In order for people to recover, we can't just say 'love is all we need.'

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.

A lot of addiction actually ends by age 30 - something like 50 percent of all addictions with the exception of tobacco - and I think a lot of what's going on there is that the self-control areas of the brain are finally developed enough to be able to stop yourself from relapsing or just continuing. There is a maturational aspect to it as well.

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.

There's traditionally been two different ways of seeing addiction. Either it's a sin and you're a horrible bad person and you are just choosing to be hedonist or it's a chronic progressive disease. And while I certainly believe addiction is a medical problem that should be dealt with by the health system, the way we've conceptualized addiction as a disease is not actually accurate, and it has unfortunately become stigmatizing and it's also created a lot of hopelessness in a lot of people.

Science could never get you to make alcohol and tobacco legal and marijuana illegal. Only racism can do that.