It's a war (the Drug War) and millions have lost their lives to it over the past century. But in reality it's nothing more than Lawfare created, maintained and profited by protected classes: LEO, courts, prisons, lawyers, bureaucrats, etc. What we have here with MMMP are a couple more protected classes with Pot Docs & LARA. If they were held criminally culpable as accessories for these technicalities that endanger patients and caregivers, their lawyers and profits would end this game quickly.
Think about it, if your patient X received his cert from Dr. Proctor (wrongfully per Dr. Bob) and LARA (whom doesn't care) approves and provides you a caregiver licence, HIPAA guarantees your none the wiser to your many counts of felonies (per Dr. Bob and those whom subscribe to his legal interpretation) ...