Legal Use of Marijuana Clashes With Job Rules

A positive test result can derail a career, say people who have been fired for marijuana use. In New Mexico, a physician assistant named Donna Smith who had used medical marijuana to treat symptoms of post-traumatic stress disorder lost her health care job in February after failing a drug test.

The health care provider where she had been working, Presbyterian Health Services, said Ms. Smith had worked for an outside staffing agency and had a temporary assignment with Presbyterian. One condition of that work was a drug screen. “Presbyterian is committed to patient safety and we believe that a drug-free workplace is a key component,” Presbyterian said in a statement.

Ms. Smith, who is suing Presbyterian, said she had been able to find only one sporadic job since then, and has cashed out an I.R.A. and spent her savings. “I can’t find any work,” she said.

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