The person you see on the street who supposedly needs addiction treatment may already have gone through a program, perhaps many times over. Here’s a popular belief about human behavior that’s actually true: people don’t change unless they want to. They need the autonomy to choose for themselves when and how to address their substance use, and they need a realistic vision of something better on the other side. If the goal is for them to recover and thrive, we need to get out of this mindset of deservingness. If you’re looking for intensive addiction treatment, the programming covered by insurance will be very similar wherever you go.