The state that is probably the most advanced in this area is California. There are several cities and other localities in California that have more or less officially sanctioned medical marijuana and allow "compassion clubs" to operate. These are dispensaries that sell or give marijuana to people who have the proper permits.
There have been some reported problems with these clubs. One is that they are sometimes not well-received by the local officials who are using any kind of excuse they can think of to shut them down. In many cases, they get the DEA to raid the places. In other places, such as the Oaksterdam area of Oakland, the facilities receive the support of the local community and were a large part of the reason that a former "war zone" area of Oakland has experienced a rebirth. See
http://www.oaksterdamnews.com/ for more info on that.
Local officials in some places have lodged complaints against the places such as that they are selling to people who aren't apparently sick. The state law, of course, does not require that people be visibly sick and no one can be diagnosed with anything simply by seeing them on the street.
There have also been complaints that the compassion clubs occasionally get robbed. This is the same as complaining about convenience stores because they get robbed -- it is not really the fault of the person getting robbed and the solution is not to punish the victims of robbery.
Another complaint is that they bring undesireable elements to the area or that they patrons take their purchased marijuana and sell it on the street. While these kinds of things may occur in some places that are not well-run, they are by no means universal. It depends largely on the management and local regulation of the individual clubs. In the places where they are properly regulated and have the support of the local officials, these problems are not significant.
A better question is why marijuana use should be punished at all -- regardless of whether it is for medical purposes or "personal use" (non-medical). Every major study of the subject in the past 100 years has concluded that the marijuana laws were the product of racism, ignorance, and nonsense, and that they should have been repealed long ago because they do more harm than good.
You can find the full text of these studies at
http://druglibrary.org/schaffer/Library/…
You can find a good short history of how marijuana became illegal at
http://druglibrary.org/schaffer/History/…
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