The month of November has been full of change in America, and especially in the states of Colorado and Washington where the legalization of recreation marijuana use is beginning to affect both those who smoke and those who don't. The statewide legalization of marijuana was voted into effect as the national elections took place. Marijuana is the second most popular mood-altering substance, following closely behind alcohol. In 1996, California opened the door to treating people with terminal or chronic diseases by smoking marijuana to reduce pain. Marijuana was sold in doctor's offices and pain clinics and the patient was issued a card identifying that they were prescribed marijuana for health reasons. There are presently 18 states with medical marijuana laws, and four waiting to be voted in.