When President Nixon declared war on drugs on June 17, 1971, about 110 people per 100,000 in the population were incarcerated. Today, we have 2-3 million prisoners: 743 people per 100,000 in the population. The U.S. has 5% of the world's population, but 25% of its prisoners. As Senator Jim Webb once put it, Either we are home to the most evil people on earth or we are doing something different and vastly counterproductive.

Because of the war on drugs, pain patients are treated with skepticism and pain doctors live in fear of being prosecuted for overprescribing. The end result is that addicts still get their opioids without much trouble, while genuine patients often can't find treatment. Those who do must typically be tracked in a database and must schedule frequent, expensive doctor visits for surveillance like urine testing.

Drug warriors' staunch opposition to needle exchanges to prevent the spread of HIV in addicts delayed the programs' widespread introduction in most states for years. A federal ban on funding for these programs wasn't lifted until 2009. Contrast this with what happened in the U.K. At the peak of the AIDS epidemic in the mid-1990s, the HIV infection rate in IV drug users in the U.K. was about 1%. In New York City, the American epicenter, that figure was 50%. The British had introduced widespread needle exchange in 1986. That country had no heterosexual AIDS epidemic.

Addiction is when you fall in love with a drug instead of a child or a lover and the learning that takes part in that part of the brain is designed by evolution to get us to persist despite negative consequences to do what we need to do - because I don't know anybody who could survive a relationship or parenting if not for the ability to persist despite negative consequences. The problem is when that gets misdirected to a drug and then you can find yourself in some very negative and potentially deadly situations.

Because addiction is a developmental problem, the developmental stage is important, things like employment are important, things like having a sense of purpose, meaning and hope are important, and this is why there's been so many spiritual cures for addiction, because those things often give people a sense of meaning and purpose.

Love is great and it does help a lot of people, but a lot of people do have things like depression or schizophrenia or bipolar disorder or other disorders, all of which will need to be addressed in order for people to stay in long-term recovery.

The thing we want for all our kids is that they be connected with a learning community and that they have strong social and familial relationships. If we can do whatever we can do to create that and to reduce bullying and to reduce the kind of pain and shame so many kids feel for so many reasons, that stuff is going to reduce drug addiction.