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Notes -
This, plus the fact that we have no idea how to do "treatment" that actually works. Scott posted loooooong ago that honest studies on rehab for alcoholism fail to beat a placebo. The end goal of most rehab studies for harder drugs like potent opioids isn't even "stops using potent opioids"; it's "maybe uses potent opioids slightly less and gets up to criminal mischief slightly less often". The true believers in the idea that we're just going to "apply 'treatment' directly to the forehead", if we just try hard enough politically and decide to spend enough money, and that it will magically convert addicts into non-addicts/non-users, are just banging their heads against reality.
Scott's post is worth re-reading.
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