William Stauffer revisits William White’s warning about the collapse of 19th-century addiction treatment and asks whether today’s field is repeating old patterns. From profit incentives to weakened community roots, he challenges treatment systems to measure success by long-term recovery, not service volume.

Jason Shiers launches our Future of Substance Use Treatment Series by asking whether addiction is only pathology—or also an attempted solution. He explores how treatment can honor disease, trauma, psychology, and neuroscience while helping people heal the needs beneath the behavior and move from recovery toward flourishing

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.