After Robert Randall became the first person to successfully use a medical necessity defense when he was charged with illegal possession of cannabis to treat his glaucoma, he filed a federal lawsuit, Randall v. United States, in 1976, resulting in the federal Compassionate Investigational New Drug program being established, under President Jimmy Carter, in 1978. At the program’s peak, fifteen patients received cannabis. 43 people were approved for the program, however 28 of the patients whose doctors completed the necessary paperwork never received any cannabis and, under the Bush administration, the program stopped accepting new patients in 1992.

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