2016 Koppel JDS. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unlimited usage, circulation, and recreation in any medium, offered the initial author and source are credited. The moral and medical models, the dominant paradigms of drug addiction, disagree on the question of responsibility. The medical model views it as the habits of a' pirated' brain. Amid efforts to decarcerate American jails, the relative benefits of these two designs are being weighed. Which raises the concern of whether policy- makers need to be resigned to selecting one side of the moral/ medical dichotomy. In this commentary, the moral and medical designs will be critically assessed, and an alternative 3rd way, a multi-level design, suggested. The important distinction in between them is where they position blame for an addicts' behavior: the moral model views drug dependency as the option of a totally free and autonomous person;

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