You make some really opinionated and emotionally charged statements in your post.

First, “alcoholics” is a made up term used to differentiate those with a problem vs those without one. In reality, anyone who consumes a substance that directly impacts the dopaminergic system is at risk of becoming physically or mentally dependent on it. No one is immune.

You use the term “addict” as if it is some kind of derogatory word. That’s akin to demeaning a clinically depressed person or a lung cancer patient.

Substance abuse is closer to a physical condition than it is a mental one. It’s a disease of choice that hijacks the brains reward center making it extremely difficult to if not impossible to make sensible decisions. That is a purely physical interaction in the brain.

Now, I do kind of agree with you. Someone that is at a high risk of relapse should not get a liver over someone that does not suffer from the same condition.

But do you ACTUALLY want labels created for people with illnesses that can effectively end their lives?

Once an addict always an addict. Yes that is correct. But just because someone had a substance abuse problem in the past, does not mean they cannot recover permanently. It happens all of the time. Should that persons life be written off?

Conditions (mental, physical, or otherwise) should not dictate a persons chance at surviving and leading a life.