2016 Koppel JDS. This is an open-access article distributed under the regards to the Creative Commons Attribution License, which allows unrestricted usage, distribution, and recreation in any medium, supplied the initial author and source are credited. The ethical and medical models, the dominant paradigms of drug addiction, disagree on the question of obligation. The medical model views it as the habits of a' pirated' brain. Amid efforts to decarcerate American prisons, the relative merits of these two designs are being weighed. Which raises the question of whether policy- makers need to be resigned to choosing one side of the moral/ medical dichotomy. In this commentary, the ethical and medical designs will be seriously assessed, and an alternative 3rd way, a multi-level model, recommended. The important distinction in between them is where they put blame for an addicts' habits: the moral design views drug addiction as the option of a free and self-governing person; the

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