Twenty-five years ago, when I had a patient with a drug problem it was a big deal. I called people and they returned my calls and my patients got treatment. Treatment doesn’t exist now, not because it wasn’t effective, but because it’s less expensive for insurers to let addicts and their families drift into poverty and join the ranks of the uninsured. If not helping a fourteen-year-old addict won’t come back and bite us in the ass, what will?

