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John Michael Thomas's avatar

This is fantastic. I've always wondered how much of substance abuse is self-medication (I've had multiple family members who turned to substance abuse to cope with physical and emotional pain), but it totally makes sense that the environment acts as a kind of an over-arching guide toward or away from abuse, regardless of the initial causes.

Be careful, though; the adoption of systems-level design in health care and recovery could upend the entire broken system. And considering how many people benefit from that broken system, your approach could generate all kinds of opposition from highly moneyed interests.

I wouldn't put it past entrenched players to try and undercut your work by lobbying for legislation that makes your work illegal with the stroke of a pen; tech legislation is all the rage right now, and this is a tried-and-true playbook for them. Painting your systems-level approach as "de-humanizing" might be effective against legislators who don't know much about it - and who benefit financially from believing it.

So, if you haven't already, you might want to find some organizations with lobbying muscle that you can ally with. Because you may need some legislative cover in the future.

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