Having lived through this with a family member, there are varying types of MM available including tinctures that have varying amounts of CBD and THC depending on the desired effect or symptom one is trying to control. That being said, I have seen individuals with a MM card that are indeed baked and in my own mind I question if they truly need it for medical purposes or if it's a way for them to poses legally. I will outright admit that I was opposed to its use until I lived through the decision process with my family. My opinion on it changed when I was facing the cold reality of watching a loved one slowly die in front me and through careful thought and deliberation with the family decided that if it had a chance of providing some relief in the final stages of life why not try it. With it's use I never saw or perceived the effects highness or any outward symptoms that you would normally associate with marijuana that is used for recreational purposes. I'd suggest - from my limited perspective - that if it's truly used and necessary to control an illness, it's effects are not likely to be seen as someone being "baked". However I would also state - again from my limited perspective - that if the situation in life presents itself that you need it for the sake of illness, you are not likely to be in any real physical shape to be concerned with much more than just trying overcome the illness you're fighting.
I'm not arguing about the fact that it is has legitimate medical purposes. My friend who is a doctor got a rare form of pancreatic cancer, not the one the kills you quickly. He has doctor friends and is prescribed medical marijuana for the pain associated with his cancer. They keep going in and going after a tumor and then another one pops up on his liver. He's a good friend and is a bit older so lets just say back in the day he possibly recreationally smoked pot. I asked him well how does the medical stuff compare to the old pot? He laughed and said there is no comparison. The medical stuff is unreal in its strength and helps him a lot. It has it's uses for medical purposes.
My ex OTOH lives in Colorado and was a pothead here. I wouldn't let her smoke in the house and really that was the least of our problems. When she moved to Colorado she all of a sudden had back problems which she never had here. It enabled her to get a MM card in Colorado but now they just sell the stuff to any adult. It's legal there for recreational use. She will call when she's wasted and most of the time I wont even answer so she will leave these rambling voicemails. I set my account up to limit them to 3 minutes but I will listen to them just for grins. She was definitely abusing the MM program they had but make no mistake about it, MM has a very legitimate use and perhaps I shouldn't have wrote "stoned to the bejesus". That was what my doctor friend said and is a line from Caddyshack.
Its not any different then say people who take pain meds. At first they are pretty wasted until they build up a tolerance. I wasn't saying that MM doesn't have legitimate uses but a lot of people are pretty wasted when they are using it. If that helps then from feeling pain or nausea or any other medical problem I have no problems with it. I am not a sadist, I don't want to see anyone suffer. I was just pointing out what I was told and my ex was proof of that, the stuff is very strong.
I wasn't being judgmental of people that have a legitimate use for it and if I came across that way, I apologize.