Under a dictatorship everything else becomes subordinated to the guiding philosophy of the dictatorship. Corresponding doctrine replaces professional guidelines, standards-of-care, and evidence based medicine. And unfortunately in the case of Addiction Medicine the guiding philosophy often trumps autonomy and ethics.
Inherent in the current chronic brain disease model of addiction is the importance of external control over individuals and political correctness and medicalization of addiction is allowing it. Demanding scientific literacy and discriminating good from bad science would prohibit what is occurring and in order to save American Medicine the problem needs to be clearly recognized or we will become a profession that is essentially defined by the impaired physicians movement.