceuticals.
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Legal and Research Developments
While medical cannabis is legal in 39 states, it remains federally prohibited. This dichotomy limits VA providers from recommending or prescribing cannabis. However, recent developments indicate a shift: VA Research, PMC
- The FDA approved a $13 million study to evaluate the efficacy of high-THC cannabis in treating PTSD among veterans .
- Legislation like the Veterans Cannabis Analysis, Research, and Effectiveness (CARE) Act aims to facilitate research on cannabis’s safety and efficacy for veterans : MarketWatch, Wikipedia
These initiatives reflect growing interest in understanding and potentially integrating medical cannabis into veterans’ healthcare.
Final Thoughts
Medical cannabis presents a promising alternative for veterans seeking relief from chronic pain, PTSD, and other conditions. While VA benefits remain secure for those using cannabis, federal restrictions continue to limit its integration into VA healthcare services. Ongoing research and legislative efforts may pave the way for more comprehensive access and understanding of cannabis’s role in veterans’ health.

