4 ms·

The first step would be to understand that rehab is not the solution to any kind of problem. Rehab is about making a lot of money, not healing people, they ben

The first step would be to understand that rehab is not the solution to any kind of problem. Rehab is about making a lot of money, not healing people, they benefit from relapsing, they have zero incentive to help people.

s1artibartfast 3y ago
This is a typical overly cynical and overly online take. I think it would be dispelled by talking to or being friends with a single person that works in rehab
- currymj 3y ago
  there are certain places where a lot of dubious, predatory drug rehab facilities have popped up in the last decade, since health insurance now has to pay for it, yet it's not quite regulated like other healthcare. if you see a lot of these it can make you very cynical.
  - s1artibartfast 3y ago
    I'm sure bad things happen, but to embrace all or nothing cynicism is to reject reality. It is pathological in it's own right to paint the world with such broad and biased brushstrokes.
vlunkr 3y ago
You could apply this to countless professions. Plumbing is about making a lot of money, they benefit from you pipes leaking again. We just have to hope that human beings actually care about their work.
denton-scratch 3y ago
Rehab helps about a quarter of the people it treats - provided you accept that they'll probably need multiple rounds of treatment. It's wicked to encourage the belief that a single round of rehab, followed by lots of willpower, is likely to solve problems.
- Retric 3y ago
  Single rounds of rehab do sometimes work, and longer sessions have better changes. Willpower is part of it, but often completely changing one’s social circle is critical.
pixl97 3y ago
Commenting under you on the entire subthread here.... I think this is a two part problem. If you talk to a particular therapist/counselor it would be very rare to find one that doesn't want to see you get better. In general the people at this level are empathetic and do care. But above that there is a 'rehab system'. You start moving away from the people that want to see other people get better towards that people that want to see the system make as much as much money as possible no matter the cost. We talk about systems like this all the time here on HN with the term 'Molochs'. Systems where the individual optimum would be X, where X is things people actually like and think are good. Instead the system optimizes towards Y, where Y is far worse outcome for individuals, and individuals are seemingly powerless to stop the system from optimizing on Y. https://slatestarcodex.com/2014/07/30/meditations-on-moloch/ https://slatestarcodex.com/2014/07/30/meditations-on-moloch/
d0gsg0w00f 3y ago
Cleaning houses is about making money too. Eventually you're going to be ready to keep the house clean after they leave.

s1artibartfast 3y ago

This is a typical overly cynical and overly online take. I think it would be dispelled by talking to or being friends with a single person that works in rehab

currymj 3y ago
there are certain places where a lot of dubious, predatory drug rehab facilities have popped up in the last decade, since health insurance now has to pay for it, yet it's not quite regulated like other healthcare. if you see a lot of these it can make you very cynical.
- s1artibartfast 3y ago
  I'm sure bad things happen, but to embrace all or nothing cynicism is to reject reality. It is pathological in it's own right to paint the world with such broad and biased brushstrokes.

vlunkr 3y ago

You could apply this to countless professions. Plumbing is about making a lot of money, they benefit from you pipes leaking again. We just have to hope that human beings actually care about their work.

denton-scratch 3y ago

Rehab helps about a quarter of the people it treats - provided you accept that they'll probably need multiple rounds of treatment. It's wicked to encourage the belief that a single round of rehab, followed by lots of willpower, is likely to solve problems.

Retric 3y ago
Single rounds of rehab do sometimes work, and longer sessions have better changes. Willpower is part of it, but often completely changing one’s social circle is critical.

pixl97 3y ago

Commenting under you on the entire subthread here.... I think this is a two part problem. If you talk to a particular therapist/counselor it would be very rare to find one that doesn't want to see you get better. In general the people at this level are empathetic and do care. But above that there is a 'rehab system'. You start moving away from the people that want to see other people get better towards that people that want to see the system make as much as much money as possible no matter the cost. We talk about systems like this all the time here on HN with the term 'Molochs'. Systems where the individual optimum would be X, where X is things people actually like and think are good. Instead the system optimizes towards Y, where Y is far worse outcome for individuals, and individuals are seemingly powerless to stop the system from optimizing on Y. https://slatestarcodex.com/2014/07/30/meditations-on-moloch/ https://slatestarcodex.com/2014/07/30/meditations-on-moloch/

d0gsg0w00f 3y ago

Cleaning houses is about making money too. Eventually you're going to be ready to keep the house clean after they leave.