An important piece by Scott Alexander on how moralization and quasi-religion rehab culture is massively fucking up the treatment of heroin addicts.
It's the same type of bullshit that's disrupted the ability of Insite to save lives in Vancouver.
Society is fixed, biology is mutable. People have tried everything to fix drug abuse. Being harsh and sending drug users to jail. Being nice and sending them to nice treatment centers that focus on rehabilitation. Old timey religion where fire-and-brimstone preachers talk about how Jesus wants them to stay off drugs. Flaky New Age religion where counselors tell you about how drug abuse is keeping you from your true self. Government programs. University programs. Private programs. Giving people money. Fining people money. Being unusually nice. Being unusually mean. More social support. Less social support. This school of therapy. That school of therapy. What works is just giving people a chemical to saturate the brain receptor directly. We know it works. The studies show it works. And we’re still collectively beating our heads against the wall of finding a social solution.
people I admire
Bret Easton Ellis