If people really believe learning personal responsibility is more important than being not addicted to heroin, [...]

Please feel free to correct me in case I misunderstood your point here, but I think that's an unfair one you raise because originally it's about the choice between the application of two different approaches (help on a biological vs. help on a social level) in case they both produce the same output—in your example, however, you adjust the outcome according to your desired conclusion (and it's fairly obvious to chose the one that actually helps).

Edit: I'm new to this site and just realized I'm a little bit late for this discussion, sorry about that.