Theodore Dalrymple’s latest book, Romancing Opiates, slams societal and professional attitudes to heroin addiction. Dalrymple argues that heroin users are not blameless patients, as the medical fraternity would have us believe. ln fact, he tells us, heroin users have to work quite hard to get addicted; withdrawal is about as difficult as the flu; and the support industry, which he calls the ‘addiction bureaucracy’, is ineffective and self-serving. Dalrymple contends that the heroin epidemic cannot be dealt with until it is recognised as a moral and spiritual problem rather than solely as a medical one.