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Keith Keller's avatar

Bull’s-eye, Ben! This is exactly the type of conversation our stigma-rich culture benefits from, and the poignancy is elevated by your choice of subject. Mr. McLaughlin is so relatable, but so is his dilemma. This drama has many moving parts.

First, there is an overarching paradox. Medicine says he has a diagnosable, criteria-defined chronic condition, a legitimate sickness. The criminal justice system holds him responsible. Alcohol use disorder, alcoholism in the old vernacular, is supposed to be a “treatable relapsing brain condition,” according to the American Society of Addiction Medicine. ASAM is losing the treatment battle collectively, and individually in Mr. McLaughlin’s case. The mere inclusion of the word “relapsing” in the definition speaks volumes. I can’t really make a case against the criminal justice system exercising its mandate to protect the public in view of healthcare’s massive failure here. For the moment, that’s reality.

The problem is that reality should not be reduced to absolutes. Yes, society has a mandate to protect itself from menace in its many forms, alcohol-fueled catastrophe in particular. However, at some point, there needs to be a reckoning with this stigma. This man has a condition that is beyond his control, and to date, has been beyond healthcare’s ability to assist him. Canceling him on moral grounds is absolutely wrong. In the face of stigma, and as a result, society wants him to be contrite, and to do all the so-called right things. Admit your problem. Go to rehab. Go to AA. Make amends. You’ll wear that scarlet letter rest of your life, but that’s the only real shot at small redemption.

A culture that doesn’t understand addiction fears it. A medical model preoccupied with addiction will not succeed at facilitating recovery anytime soon. And until the average person understands that Mr. McLaughlin has a chronic condition that is beyond his control and beyond healthcare’s ability to treat, this kind of human suffering will continue on a massive scale. Keith Keller RN

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Barbara A.'s avatar

Thanks for a sane discussion. While many live in the land of writing off people who are human and suffer diseases including alcohol use disorder, I suspect there are mirrors in their homes or cars. Perhaps a good look at self wouldn't be a bad idea. Not a baseball fan but am a total fan of hope, healing and recovery - as many times as it takes.

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