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The Jordan Harbinger Show

1249: Rehab and Recovery | Skeptical Sunday

The Jordan Harbinger Show

Jordan Harbinger

Business, Education, Science

4.812.1K Ratings

🗓️ 30 November 2025

⏱️ 70 minutes

🧾️ Download transcript

Summary

Rehab is a $42 billion industry hooked on bad science. Nick Pell helps us detox from its myths by prescribing the truth on Skeptical Sunday!

Welcome to Skeptical Sunday, a special edition of The Jordan Harbinger Show where Jordan and a guest break down a topic that you may have never thought about, open things up, and debunk common misconceptions. This time around, we’re joined by writer and researcher Nick Pell!

Full show notes and resources can be found here: jordanharbinger.com/1249

On This Week's Skeptical Sunday:

  • The Minnesota Model dominates addiction treatment despite lacking evidence. This abstinence-based approach from the 1950s, requiring lifelong total abstinence from all substances, became the default not because it works best but because 12-step programs are free and easily scalable.
  • Most people naturally age out of addiction without treatment. Research shows the majority who struggle with substances simply stop on their own over time, contradicting the "chronic disease" narrative that claims addiction requires lifelong management and intervention.
  • The addiction treatment industry has massive financial conflicts of interest. As rehab is a $42 billion industry, practices like the "Florida Shuffle" and patient brokering weaponize relapse for profit, billing insurance repeatedly for the same patients cycling through facilities.
  • The disease model of addiction lacks empirical support. There's no scientifically recognized "addictive personality," and the idea that addiction is an incurable, progressive disease isn't backed by research, yet it remains the dominant framework shaping treatment and policy.
  • Evidence-based alternatives like harm reduction and moderation exist. Options including SMART Recovery, medication-assisted treatment, and gradual reduction approaches can be effective. You don't need to hit rock bottom before seeking help, and recovery can mean different things for different people.
  • Connect with Jordan on Twitter, Instagram, and YouTube. If you have something you'd like us to tackle here on Skeptical Sunday, drop Jordan a line at [email protected] and let him know!

And if you're still game to support us, please leave a review here — even one sentence helps!

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Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to Skeptical Sunday. I'm your host, Jordan Harbinger. Today I'm here with Skeptical Sunday

0:08.0

co-host writer and researcher Nick Pell. On the Jordan Harbinger show, we decode the stories,

0:12.4

secrets and skills are the world's most fascinating people and turn their wisdom into practical

0:16.6

advice that you can use to impact your own life and those around you. Our mission is to help you become a better informed, more critical thinker. And during the week, we have long-forms conversations with a variety of amazing folks, from spies to CEOs, athletes, authors, thinkers, and performers. On Sundays, though, we do skeptical Sunday, where a rotating guest co-host and I break down a topic you may have never thought about and debunk common misconceptions about that topic, such as weddings, funerals, homeopathy, hypnosis, advertising, and internet porn. And if you're new to the show or you want to tell your friends about the show, I suggest our episode starter packs. These are collections of our favorite episodes on persuasion and negotiation, psychology, disinformation, junk science, crime and

0:54.9

cults, and more. That'll help new listeners get a taste of everything we do here on the show.

0:58.7

Just visit jordanharbinger.com slash start or search for us in your Spotify app to get started.

1:04.6

Today we're talking about drug addiction and rehab, whether it's you, a family member, a friend,

1:09.1

a coworker, or even just somebody on television, chances are good that you're familiar with the subject of going to rehab. It starts with hitting rock bottom, and then the family intervention where everybody gets all weepy and shares their feelings. Then there's the 40 days of inpatient, where they don't let you drink coffee or take your anxiety meds. And it all ends with the perfect redemption of the

1:27.8

person involved, provided that they attend 12-step meetings for the rest of their natural life.

1:32.5

That's how it works in Hollywood anyway, but what about in real life? This model of recovery is

1:37.7

based around the premise that addiction is a quote-unquote disease and that rehab is the treatment

1:42.5

for that disease. In fact, this model is so deeply

1:45.1

ingrained in the American mind that lots of you are probably wondering why I'm even saying all this.

1:50.2

This is all just true, right? Well, what if addiction isn't a disease? What if rehab often doesn't

1:56.4

work? And what if it's less about recovery and more about business? Are 12-step programs like

2:01.8

A-A really the only way for people to get clean? What does get clean even mean? Here today to help

2:07.5

me kick the myths and clean up the story is writer and researcher Nick Pell. Nick, have you ever been

2:12.6

to rehab? In the words of Amy Winehouse, no, no, no. And the only 12-step meetings I've ever been to were as moral support for friends of mine over 30 years ago.

2:22.6

Aren't you in high school 30 years ago?

2:24.9

I was in like middle school.

2:26.3

Oh, my God.

2:26.9

A meetings.

...

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