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Background In the UK, medical cannabis was approved in November 2018, leading many patients to believe that the medicine would now be available on the NHS. Yet, to date, there have been only 12 NHS prescriptions and less than 60 prescriptions in total. In marked contrast, a recent patient survey by the Centre for Medical Cannabis (Couch, 202 found 1.4 m people are using illicit cannabis for medical problems. Aims Such a mismatch between demand and supply is rare in medicine. This article outlines some of the current controversies abou