The Wild, Wild West of Addiction Treatment

Screenshot of an episode of HBO’s “Last Week Tonight with John Oliver” on rehabilitation centers

Addiction is complex. Addiction treatment is even more so. John Oliver, the host of Last Week Tonight, provides an intriguing glimpse into some of the complexities of this industry during his May 20, 2018, episode.[1] I recently watched the episode, and even as someone whose work over the past five years has centered on drug treatment courts (including drug treatment), I was shocked. I found it hard to believe that the $34 billion treatment industry, an industry that includes over 14,500 drug treatment facilities in the United States, is effectively unregulated at the federal level with “no federal standards for counseling practices or rehab programs.”

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