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Up First from NPR

RFK Jr lauds Italy's addiction treatment. Can it work here?

29 Mar 2026

Transcription

Chapter 1: What are the statistics on addiction in the United States?

0.031 - 22.495 Ayesha Roscoe

I'm Ayesha Roscoe, and this is a Sunday Story, where we go beyond the news of the day to bring you one big story. It's estimated about 50 million people in the United States struggle with an addiction to drugs or alcohol. Most never get treatment. Of those who do, about half relapse in the first year.

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22.998 - 37.536 Ayesha Roscoe

But in Italy, there's an addiction treatment program that appears to be having huge success at getting and keeping people sober. The program has a big fan in the U.S. Health and Human Services Secretary Robert F. Kennedy Jr.

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38.598 - 46.828 Robert F. Kennedy Jr.

I've seen this beautiful model that they have in Italy called San Patrignano. It's good. And that's what we need to build here.

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48.648 - 61.003 Ayesha Roscoe

San Patrignano is one of the largest addiction treatment facilities in the world. Recently, Deborah Becker, a senior correspondent at WBUR, went to see how it works.

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62.468 - 85.658 Deborah Becker

Well, I've arrived here at San Patrignano in Italy. I'm surrounded by rolling farmland, vineyards, olive trees, mountains. It's beautiful. And I'm going to what looks like a college campus. There's a large terracotta colored building surrounded by black iron fencing. I'm here at the main entrance and I'm going for a tour.

89.063 - 118.902 Ayesha Roscoe

When we come back, a visit to a different style of drug treatment. These days, it feels like the news changes every hour. Well, NPR has a podcast that does that too. NPR News Now brings you a fresh five-minute episode every hour of the day with the latest, most important headlines in episodes that are clear, fact-based, and easy to digest.

Chapter 2: What is the San Patrignano treatment program in Italy?

119.253 - 124.583 Deborah Becker

Listen to NPR News Now on the NPR app or wherever you get your podcasts.

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126.386 - 153.698 Ayesha Roscoe

We're back with a Sunday story talking about the quest for a drug treatment program that actually works. I'm joined by Deborah Becker from WBUR in Boston. Hi, Deb. Hello. So, Deb, you've been covering the business of drug treatment in the U.S. for years, but you traveled all the way to Italy for this story. So what makes San Patrignano different?

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154.032 - 178.791 Deborah Becker

Well, first of all, it's huge. There are hundreds of people there, and it's really like its own self-contained village with a bunch of its own businesses that are run to help keep the treatment program funded. When I got there, I met San Patrignano representatives who showed me around from the various workshops to the medical center to the dining hall, the bakery. It went on and on.

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178.771 - 201.271 Deborah Becker

And it's just out there in the Italian countryside? Yep. It's at the top of a mountain, really, a 700-acre campus in the middle of nowhere. But it is very well known. It's attracted tens of thousands of people over the years, including some from the United States. And my first day there, I met one of them. I'm from Boston. Where are you from?

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201.591 - 202.051 Ayesha Roscoe

Detroit.

202.252 - 220.131 Deborah Becker

Detroit. Yeah. How long have you been here? Almost seven months now. Yeah. Now, this is Michael, a 20-year-old man who was taking a break from his work in the dining hall when I met him. He asked that we refer to him by Michael, which is his middle name, because of the stigma associated with substance use.

220.611 - 226.658 Deborah Becker

He had been struggling for a few years, and his dad heard about San Patrignano and urged him to apply.

227.139 - 243.372 Ayesha Roscoe

I was having trouble staying away from drugs, staying sober. It just kept being a cycle that continued on repeating itself. We have treatment facilities in the U.S. So, I mean, did he really need to go all the way to Italy?

243.723 - 261.782 Deborah Becker

Well, he told me he had been to various programs in the U.S., but he said he needed something like Sanpa, as they call it, that would give him structure for a longer period of time. In the U.S., the model is very different. It tends to revolve around what insurance is willing to pay for.

Chapter 3: How does the San Patrignano program differ from U.S. addiction treatment?

590.111 - 595.3 Ayesha Roscoe

It's not something you would ever imagine when you hear the words treatment.

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596.14 - 608.446 Deborah Becker

And RFK Jr. has characterized a lot of the treatment programs in the U.S. as predatory. He says his vision is to create, in America, the solution Italy has embraced.

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608.907 - 617.203 Robert F. Kennedy Jr.

It is a high priority to me, and it's something that, for me, this is going to be my Peace Corps program. My uncle had the peace corps.

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617.363 - 634.87 Robert F. Kennedy Jr.

I'm going to build these rehab centers all over the country, these farms, healing camps where people can go, where our American children can go and find themselves again and come back, become contributing members to our society and stop the mayhem and the carnage.

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635.591 - 641.2 Ayesha Roscoe

So what is so different about the style of treatment in Italy at San Patrignano?

641.585 - 665.191 Deborah Becker

Well, what makes it different is what I wanted to find out, and that's why I traveled there. I flew to Rome, took a train to Bologna, and then drove to the Emilia-Romagna region of Italy to tour the San Patrignano campus. I just can't believe how big it is. I don't think I expected it to be so. It's like a city. I say a village. A village, okay. It's like a village.

667.073 - 688.905 Ayesha Roscoe

When we come back, we return to Italy. I'm Ayesha Roscoe, and you're listening to The Sunday Story. We're talking to journalist Deborah Becker about drug treatment and a model drug treatment community in Italy. So, Deb, tell me more about the design of San Patrignano.

689.24 - 708.413 Deborah Becker

Well, you take this winding country road, right, through rolling hills, and at the top of one hill is this sprawling campus. And it's like its own village. There are dozens of terracotta-colored buildings. There are cottages and facilities for several of the industries there, like a farm, bakeries.

709.295 - 714.444 Carol Rocco

They do pizza, focaccia up there. And over here, we focus on the bread.

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