The “Medical” use which states “allow” is supposed to be “compassionate.” In short, it makes miserable people happier.
Anyone taking Marijuana to cure cancer is an idiot.
Someone taking Marijuana because chemo is making them miserable is completely understandable.
OU’s theoretical violation of RICO is possible. However, RICO is a criminal statute that is notoriously inclusive. Prosecutorial discretion is what keeps RICO at bay. That and the fact that they’ll lose their most powerful organized crime weapon if they abuse it too much. OU’s decision-makers’ practical criminal exposure – particularly in light of the current federal enforcement regime – is negligible. However, should one fall on the wrong side of some federal prosecutor somewhere, beware (see eg Rubashkin). However, they usually don’t need RICO to get you if they want (see eg Rubashkin’s money laundering and stockyard act violation conviction).