9 Surprising Facts About American Cannabis Use & What They Mean for Oklahoma Patients

Introduction

Cannabis use in America is at an all-time high, and Oklahoma has become one of the most unique states in the country when it comes to participation.

Across the nation, changing laws and evolving attitudes are reshaping how people view cannabis. But here in Oklahoma, we’ve taken a particularly open approach, making our state stand out with record-high patient enrollment and the sheer number of dispensaries available.

For patients across Oklahoma City, Norman, Warr Acres, and beyond, these numbers aren’t just statistics — they shape how we access and experience cannabis every day. From broad eligibility requirements to convenient local dispensary options, Oklahoma’s program is unlike anywhere else in the U.S.

At High Society, we’re proud to be part of this local story. As a trusted dispensary serving the OKC metro, we’re here to provide easy access, educational support, and community-focused service for our neighbors who hold a medical card.

This article dives into 9 surprising facts about American cannabis use — with a special focus on what they mean for patients here in Oklahoma. Whether you’re a first-time cardholder or a longtime patient, understanding these trends can help you make informed choices and see how our state compares to the rest of the country.

9 Facts About American Cannabis Use

National surveys and local statistics reveal just how unique Oklahoma’s cannabis landscape has become.

Here are nine important facts, along with what they mean for patients across our state:

1. Oklahoma leads the nation in medical cannabis participation. More than 329,000 active patients are registered as of mid-2025, which is about 8% of the state’s population. That’s one of the highest participation rates in the entire country.
2. Patient numbers peaked and remain strong. Enrollment surged from 235,000 patients in 2020 to over 370,000 in 2022. Even though numbers dipped slightly, more than 329,000 patients are still active today, showing that interest and need remain high.
3. Access is among the broadest in the U.S. Unlike many states, Oklahoma does not limit medical cannabis to a strict list of qualifying conditions. Instead, a licensed physician can recommend it at their discretion, making the program far more flexible.
4. Dispensary saturation is unmatched. By 2023, Oklahoma had more licensed dispensaries than California — despite having only a fraction of the population. That means patients can easily find dispensaries in Oklahoma City, Norman, and nearly every town across the state.
5. Youth cannabis use has increased. Reports show a 73% rise among young people since legalization in 2018, raising questions about safe access and the importance of education for parents and communities.
6. Adult use has surged. Among adults aged 26 and older, cannabis use has grown by 188% since legalization, reflecting both cultural and lifestyle shifts here in Oklahoma.
7. Chronic pain is the top reason for cardholders. National and state data align on this point: chronic pain remains the leading condition associated with patient enrollment.
8. Oklahoma’s health challenges play a role. Our state ranks high in mortality rates for conditions like diabetes, liver disease, and respiratory illness. This reality contributes to strong interest in exploring cannabis as part of a wider health conversation.
9. Emergency visits tied to cannabis have risen. State officials note increases in ER visits and poison control calls linked to cannabis. Most involve dosing mistakes, accidental ingestions, or adverse reactions — highlighting the importance of education and careful use.

From broad eligibility rules to the unmatched number of OKC dispensaries, these nine facts show how Oklahoma stands out nationally.

They also underline why it’s important for patients to stay informed, shop at trusted dispensaries like High Society, and make safe, responsible decisions.

This content is for informational purposes only and does not constitute legal advice. Cannabis businesses should consult with qualified legal professionals regarding compliance obligations. Must be 21+ to purchase. Keep out of reach of children. High Society Dispensary operates within Oklahoma State law.