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Nearly 21 Americans were directly affected by or last year ??? roughly the same amount of Americans who have diabetes, according to a new report from US Surgeon General Vivek Murthy on . Yet just one in every 10 of those people got treatment. "We would never tolerate a situation where only one in 10 people with cancer or diabetes gets treatment, and yet we do that with substance-abuse disorders," Murthy told the Washington Post.

Also in 2015, according to the new report, more than 27 people reported misusing legal prescription s or using illegal ones. More than 66 people said they had engaged in binge drinking sometime in the previous month. The answer to the problem is complex, says Murthy, and should include things like increased screenings for in doctor's offices. But, he argues, it's also time to change our perception of people who've struggled with . "We also need a cultural shift in how we think about . For far too long, too many in our country have viewed as a moral failing. This unfortunate stigma has created an added burden of shame that has made people with substance use disorders less likely to come forward and seek help," Murthy writes.

"We must help everyone see that is not a character flaw ??? it is a chronic illness that we must approach with the same skill and compassion with which we approach heart disease, diabetes, and cancer. Murthy's view is one that has been echoed time and again by neuroscientists, economists, psychiatrists, and people who themselves have struggled with . Several peer-reviewed scientific studies done over the past decade support the idea as well. In her recent book, "Unbroken Brain," neuroscience journalist and author Maia Szalavitz calls a learning disorder, much like ADHD, and says it needs to be treated as such. This treatment regimen would vary based on the individual but could include things like cognitive behavioral therapy, a form of psychotherapy in which the therapist and patient work together to swap unhealthy learned patterns with more constructive ways of thinking, and potentially medication. "is a form of pathologic learning," Szalavitz told Business Insider earlier this year. "Overwhelming changes occur in the brain region involving areas that evolved for things like love and and feeding."

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