People use caffeine to stay awake. It is a chemical process a person uses to increase their alertness... which in one sense is "medical."
Much in the same way a person can use Cannabis to relieve cramping or help them sleep.
Or how a person might use greasy food after a long night of drinking to help themselves feel better and provide energy for their body.
All the things we place in our bodies has an "affect." In a sense they are all just as medicinal depending on how the word is defined.
What I define as necessary use of Marijuana medically is to offset the side-effects of the treatments required for a serious medical condition, or as a replacement for synthetic medication. Specifically I think cannabis is best suited to offset nausea, relax the effects of ADD/ADHD, assist in pain management (especially when it concerns nerve damage), and assist in the treatment of immune related disease. Using it for "arthritis" like I claimed I was doing only told half the story and I wouldn't take pain medication any more than I did already.
For me, Cannabis and Aleve is like Salt and Steak. I mean, sure... I can have my aleve and my steak as is... But I'd rather have them with a little pot and salt. MMMM... now we are talking! Relaxing outside after a long week. Calming my conditions. Sure... it is medical. A vacation to the south of France can do wonders for a person's health.
So... When I say a "fake med user" it'd be someone who could live their life without it, but without much discomfort.
Real med users truely need it to combat debilitating serious illness. I'm not a doctor... So I cannot define these things in the societal sense with much credibility but would rather offer this purely as my opinion.
As someone who was part of the medical scene, using it more or less "medicinally" depending on how you define it, and then meeting people who REALLY needed it as a result... I dunno. As I stood in the dispensaries I think we all knew what was going on standing in that waiting room. My thought process changed slowly over time and after watching Prop 19 fail I knew what really needed to happen and just how toxic the medical marijuana community is currently.
Draw a line in the sand. Stand up for what you believe in like those who came before us.
Don't hide under the umbrella of MMJ. It sullies the system.