Perfectly reasonable and agreeable, until the last paragraph.

It's hard to quantify because in the other cases, such as diabetes, the effects of insulin and no insulin are quite well determined, as an all-or-none outcome, and the cost-benefit analysis is very straightforward. Not so sure about the case of dealing with the head.

So we may go ahead with some program under the principle of "capable until proven incapable," telling ourselves that there is definite positive benefit. It may well be true, but the payoff is distance and uncertain. Also, is coercion involved? "We will provide free training for you" ... after a few days "screw this I want my alcohol" -- at this point, what to do? Extend the counseling? Or, trust their rationality that they are capable of seeing what is in their interests?

If the current situation is grossly suboptimal at least one person should have been looking for a solution. Misfits have been around for long enough, making me think it is part of the social dynamic. Or, the unpopular question that no politician will want to hear.