"The more things change the more things remain the same." In typical Western medicine fashion the race is on for a pill to cure addiction. The latest is Suboxone to "cure" opiate addiction. Though lip-service is given that physicians incorporate counseling/treatment with pill dispensing it's a suggestion that more often is observed in its breach. Methadone, Campral and Naltrexone are additional drugs that allow physicians to provide "office based" treatment. Why has Addiction Medicine become the province of the pharmaceutical industry? What is "office based" treatment? Wouldn't it have been better for them to take what the addiction field has learned ( the need for mental, emotional and spiritual growth; the value of recovering in a community of others with the same illness and deflation of ego in depth) and apply it to other illnesses? Diabetes has a poor prognosis in terms of treatment compliance as does asthma. Why doesn't addiction medicine attempt to change the medical norms in terms of the treatment of those illnesses? Is medicine simply matching the right drug to the right patient? How many physicians are paralyzed dealing with obese patients. Traditional medicine doesn't have an answer. Is addiction medicine's task to find a better drug or work with their colleagues to develop a new view of patient care and the role of a physician? Wouldn't it be great if "addictionologists" worked with their physician colleagues to develop communities of patients in an individual practice working together to recover from a specific illness? It would change medicine. I'm afraid Addiction Medicine has passed on the opportunity to do something innovative and has settled for riding their prescription pads into the sunset.