Drug addiction is a complex condition characterized by intense and, at times, uncontrollable drug craving, along with the desire to compulsively seek and use drugs that persists even in the face of devastating consequences. While the path to drug addiction begins with the voluntary act of taking drugs, over time, the ability of a person to choose not to do so becomes compromised and seeking and consuming the drug becomes compulsive. This behavior results largely from the effects of prolonged drug exposure on brain functioning. Addiction is a brain disease that affects multiple brain circuits, including those involved in reward and motivation, learning and memory and inhibitory control over behavior. Because drug abuse and addiction have so many dimensions and disrupt so many aspects of the life of an individual, treatment is not simple. Effective treatment programs typically incorporate many components, each directed to a particular aspect of the illness and its consequences. Addiction treatment must help the individual stop using drugs, maintain a lifestyle free of drugs and achieve productive functioning in the family, at work and in society. Because addiction is typically a chronic disease, people cannot simply stop using drugs for a few days and halt addition. Most patients require long-term or repeated episodes of care to achieve the ultimate goal of sustained abstinence and recovery of quality of life.

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Some concierge practices do not accept insurance of any kind. These are as cash-only or direct primary care practices. By refusing to deal with insurance companies, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. They become concierge only if the practice assesses an annual or monthly fee instead of or in addition to a fee for each medical service. Other concierge practices do take insurance, even Medicare, but ask for an annual fee for additional services exclusive of insurance plans. This annual fee is not a substitute for medical insurance, and generally does not cover consultations outside the practice, laboratory procedures, medicines, hospitalizations, or emergency care from other providers. 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