Yes, I don't have first hand knowledge of a friend or loved one who is struggling with addiction (unless you count my grandparents alcoholism, which I only know about through second hand stories)

but I used to work for the Health Department's National Illicit Drugs Strategy

and there is a ***dire*** shortage of affordable addiction treatment available worldwide, including the US and Australia. To be honest, the best access to affordable addiction treatment in Australia is in prison. :(

Also, there are long waiting lists for many programs (outside of prison)

Also, some programs have been caught doing deep dodginess - there was one program in Australia (NOT in prison) that was caught getting lots of compulsory unpaid labour out of people who were in the residential treatment program on the grounds that it was "good for them" - the addiction service (which was getting government money!) was hiring out people in the residential treatment program to third party businesses. The third party businesses were paying for the labour, but the people in the treatment program didn't see a cent, the addiction service was pocketing it all, even though they were already being paid by the government. Any one who complained about the compulsory unpaid labour got thrown out of the program. It ended up being a scandal in the news.