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Sweetleaf Joe: On a Quest for Compassion in California

Written by Lesley Nickus

In a historic building in San Francisco, Joe “Sweetleaf Joe” Airone reflects on his journey with Sweetleaf Health Equity, a nonprofit dedicated to providing free medical cannabis to patients and veterans in need. With over two decades of experience, Airone has become a prominent figure in the fight for compassionate cannabis access. Despite numerous challenges, his commitment to helping those in need remains unwavering.

“The biggest thing that keeps people from access is funding,” says Airone. In a state renowned for its progressive stance on cannabis, the reality on the ground is starkly different. “There are very few people who are doing this as a full-time job that they’re getting paid for. Very few, I would say a handful, maybe five for the whole state of California.”

Sweetleaf Joe’s mission started over two decades ago, driven by a deep compassion for those in need of medical cannabis. His commitment is evident in every aspect of his work. 

Sweetleaf Joe rides a bike down the street in San Francisco.

Joe “Sweetleaf” Airone rides his bicycle down a San Francisco Street. Sweetleaf Health Equity started in the 1990s as Sweetleaf Collective, a delivery service for  people in need of medical cannabis.
Image by Jordan Guzzardo

The Industry’s impact on compassion

When dispensaries struggle, donations suffer

“Everybody thought it was the money tree. Cannabis was going to make everybody rich.”

“But with the driving down of the wholesale price, with the tax situation being so, so, so high, the vast majority of cannabis smokers and users in California do not buy a regulated legal product,” Airone says.

Sweetleaf Health Equity operates on a shoestring budget, with much of its funding coming from the sale of lighters and rolling papers. Each lighter sold translates to 3.5 grams of free medical cannabis for a patient or veteran. But even this modest source of income is under threat. “Just in the last few months, probably about half of our dispensaries have stopped selling them because the industry is so strapped for money,” Airone explains.

The financial strains faced by Sweetleaf are not unique. Across California, dispensary owners and cultivators are struggling to stay afloat. 

The result is a thriving illicit market that undermines legal businesses and deprives patients of safe, reliable access to their medicine, he said. Airone’s observations highlight a critical issue within the cannabis industry. The promise of wealth and success has been overshadowed by harsh economic realities.

Legal dispensaries are closing at an alarming rate, unable to compete with unregulated markets. The repercussions of this trend are far-reaching, affecting not only the businesses themselves but also the patients who depend on them. 

Despite these challenges, Sweetleaf continues to support those in need. The organization’s commitment to its mission is unwavering, even in the face of financial difficulties.

“We don’t get any funding. We don’t have any support,” Airone says. “I’ve been looking for grants and funding for a long time. I got one grant that was like $1,000, and then we did get some COVID funding from the government. But we don’t get funding or support from any other organizations or foundations.”

 

Portrait of Joe Airone, known as Sweetleaf Joe, in San Francisco, Calif.

Sweetleaf Joe discusses the challenges facing Sweetleaf Health Equity in the wake of California’s cannabis legalization movement.
Image by Dre Hudson

Navigating legal complexities

Growing community support

Navigating the legal landscape of cannabis in California is a complex and often frustrating endeavor. Airone shares, “It’s this thing where they have legal licensing and taxes for these high-powered dispensaries, and then there’s the rest of the people who are just trying to get medicine.” This dichotomy creates a significant barrier for those who rely on medical cannabis for their well-being.

Despite the bureaucratic hurdles, the support from the community keeps Sweetleaf going. Airone’s dedication is mirrored by volunteers who believe in the cause.

“There’s no way we could have done what we’ve done without the volunteer effort,” he notes. These volunteers are the backbone of Sweetleaf, providing much-needed assistance in various capacities.

Airone’s efforts have not gone unnoticed. The impact of Sweetleaf Health Equity extends beyond just providing cannabis; it offers hope and a sense of community to those who might otherwise feel abandoned by the system. “It’s really amazing how people have come together to support each other,” Airone says.

Sweetleaf Joe walks his bike down a San Francisco street.

The bicycle is a meaningful symbol for Sweetleaf Health Equity, which started as a bike delivery service for patients in need.
Image by Jordan Guzzardo

Visions for the future

Health equity and compassion in healthcare

Looking ahead, Sweetleaf Joe remains optimistic about the future of compassionate cannabis care. “I just want to make sure that we keep doing what we’re doing and hopefully expand,” he says. The goal is to reach more patients and veterans who desperately need their services.

Airone envisions a world where access to medical cannabis is not hindered by financial constraints or legal complexities. “I hope that we can change the system so that people who need cannabis can get it without having to jump through so many hoops,” he says. 

The dream is to create a more inclusive and compassionate healthcare system, where plant-based medicine is accessible to all who need it.

In the meantime, Sweetleaf Joe continues his tireless work, fueled by the stories of those he has helped and the belief that everyone deserves access to the care they need. As the cannabis industry evolves, Airone’s dedication to compassionate access remains a beacon of hope for patients and veterans across California.