Have You a Sufficient Substitute?
Like any old tradition, 12 step programs have their problems. Introduce a profit-driven machine like capitalism, and something as misunderstood as addiction, and there are bound to be unintended consequences. Some people even think that pharmaceutical companies induced addiction to sell more medicine. I think that some people react to drugs differently than other people, and the reward system can be reconfigured partway through life. But I also think that the brain has the capability to rewire itself; we are different people at different parts of our lives.