Why recovering from addiction is so hard in America

在美国,为什么戒除毒瘾如此艰难?

Apple News In Conversation

2025-09-05

30 分钟
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Hundreds of thousands of Americans seek help for opioid addiction each year, but too often, they’re met with a rehab system that fails them. Many programs operate with little oversight, prioritizing profit over care, while proven medications remain out of reach. Shoshana Walter, author of Rehab: An American Scandal, spoke with Apple News In Conversation host Shumita Basu about what actually works in treating addiction — and why even well-intentioned programs so often fall short.
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  • This is In Conversation from Apple News.

  • I'm Shamita Basu.

  • Today, the dark side of America's rehab industry.

  • The United States is in the grip of a devastating opioid epidemic.

  • Since 1999, more than a million Americans have died of drug overdoses.

  • And while fatal overdoses have fallen in recent years,

  • hundreds of thousands of people continue to cycle through treatment programs,

  • many of which fail to help them achieve lasting recovery.

  • There's no snap of the finger magic cure for addiction.

  • It can be a long-term problem and a complicated problem to solve.

  • That's Shoshana Walter.

  • She's covered the addiction treatment system in the U.S. for years.

  • As a reporter at Reveal, she co-hosted the podcast series American Rehab.

  • And in her new book, Rehab and American Scandal,

  • she lays out how the very system meant to help people recover has too often failed them,

  • and in some cases even exploited them.

  • She argues that this system bears responsibility for prolonging America's addiction crisis.

  • Someone who's entering a treatment program is especially vulnerable

  • because they have accepted that they have a problem and they want help.

  • And now their lives are being put in the hands of treatment providers that often have good intentions,