They hate us, we're the lowest of low to the hypocrite norm and sadly nothing will ever change for people who have used or currently using.
Oh please...this is a little melodramatic. It sounds if you have experienced this on a personal level. I agree 100% that a lot of people sterotype substance users/abusers due to what they are fed by the media and governmentbut on a personal level if someone feels this way it is probably not just the fact that one is a drug abuser but because of things a drug abuser might do. As neversickanymore states that drug abusers don't kill because they need drugs, they do frequently do things that prior to using they would never ever have done if they are desperate enough. How many times do we hear of someone stealing, lying, cheating, taking meds that aren't theirs, selling items they love (or that belongs to other family members including children) in order to obtain their DOC? I think these are the things people have a problem with on an individual level.
Also as far as substance use now being labeled as a disease changing things, I seriously doubt it. Education won't change this much either for a long time. Attitudes will remain the same. Alcoholism has been considered a disease for awhile but many people still scoff at this idea. In theory, doctors should be the better educated people regarding the issue. Yet they are smirking at the idea (most, not all). It is not politically correct for them to do it to the patient's face of their families (though some do regardless) but behind the scenes they generally see this as a copout. I see this daily as a nurse who works with all types of health care professionals. (Also, for shits and grins, there is a forum board that you can look at that is for student drs/doctors to discuss all types of issues and you would be shocked at the things they have to say and the attitudes they have about "us dumbass patients". I will post a link as soon as I find it again).
I also agree that functional substance abusers including alcoholics are not viewed the same way exactly. But I also think this usually only applies if you don't have some other "strike" against you. An example, if you are poorer or work in a non professional job, people may still view you with disdain. If you ever have a run in with legal issues, are a shitty parent, etc. Its not right but it happens. It leads back to the discussion about the prejudices against the poor in general I think.
Maybe after many years of the small changes attitudes will change. I think though, that the attitude of the government in general will have to change to effect this. They maybe calling it a disease but for those who
Use prescription drugs, the fight is only getting harder with the crackdowns by the government on docs and trying to place even more limits on pharms. Also as a somewhat side note..the fact that it is considered to have a biological basis now is only going to limit a lot of chronic pain patients access to prescription drugs in some cases. My doc said, well we don't want to increase patients doses of narcotics because since they can't help the changes in their brain it causes and it will eventually make them become an addict. Won't always be the case but I'm not so sure it will be as helpful as you think.