reminds me of this passage of mine from one of my 12-step program critiques: " I will write in detail at a later date about how and why a program that preaches humility has such hubris to refuse to alter its ways in the face of lousy success rates. The short answer is a 42 BILLION DOLLAR industry has grown out of AA. The treatment centers preach AA as the only game in town so they keep sending people to AA and doctors keep sending patients to treatment and it’s a never-ending cycle. I am not blaming AA. I blame the centers, which even if not-for-profit, are paying executives what would be profits in salaries; and the doctors with addiction specialties who seem satisfied with results below the Mendoza line (a baseball reference to a batting average under .200).

I blame them for complacency; I blame them for profiteering. I blame the perversion of capitalism that cares more about profit and the resultant concentration of wealth than societal benefit at the expense of the workers and the middle class; in this instance, I blame the system that allows a few to get rich on the backs of the sick."

https://medium.com/illumination/drilling-down-to-the-root-cause-of-addiction-7c57c5a3fd6c