I have no doubt that Kerlikowske believes in treatment. I know people who entered programs that helped free them from the bonds of self-destruction. But I am skeptical about the efficacy of a wholesale expansion of drug treatment programs -- especially the addicts-cannot-help-it kind. For one thing, addicts have to want to get clean in order to get clean.
"Who is the world's biggest believer that addiction is not a disease?" asked Caplan. "Alcoholics Anonymous, which has 'a volitional orientation.'"