CAL AMSTERDAM – Costa Mesa is at High Risk of Bankruptcy and Getting Kids Hooked on Taxable Weed Is Not Going to Bail Them Out! – Can You Say – Deep Recession 2023?

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Is your Orange County city at risk of financial meltdown?

Column: State auditor’s analysis finds 11 local cities carry ‘moderate’ risk, 23 are ‘low’ risk

Here’s a riddle wrapped in a mystery inside an enigma: How does a little city teetering on the brink of financial doom transform into one of the most fiscally sound in the state, all within the span of a single decade?

Ding ding ding! If you guessed it might have something to do with raising taxes, you’d be right.

Before we examine the Saga of Stanton, let’s get the view from 30,000 feet on the fiscal health of Orange County’s 34 cities (and apologize to Winston Churchill’s memory for stealing the opening line). None of O.C.’s cities — not a one! — is in such dire financial straits that it’s forced to wear the state auditor’s Scarlet Letter of Shame denoting “high risk of financial meltdown.” Things are better than last year, when Anaheim was red, and better than our red-spackled pals in Los Angeles, not to be smug or anything.

But — and there’s always a but, isn’t there? — 11 of O.C.’s cities are perhaps too close for comfort. They’re the yellow Proceed With Caution cities, offering “moderate risk” to their residents. Main culprit? All that money they’ve promised public service workers (mainly cops and firefighters) for retirements, which they haven’t quite saved up yet. Annual revenues are also trending down for several cities, which is troubling, since expenses are pretty firmly heading in the opposite direction.

The vast majority of O.C. cities, though — 23! — are firmly Go-Go Green for the lower financial risk they pose to their residents.

Some rest easier because they’re younger, “contract cities” that don’t have their own (very expensive) police and fire departments (and the expensive pension obligations that come with them), instead hiring the Sheriff’s Department or Fire Authority to provide emergency services (which allows cities to share cost burdens).

Some got greener by hiking taxes and fees, as well and paying down pension debt and setting aside money to cover the health benefits they’ve promised retirees. And all that federal stimulus money certainly didn’t hurt.

Now look. We’ve spent a gazillion hours poring over audited financial statements to do this kind of analysis for you dear readers in the years before there was an auditor’s high-risk data dashboard. We’re not ashamed to admit that it’s one of our favorite new toys, and we encourage you to play with it, too.

But not everyone shares our enthusiasm: The League of California Cities has quarreled with the auditor’s approach, saying it doesn’t provide necessary context or analysis to make the information useful, and that it lags behind current conditions because it uses audited financial statements (which are usually a year behind).

We’re a big fan of audited financial statements, however; they’re the most reliable window into a government’s true finances because they sum up what has actually happened, and include long-term debt. Annual budgets are essentially estimates that remain in flux until the fiscal year ends, and don’t give you a picture of the city’s obligations over time.

“Local governments have the most direct impact on our daily lives, so it’s critical that they have their finances in order,” the auditor’s primer on the dashboard explains. “When they don’t, essential services are at risk of being downsized. … Understanding the financial situation and the factors that impact it allows city officials to tackle challenges and leverage their successes. And you can use that same information to advocate for your community and hold city officials accountable.”

So how’s your city doing?

Of these 10 moderate-risk cities, the most exposed was Fullerton, ranking No.15 (when No. 1 means “PANTS ON FIRE FINANCIAL MESS”) out of more than 400 cities statewide. This is not a list you want to rank high on.

Anaheim wasn’t far behind Fullerton, clocking in at No. 19, but at least it’s not red; followed by Costa Mesa at 26; Orange, 62; Newport Beach, 90; La Habra, 94; Huntington Beach, 95; Placentia, 102; Westminster, 104; Santa Ana, 115; and Brea, 144.

“Moderate” sounds sort of nice, but while these cities emerged with an overall moderate risk rank, many hit pants-on-fire-red in several individual categories, so residents should pay attention.

Fullerton, for example, faces general fund reserve issues (“This city may have insufficient reserves to cover its expenses in the event of a fiscal emergency, such as an economic recession. It has saved enough funds to cover about 2 months of expenses, and its reserves have been declining, on average, by 10 percent annually”) as well as revenue trends (“Rather than increasing, this city’s revenues have remained flat over the last few years.

This may constrain the city’s ability to respond to economic changes and pay rising costs of services”). Several pension-related funding categories and funding for retiree health benefits are also areas of concern (The city’s plan has enough assets to fund 0% of employees’ costs).

Anaheim, while celebrating a move off the Scarlet Red list, hits pants-on-fire-red for its debt burden (“This city’s long-term debts equate to 177 percent of the city’s total government revenues, which may be too high for the city to pay back its debts without significant financial strain.

In order to be low risk for debt burden, a city’s debt should ideally not exceed 40 percent of total government revenue”), revenue trends (“Rather than increasing, this city’s general fund revenues have decreased, on average, by 8 percent over the last few years. This may constrain the city’s ability to respond to economic changes and pay rising costs of services”), the burden of future pension costs as well as retiree health benefits (though it has more socked away here than Fullerton, at 38%).

Costa Mesa also struggled with downward revenue trends, which dropped by about 1 percent a year over the past few years, as well as the burden posed by pension costs. For Orange, Newport Beach, Placentia, Westminster, Santa Ana and Brea, the red was all about pension and retiree health costs. Pensions were an issue in Huntington Beach as well, though its retiree health benefits are well-covered.

But the revenue situation is looking up this year, Costa Mesa said, with sales taxes surpassing pre-pandemic levels and hitting the highest level ever at the close of Fiscal Year 2022 in June (about $77.3 million). General fund reserves also increased despite the pandemic, and at 33% of general fund revenue far exceed the “industry baseline of 10%,” said finance director Carol Molina.

Newport Beach said it’s “committed to an aggressive payment schedule” to eliminate its pension debt by 2030, which will ease the burden on future city budgets. In 2018, the city council decided to increase annual payments to at least $35 million a year, $9 million more than required, and has since raised the annual payment to $40 million. “We believe that Newport Beach is in a strong financial position relative to many other cities and public agencies,” a statement from the city said.

One of the most financially fragile cities in the county has long been little Placentia, which is “pleased and optimistic” about how things are going. A new 1% sales tax hike in 2019 is providing millions for “much-needed investments in infrastructure and staff retention” (consider this foreshadowing on the Stanton saga). Also helping: Economic development projects like a new Marriott hotel, Audi dealership, retail center redevelopment, residential housing developments that bolster property and sales tax revenues, pay-down of pension debt. A general fund reserve policy — aiming to provide a stable revenue structure — has “blown past” its initial goal of 25%, and is now at 42%, a statement from the city said.

Santa Ana, too, is pleased that its score has been steadily improving each year, with half of the categories now green. “We have a strong reserve fund, a low debt burden and have increased our revenue through our diversified business base and new revenue sources such as legal recreational cannabis,” a statement said. “Our public safety pension costs are relatively high due to our public safety retirement formula, but our new …formulas are much more affordable in the long term. To improve our financial outlook, last year we refinanced our pension debt at a lesser interest rate, which is projected to save $138 million in the long run.”

Reminder: Retirement formulas were sweetened by your elected officials back when the stock market was roaring some 20 years ago. Officials were told that stellar returns on investments would cover the increased costs and everyone would be happy. Unfortunately, that was, how shall we say, dead wrong.

These Go-Go Green folks are doing better at book-balancing and debt management than their brethren. The 24 cities in this group, going from best to less-best (remember, higher numbers are better), are:

The aforementioned Stanton, clocking in at No. 419 statewide; Laguna Woods, 413; Lake Forest, 403; Laguna Niguel, 367; Rancho Santa Margarita, 360; Aliso Viejo, 336; Yorba Linda, 330; San Juan Capistrano, 327; La Palma, 301; Dana Point, 279; Tustin, 278; Mission Viejo, 273; Villa Park, 272; Laguna Beach, 268; Irvine, 255; Fountain Valley, 240; Laguna Hills, 238; Seal Beach, 237; Buena Park, 227; Garden Grove, 218; Cypress, 217; Los Alamitos, 213; and San Clemente, 175.

Note that more than half of them are those newer, “contract” cities. But don’t pop the champagne just yet: There are still concerns, even in green-land.

Downward revenue trends have earned red ratings for Laguna Woods, Lake Forest, Rancho Santa Margarita, Aliso Viejo, San Juan Capistrano, Irvine and Cypress. And many of these green folks still face serious issues with looming pension obligations, as well as retiree benefits they’ve promised but have been largely ignoring.

Garden Grove had the distinction of advancing from yellow to green this year, as its revenues have increased some 11% a year over the last few years. “Substantial growth in general fund revenues gives the city greater flexibility to respond to economic changes and pay rising costs of services,” the auditor says.

But the morality tale here is Stanton.

“Park closed due to budget cuts,” said the sign on the chain link fence around Hollenbeck Park back in 2012. “No trespassing allowed.”

Stanton teetered on the brink of bankruptcy. There was the Great Recession, of course. And the governor had nixed redevelopment agencies, which erased some taxes it used to keep. There was also, according to some critics, an extremely ill-timed purchase of land for a big park, not to mention those escalating pension costs.

The city declared a fiscal emergency, warning residents that, without an additional $1.2 million, it would tank. City Hall’s electronic sign flashed “FISCAL EMERGENCY.” Officials tried to sell folks on utility tax hike (only 10 O.C. cities have such a tax, we’ll note here), but it was soundly rejected. Parks closed. Workers lost jobs.

In 2014, the city tried again. This time, it was a 1-cent sales tax. It passed. In 2019, the hotel bed tax was hiked.

Some criticized the city for not reducing expenses rather than raising taxes, but it clearly worked. The amount Stanton collects in sales and use taxes has more than doubled, from $3.6 million in 2012 to $8.7 million in 2020, according to its own figures. Property taxes shot up tremendously as well, from $1.3 million to $6.6 million. As did revenue from fees and permits, and other taxes.

All told, Stanton’s revenue went from $13.9 million to $22.7 million. That’s an increase of 63% (over a span of time where inflation rose 29%). And that, folks, is one way to get from the brink of bankruptcy to go-go green.

CAL AMSTERDAM – Weed users nearly 25% more likely to need emergency care and hospitalization “Our study demonstrates that the use of this substance is associated with serious negative outcomes, specifically, ED emergency department visits and hospitalizations” 1-800-662-HELP

(CNN) Using recreational marijuana is associated with a higher risk of emergency room care and being hospitalized for any reason, a new study has found.

“Cannabis use is not as benign and safe as some might think,” said study author Nicholas Vozoris, assistant professor and clinician investigator in the division of respirology at the department of medicine at the University of Toronto.

“Our study demonstrates that the use of this substance is associated with serious negative outcomes, specifically, ED (emergency department) visits and hospitalizations,” Vozoris said in an email.

Significant risk of hospitalization.

The study, published Monday in the journal BMJ Open Respiratory Research, looked at national health records data for over 30,000 Ontario, Canada, residents between the ages of 12 and 65 over a six-year period.

When compared with people who did not use marijuana, cannabis users were 22% more likely to visit an emergency department or be hospitalized, the study revealed.

Respiratory problems from smoking weed was the second leading reason users seek emergency care, the study found.

The finding held true even after adjusting the analysis for over 30 other confounding factors, including other illicit drug use, alcohol use and tobacco smoking.

“Physical bodily injury was the leading cause of emergency department visits and hospitalizations among the cannabis users, with respiratory reasons coming in a close second,” Vozoris said.

Marijuana smokers had higher blood and urine levels of several smoke-related toxins such as naphthalene, acrylamide and acrylonitrile than nonsmokers, a 2021 study found. Naphthalene is associated with anemia, liver and neurological damage, while acrylamide and acrylonitrile have been associated with cancer and other health issues.

Another study done last year found teenagers were about twice as likely to report “wheezing or whistling” in the chest after vaping marijuana than after smoking cigarettes or using e-cigarettes.

Growing body of research.

A number of studies have shown an association between marijuana use and injury, both physical and mental.

Marijuana may make sleep worse, especially for regular users, study finds

Heavy use of marijuana by teens and young adults with mood disorders — such as depression and bipolar disorder — has been linked to an increased risk of self-harm, suicide attempts and death, according to a 2021 study.

Another 2021 study found habitual users of cannabis, including teenagers, are increasingly showing up in emergency rooms complaining of severe intestinal distress that’s known as “cannabis hyperemesis syndrome,” or CHS.

The condition causes nausea, severe abdominal pain and prolonged vomiting “which can go on for hours,” Dr. Sam Wang, a pediatric emergency medicine specialist and toxicologist at Children’s Hospital Colorado, told CNN in a prior interview.

A review published earlier this year looked at studies on over 43,000 people and found a negative impact of tetrahydrocannabinol or THC, the main psychoactive compound in cannabis, on the brain’s higher levels of thinking.

For youth, this impact may “consequently lead to reduced educational attainment, and, in adults, to poor work performance and dangerous driving. These consequences may be worse in regular and heavy users,” coauthor Dr. Alexandre Dumais, associate clinical professor of psychiatry at the University of Montreal told CNN in a prior interview.

At a time when “health care systems are already stretched thin around the world following the Covid pandemic and with difficult economic times … cannabis use is on the rise around the world,” Vozoris said.

“Our study results should set off ‘alarm bells’ in the minds of the public, health care professionals, and political leaders,” he said in his email.

https://www.cnn.com/2022/06/27/health/marijuana-emergencies-hospitalization-study-wellness/index.html

CAL AMSTERDAM – Psychosis, Addiction, Chronic Vomiting: As Weed Becomes More Potent, Teens Are Getting Sick – Elysse was 14 when she first started vaping cannabis 1-800-662-HELP

Psychosis, Addiction, Chronic Vomiting: As Weed Becomes More Potent, Teens Are Getting Sick

It didn’t smell, which made it easy to hide from her parents. And it was convenient — just press a button and inhale

Elysse was 14 when she first started vaping cannabis.

It didn’t smell, which made it easy to hide from her parents. And it was convenient — just press a button and inhale. After the second or third try, she was hooked.

“It was insane. Insane euphoria,” said Elysse, now 18, whose last name is being withheld to protect her privacy. “Everything was moving slowly. I got super hungry. Everything was hilarious.”

But the euphoria eventually morphed into something more disturbing. Sometimes the marijuana would make Elysse feel more anxious, or sad. Another time she passed out in the shower, only to wake up half an hour later.

This was not your average weed. The oil and waxes she bought from dealers were typically about 90 percent THC, the psychoactive component in marijuana. But because these products were derived from cannabis, and nearly everyone she knew was using them, she assumed they were relatively safe. She began vaping multiple times per day. Her parents didn’t find out until about one year later, in 2019.

“We got her in a program to help her with it. We tried tough love, we tried everything, to be honest with you,” Elysse’s father said of her addiction.

Starting in 2020 she began having mysterious bouts of illness where she would throw up over and over again. At first she and her parents — and even her doctors — were baffled. During one episode, Elysse said, she threw up in a mall bathroom for an hour. “I felt like my body was levitating.”

Another time she estimated that she threw up at least 20 times in the span of two hours.

It wasn’t until 2021, after a half dozen trips to the emergency room for stomach illness, including some hospital stays, that a gastroenterologist diagnosed her with cannabinoid hyperemesis syndrome, a condition that causes recurrent vomiting in heavy marijuana users.

Although recreational cannabis is illegal in the United States for those under 21, it has become more accessible as many states have legalized it. But experts say today’s high-THC cannabis products — vastly different than the joints smoked decades ago — are poisoning some heavy users, including teenagers.

Marijuana is not as dangerous as a drug like fentanyl, but it can have potentially harmful effects — especially for young people, whose brains are still developing. In addition to uncontrollable vomiting and addiction, adolescents who frequently use high doses of cannabis may also experience psychosis that could possibly lead to a lifelong psychiatric disorder, an increased likelihood of developing depression and suicidal ideation, changes in brain anatomy and connectivity and poor memory.

But despite these dangers, the potency of the products currently on the market is largely unregulated.

I felt so trapped.

In 1995, the average concentration of THC in cannabis samples seized by the Drug Enforcement Administration was about 4 percent. By 2017, it was 17 percent. And now cannabis manufacturers are extracting THC to make oils; edibles; wax; sugar-size crystals; and glass-like products called shatter that advertise high THC levels in some cases exceeding 95 percent.

Meanwhile, the average level of CBD — the nonintoxicating compound from the cannabis plant tied to relief from seizures, pain, anxiety and inflammation — has been on the decline in cannabis plants. Studies suggest that lower levels of CBD can potentially make cannabis more addictive.

THC concentrates “are as close to the cannabis plant as strawberries are to frosted strawberry pop tarts,” Beatriz Carlini, a research scientist at the University of Washington’s Addictions, Drug and Alcohol Institute, wrote in a report on the health risks of highly concentrated cannabis.

Although cannabis is legal for recreational use in 19 states and Washington, D.C., and for medical use in 37 states and D.C., only Vermont and Connecticut have imposed caps on THC concentration. Both ban concentrates above 60 percent, with the exception of pre-filled cartridges, and do not permit cannabis plant material to exceed 30 percent THC. But there is little evidence to suggest these specific levels are somehow safer.

“In general, we do not support arbitrary limits on potency as long as products are properly tested and labeled,” Bethany Moore, a spokeswoman for the National Cannabis Industry Association, said in a statement. She added that the best way to keep marijuana away from teens is to implement laws that allow the cannabis industry to replace illegal markets, which do not adhere to age restrictions, state-mandated testing or labeling guidelines.

The Food and Drug Administration has sent warnings about various cannabis products, including edibles, but so far federal regulators haven’t taken action to curb potency levels because cannabis is federally illegal, said Gillian Schauer, the executive director of the Cannabis Regulators Association, a nonpartisan nonprofit organization that convenes government officials involved in cannabis regulation across more than 40 states and territories.

California lawmakers are now considering adding a mental health warning label to cannabis products specifying that the drug may contribute to psychotic disorders.

National surveys suggest that marijuana use among 8th, 10th and 12th graders decreased in 2021, a change partly attributed to the pandemic. However, over the two-year interval from 2017 to 2019, the number of kids who reported vaping marijuana over the last 30 days rose among all grades, nearly tripling among high school seniors. In 2020, 35 percent of seniors, and as many as 44 percent of college students, reported using marijuana in the past year.

Elysse got sober before entering college but soon found that seemingly everyone on her dorm floor habitually used weed.

“Not only carts,” she said, referring to the cannabis cartridges used in vape pens, “but bongs, pipes, bowls — absolutely everything.” Each morning, she found students washing their bongs in the communal bathroom at 8 a.m. to prepare for their “morning smoke.”

After a few weeks, she began vaping concentrated THC again, she said, and also started having dark thoughts, occasionally sitting alone in her room and sobbing for hours.

“I felt so trapped,” said Elysse, who has now been clean for nearly two months. “This is not fun in any way anymore.”

Teens are particularly affected by cannabis.

Michael McDonell, an addiction treatment expert at the Washington State University college of medicine, said that more research is needed to better understand how much more prevalent psychosis and cannabinoid hyperemesis syndrome have become among teenagers and others using high potency products.

Even so, he added, “we definitely know that there’s a dose-dependent relationship between THC and psychosis.”

One rigorous study found that the risk of having a psychotic disorder was five times higher among daily high potency cannabis users in Europe and Brazil than those who had never used it.

Another study, published in 2021 in JAMA Psychiatry, reported that, in 1995, only 2 percent of schizophrenia diagnoses in Denmark were associated with marijuana use, but by 2010 that figure had risen to 6 to 8 percent, which researchers associated with increases in the use and potency of cannabis.

Cannabinoid hyperemesis syndrome, which can often be alleviated by hot baths and showers, is also linked to prolonged, high-dose cannabis use. As with psychosis, it’s unclear why some people develop it and others do not.

Dr. Sharon Levy, the director of the Adolescent Substance Use and Addiction Program at Boston Children’s Hospital, said there is “no doubt that higher concentration products are increasing the number of people who have bad experiences with cannabis.”

When her clinic opened in 2000, marijuana was illegal in Massachusetts. At the time, Dr. Levy said far fewer kids came in with psychotic symptoms “and we almost never saw cannabis hyperemesis syndrome.”

Now, she said, those numbers are shooting up. Psychotic symptoms while high can include hallucinations, trouble distinguishing between fantasy and reality, strange behaviors (one young man would spend his days tying plastic bags into knots) or voices talking to them in their head, she added.

If a teenager displays these symptoms, getting that person off cannabis “becomes an emergency,” she said. “Because maybe, just maybe they’ll clear up, and we’re preventing someone from developing a lifelong psychiatric disorder.”

Oh well, it’s just weed.

Laura Stack, who lives in Highlands Ranch, Colo., said that when her son Johnny first confessed to using marijuana at the age of 14, she said to herself, “Oh well, it’s just weed. Thank God it wasn’t cocaine.”

She had used marijuana a couple of times in high school and cautioned him that marijuana would “eat your brains cells.” But at the time she wasn’t overly concerned: “I used it, I’m fine, what’s the big deal?”

“But I had no idea,” she added, referring to how marijuana has changed in recent years. “So many parents like me are completely ignorant.”

Initially, her son did not have any mental health problems and excelled in school. But he eventually started using high potency marijuana products multiple times a day, and this, Ms. Stack said, “made him completely delusional.”

By the time he reached college, he had been through various addiction treatment programs. He had become so paranoid that he thought the mob was after him and his college was a base for the F.B.I., Ms. Stack said. At one point, after he moved out of his childhood home, he threatened to kill the family dog unless his parents gave him money. His mother later discovered that Johnny had obtained his own medical marijuana card when he turned 18 and had begun dealing to younger kids.

After several stays at mental hospitals, the doctors determined that Johnny had a severe case of THC abuse, Ms. Stack said. He was prescribed an anti-psychotic medication, which helped — but then he stopped taking it. In 2019, Johnny died after jumping from a six-story building. He was 19. A few days before his death, Ms. Stack said, Johnny had apologized to her, saying that weed had ruined his mind and his life, adding, “I’m sorry, and I love you.”

A recent study found that people who used marijuana had a greater likelihood of suicidal ideation, plan and attempt than those who did not use the drug at all. Ms. Stack now runs a nonprofit called Johnny’s Ambassadors that educates communities about high-THC cannabis and its effect on the adolescent brain.

There’s no known safe limit.

It can be difficult to pinpoint exactly how much THC enters someone’s brain when they’re using cannabis. That’s because it’s not just the frequency of use and THC concentration that affect dosage, it’s also how fast the chemicals are delivered to the brain. In vaporizers, the speed of delivery can change depending on the base the THC is dissolved in, the strength of the device’s battery and how warm the product becomes when it’s heated up.

Higher doses of THC are more likely to produce anxiety, agitation, paranoia and psychosis.

“The younger you are, the more vulnerable your brain is to developing these problems,” Dr. Levy said.

Youths are also more likely to become addicted when they start using marijuana before the age of 18, according to the Substance Abuse and Mental Health Services Administration.

Furthermore, there is growing evidence that cannabis can alter the brain during adolescence, a period when it is already undergoing structural changes. Until more is known, researchers and clinicians recommend postponing cannabis use until later in life.

“I have kids asking me all the time, ‘What if I do this just once a month, is that OK?’” Dr. Levy said. “All I can tell them is that there’s no known safe limit.”

Dr. McDonell agreed that avoiding drug use entirely is always the safest option, but said that some kids might require a more nuanced conversation. He advised having open discussions about drugs with middle-schoolers and teenagers, while also educating them about the dangers of high potency cannabis products compared to those that are mostly made of CBD.

“I think that’s something we’re all struggling with as a community,” he added. “How do we get this information to parents and kids fast enough?”

The post Psychosis, Addiction, Chronic Vomiting: As Weed Becomes More Potent, Teens Are Getting Sick appeared first on New York Times.

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