does everyone, thomasina, that wants to get treatment, are they able to find it? is there enough treatment around the country if all these millions of people wanted to be treated for their condition? i mean, there certainly is a lot of self-help groups that are open, and they're almost cost free. i think the question also is of all the millions of people though many of them are not ready for treatment. so it's just because they need treatment doesn't mean that they're ready and willing to go to treatment. i think that's a really big issue for both mental illness and substance use. i think an important part of that, thomasina, is that sometimes the quality of the services hasn't been there. so sometimes people would like to seek help, but, for example, the treatment program is only open when they're at work or there's no parking, there's no childcare and so part of what our responsibility is, is to make those services more attractive and more accessible to the population because, as you know, only about one in 10 people with an addiction will get treatment each yea

yes, thomasina? on the federal level in mental health the feds are experimenting, there are at least eight states that have been given grants, 5-year grants, to transform their public health system, mental health system, into the recovery oriented. that is a huge thing. to look at the whole public health system of mental health and that's going to affect the substance abuse, too. i'm so glad thomasina brought that up because there's another point to this that's really key that is recovery is not just a service that we're supposed to attach to treatment for 3 years while we have a grant and then it goes away. it's supposed to transform the entire treatment system. we have to change the way of doing business throughout it, so it truly is recovering support system. and the systems that are thriving, like, for example, in philadelphia, i'll cite where bev is from as an example, or the work that joe is doing, the ones that are taking that on, this is a philosophical, cultural transformation not just flavo