“But medical consequences, however terrible, do not make a disease. Many mountaineers break their legs or get frostbite, but mountaineering is not a disease . . . to conceive of opiate addiction as a disease seems, after my experience with thousands of drug addicts, to me to miss the fundamental point about it: that it is a moral or spiritual condition that will never yield to medical treatment, so called” (Theodore Dalrymple, Romancing Opiates, p. 6).