While more treatment under the Affordable Care Act and the Mental Health and Addiction Equity Act is being envisioned, it turns out it its may not as easy as we might have hoped to implement. Addiction is increasingly recognized as a true chronic, persistence physical disease, and treatment is moving more toward regular doctors as while as those specializing in addiction medicine. But many psychiatrist, who are currently the primary medical providers, do not take insurance and medicare patients at all. We also did some followup of online gambling. Research on the zebrafish is giving scientists a better understanding of the “stop- switch” and the “go-switch” which are central factors in addiction. And more on e-cigarettes.