Can You Say to an Addict That You've Never Made a Bad Choice?

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Can You Say to an Addict That You've Never Made a Bad Choice?

By Dr. Jason Powers, MD, Chief Medical Officer ยท February 4, 2019
"What drug abusers deserve is the same thing smokers deserve. Help. A chance to live another day, whether the healing comes as the result of having a lung removed or treatment in rehab. Every life is indeed precious."

A 2015 speech from then-New Jersey Governor Chris Christie about addiction caught fire online with over 8 million views. He told the story of his mother's smoking and drew a parallel to how we treat people struggling with substance use. The framing landed because it was honest, not because it was political.

Compassion at the Center

Christie's central point: nobody told him his mother was dumb for smoking. Yet when it comes to heroin or cocaine, we often default to "they decided, they're getting what they deserve." For treatment professionals, that contrast resonates. The science has been saying for a long time that addiction is a medical condition, not a moral failing.

Reframing Addiction as Disease

"This can happen to anyone, regardless of your education level. We have to say, yes, it was a bad choice to use drugs, but haven't all of us made bad choices? We're just fortunate it didn't involve an addiction to drugs or alcohol."

Neuroscientist Nora Volkow, director of the National Institute on Drug Abuse, has spent her career building the medical case. Her own family lived with alcoholism, and her clinical perspective shapes the broader frame: addiction is "a disease of the brain" in which the circuits that enable free will no longer function properly.

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A Bipartisan Shift

The compassion frame is not limited to one side of the aisle. In the same period:

The Changing Face of Addiction

Statistics from that period underline how broadly addiction had spread. The CDC reported that 44 people died every day from prescription drug overdoses. Nearly 90% of first-time heroin users in the previous decade were white. The largest increases were among people with private insurance and higher incomes.

Addiction does not care about your income, your ZIP code, or your education. That is part of why the cultural conversation finally started shifting.

If You or Someone You Love Needs Help

Recovery is a path that does not require a person to start from a place of moral clarity. It requires a phone call. Call 713-904-4699 to talk with our admissions team. Our continuum spans medical detox, residential treatment, and outpatient care.

A new life in recovery may just be a phone call away.

Tagged: Addiction Recovery Community & Connection Mental Health Opioid Recovery

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