I do not claim to know the answer. I do recognize there is a significant problem.
The field of pain management, and addiction treatment are justifiably in the center of attention.
Included in the 8 "Essential Health Benefits" under Obamacare, is Substance/mental health treatment. The sums of money already being spent, are beyond astounding.
Street bums and addicts in one region, are signed up for Obamacare insurance by recruiters, and put on planes the next day for "treatment" in California's scenic coastal towns.
The "Treatment" is conducted mostly by people who themselves, got "clean" surprisingly recently themselves. The Treatment firms are making insane profits. The ""patients" are driven in Mercedes vans (known as "druggiebuggies") from sober living group homes, to testing, to the gym, to the beach, and finally to local AA meetings.
I do not see how government could spend anymore money than it is currently spending.