2016 Koppel JDS. This is an open-access short article dispersed under the terms of the Creative Commons Attribution License, which allows unlimited use, circulation, and recreation in any medium, provided the original author and source are credited. The moral and medical models, the dominant paradigms of drug dependency, disagree on the concern of responsibility. The medical design views it as the habits of a' hijacked' brain. In the middle of efforts to decarcerate American prisons, the relative merits of these two designs are being weighed. Which raises the question of whether policy- makers should be resigned to selecting one side of the ethical/ medical dichotomy. In this commentary, the moral and medical models 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' behavior: the ethical model views drug dependency as the option of a free and self-governing

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