january 2020 • New England Journal of Medicine

Treating Addiction as a Terminal Disease

Caruso Brown, Amy E.

DOI: 10.1056/NEJMp1909298


Ms. A. had a history of opioid use longer than her adulthood and had been through inpatient rehabilitation, methadone maintenance, and buprenorphine treatment programs without lasting success. Now she had endocarditis, and she wanted only to be discharged to hospice.