Thesis advisor: Marius Stan / This thesis explores America's Opioid addiction crisis through a philosophical lens, arguing for a need to adopt a national mandatory rehabilitative approach for the sake of maintaining our country's cultural ethos grounded in freedom and the subsequent capacity to flourish as a human being. It proceeds in four chapters: the development of our cultural ethos through an analysis of John Locke and J.S. Mill, the history of the opioid addiction crisis and development of the two dominant addiction theories, America's current measures to tackling the crisis, and the proposal of a new approach that recovers addicts' freedom and ability to flourish. The work concludes by arguing for the importance of using philosophical principles and interpretations to guide problem solving and tackling current crises. / Thesis (BA) — Boston College, 2023. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: Departmental Honors. / Discipline: Philosophy.

Abstract Prenatal alcohol-related disorders are highly prevalent and result in permanent, lifelong disabilities. The child may be born with debilitating birth deformities and severe cognitive deficits. These children have a low life expectancy, and a low quality of life. They are disproportionately represented in juvenile justice and foster homes, and they are more likely to be high school drop outs, incarcerated, or misdiagnosed, and have higher rates of mental illness. Despite these impairments, there are few state statutes in place that protect the rights of the fetus. This is because the fetus has not been recognized as a person. Feminist groups argue that if the fetus was granted personhood and rights, then women would be relegated to the inferior position of a fetal vessel. This paper addresses these concerns and advocates for state enforced mandatory rehabilitation for pregnant women who are addicted to substances. Mandatory rehabilitation has precedent and is a logical solution. Additionally, this paper investigates the controversy of whether there is a safe dosage that can be consumed while pregnant that will not harm the fetus. While there is no safe dosage found, and women are strongly advised to understand that an unnecessary risk is involved with any prenatal alcohol consumption, there is a body of evidence suggesting that low-level drinking may not have a clinically significant effect on the fetus. Thus, women should be allowed, within the law, to make the choice to drink lightly during pregnancy, because it is not assaulting the fetus. By drinking prenatally, the woman chooses not to provide the most optimal intrauterine environment. However, the fetus is not entitled to an optimally pregnancy, but is entitled to a non-assaulted development