Sorry you understood my post in that way, Donuel. I'm pretty sure I am not dogmatic. I currently work as a mental health clinician for a non-profit that historically treated only substance abusers, is still primarily substance abuse in it's philosophy, and too dogmatic and behind the times and current research in it's over-reliance on the 12 step model as the only way.

What I mean by 'cat out of the bag' is that drug abuse in general, and opioid abuse in particular are now so wide spread within our society that a national approach that insists on abstinence only, versus harm reduction for some is bound to fail.