The Affordable Care Act is projected to make addiction treatment to millions more – but do we have the people and facilities to provide it? A new in patient treatment program for internet addiction opened recently in Pennsylvania, but it will not be eligible for insurance coverage since internet addiction is not recognized in the DSM, and a new study in the The Journal of Neuroscience on the functioning of the opioid control switch, provides new insights on the molecular process by which opiate addiction develops in the brain and is controlled by the formation of reward memories that link the pleasurable effects of opiates to environmental triggers that induce drug craving.