01/16/2026
The story of Dr. Elyse Stevens highlights a major rift in 2026's addiction medicine: flexible, "human-centered" care versus traditional abstinence-only models.
While Stevens won awards for treating New Orleans' most vulnerable patients by meeting them where they were, her "unconventional" prescribing of buprenorphine and pain meds led to her ousting.
Proponents of her method argue that rigid requirements like daily clinic visits or clean drug tests often drive patients back to lethal street drugs.
Critics, however, worry that loosening these restrictions risks "normalizing" drug use and fuels liability concerns.
As the battle over harm reduction continues, the real-world consequence is clear: when doctors like Stevens are forced out, the most complex patients are often left with nowhere to go.
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https://www.npr.org/sections/shots-health-news/2026/01/05/nx-s1-5660694/addiction-treatment-opioids-co***ne-abstinence
The experiences of one doctor in Louisiana reveal the tensions around trying to get people to engage in addiction treatment, even if they're not ready to stop using drugs.