Joshua Bennett-Johnson, LADC-II, a licensed counselor with 14 years' experience, argues that the for-profit rehab model focuses more on billing, marketing, insurance, luxury amenities, and short-term stabilization than long-term recovery. The article urges readers to scrutinize patient brokering, revolving-door treatment, underuse of medication-assisted treatment, and weak aftercare.

John Makohen emphasizes the importance of family history of substance use disorder without viewing genetics as fate. Citing research on genetic liability across substances, he explains how inherited vulnerability interacts with trauma, stress, sleep issues, pain, access, and social factors and describes practical ways to build healthier responses to daily stress triggers.

Needle exchange programs are often debated from a distance. Michael Cline writes about them from the inside. He remembers using the Lower East Side Needle Exchange during active heroin addiction in the 1990s, learning safer injection practices, accessing clean supplies, and avoiding HIV. His piece is pro-harm reduction, but not simplistic. It asks what these programs can prevent, what they do not solve, and how they could connect more people to recovery.