Apple News In Conversation

Why recovering from addiction is so hard in America

Sep 4, 2025
Shoshana Walter, author of *Rehab: An American Scandal* and investigative reporter, dives into the flawed U.S. addiction treatment system. She reveals how profit-driven rehab programs often neglect patient care, making recovery a grueling challenge. Walter contrasts historical treatment methods and emphasizes the need for accessible medications like Suboxone. She discusses the risks of unregulated facilities and the emotional toll on individuals seeking help. With a call for reforms, Walter highlights the importance of community support in achieving lasting sobriety.
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INSIGHT

Treatment Expansion Had Unintended Consequences

  • The U.S. shifted from punishment to treatment during the opioid epidemic but built a flawed system.
  • Expanded access and new meds didn't prevent treatment models that perpetuate relapse and death.
INSIGHT

Medications Cut Overdose Deaths Drastically

  • Suboxone (buprenorphine) replaces illicit opioids and eases withdrawal and cravings.
  • Studies show medications like Suboxone and methadone cut overdose deaths by over 50%.
ANECDOTE

Court-Ordered Rehab Turned Into Unpaid Labor

  • Chris Kuhn entered a court-ordered program expecting care and counseling but found punishment and unpaid labor.
  • He worked up to 80 hours weekly doing harsh, unpaid manual labor and received minimal pay or medical care.
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