For 11 years, Americans for Safe Access (ASA) has been tracking the adoption and implementa-tion of state medical cannabis (marijuana) laws in the United States and compiling raw data onactions taken by the United States Department of Justice (DOJ) to thwart successful implementa-tion of these state laws. Over the years, the DOJ has employed paramilitary-style raids on individ-ual patients and state-authorized dispensing centers, civil asset forfeiture actions against propertyowners, and bullying tactics designed to pressure elected officials against adopting or implement-ing medical cannabis laws. This report summarizes the human and monetary costs of enforcingunpopular and outdated federal policies which sustain this heartless war on medical cannabis.The data in this report was collected from individuals calling the organization, Drug EnforcementAdministration (DEA) press releases, news reports and court records. Because the federal govern-ment does not directly account for the resources or tactics it uses to subvert state medicalcannabis laws, this report is not a complete review of all federal activity or the people it affects,nor can the findings be accurate to the nearest federal tax dollar. Rather, the figures presentedhere are meant to provide an estimated snapshot of the growing cost of delaying the inevitablechange in federal law to reflect public opinion and scientific consensus.Just during the drafting of this report, the cost estimates had to be updated to reflect two moreraids, a series of asset forfeiture threats to landlords in Seattle, and three individuals surrenderingto jail to begin 5-year mandatory minimum sentences. The authors of this report invite the De-partment of Justice to refine these estimates by disclosing the resources they devote to targetingmedical cannabis.The report highlights the following:•34% of Americans—more than 107 million people—live in states with medicalcannabis laws, and this number could increase to at least 39% this year.