Global Cannabis Regulatory Summit White Paper 2025
Global Cannabis Regulatory Summit White Paper 2025
The global cannabis industry is developing at a rapid pace, with regulatory change at the national level being the key driver of international market development. In the absence of meaningful regulatory change at the international level, each country pursues its own approach to cannabis policy.
Adult-use markets and supply chains are developed exclusively in isolation from one another, at the national or sub-national level, so there is no legal international adult-use cannabis industry, apart from markets for low-tetrahydrocannabinol (THC) products.
The number of countries participating in the international trade of medical cannabis is expanding, however, supply continues to outstrip demand. Patient access remains restricted on a global scale. Even when legal frameworks for medical cannabis treatment are implemented, the growth of medical cannabis access for patients is generally limited by factors such as insufficient training or education for healthcare professionals, bureaucratic obstacles to source and/or prescribe cannabis, institutional stigma towards cannabis treatment, and the costs associated with these barriers.
The size of the global cannabis industry (medical and adult-use sales) in 2024 is estimated to have reached over US$ 38 billion. The majority of sales are attributed to adult-use cannabis (70%), predominantly stemming from North American markets. Medical cannabis sales represent approximately 30% of total global cannabis sales, with North America being the key region, followed by Europe and Oceania.
Putting Patients First: The Path to Cannabis Reform
At the heart of any meaningful cannabis reform must be a stead- fast commitment to putting the patient first. This must remain the guiding principle if cannabis is to gain the political support needed to finally emerge from the shadows, shed its long-standing stigma, and realise its full potential in society. The global regulatory reality of today tells us that cannabis can be dealt with as an effective medical product. However, the current regulatory framework has some way to go before harmonisation and full adoption as a medical product becomes more mainstream. Although individual governments have been moving towards further descheduling,
Europe and the rest of the world are still some years away from political consensus in adopting adult-use frameworks.
A Pivotal Moment for Medical Cannabis
Since its descheduling by the UN in 2021, medical cannabis now stands at a pivotal moment in its global journey. In 2025, we are witnessing rapid evolution in cannabis policy, particularly across Europe, where countries like Germany are not only embracing rescheduling but actively expanding their markets. Public perception has undergone a profound shift. Increasingly, cannabis is recognised for what it truly is:
1. A plant with proven analgesic and anti-inflammatory properties, offering relief from pain, nausea, muscular spasticity, appetite loss, sleep disorders, seizures, and mental health challenges.
2. A substance no more harmful than already legal counterparts like tobacco and alcohol. Viewed through this lens, policies that expand access to medical cannabis and recognise the medical, social, and economic opportunities presented by responsible cannabis liberalisation through regulation are not only compelling, they are simply common sense.
Persistent Challenges
Although surveys consistently reveal strong public support for further cannabis reform towards adult-use markets, with many citing benefits such as job creation, sales tax revenue, and more efficient use of law enforcement resources, key barriers persist. Political hesitation, often rooted in stigma or the vested interests of entrenched industries, continues to obstruct the development of rational, evidence-based cannabis policies that prioritise health and the public good.
A Clear Choice for the Future
The fundamental truth is clear: cannabis use, in its distinct ways, is here to stay. The real question is whether we continue to let consumer demand fuel unregulated, often illicit markets, or whether we choose to regulate and guide this demand towards a safer, more transparent, and socially beneficial system. Now is the time for supranational governmental bodies, supported by their member states, to catch up, not reactively, but proactively, by crafting thoughtful, forward-looking frameworks that support public health, economic growth, and social equity.
A Collaborative Step Forward
The inaugural Global Cannabis Regulatory Summit (‘GCRS’ or the ‘Summit’) marked an important step in that direction. Over three days, leading voices from policy, science, medicine, industry, and crucially, regulators, came together to share insights, forge connections, build networks, and develop informed, collaborative, evidence-based recommendations. This collection contains the resulting GCRS white papers: distilled reflections and actionable frameworks from Summit panels, designed to serve as practical tools for policymakers worldwide. The road ahead may be complex, but it is navigable. With collaboration, evidence, and courage, we can build a regulatory future that delivers real benefits for patients, for economies, and for society as a whole.
By Will Muecke & E. Stanton McLean from Artemis Growth Partners
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