Why isn’t smoking cigarettes a disease also?
I don’t believe it’s a disease. It just givers people an excuse. I believe it’s a CHOICE
still no one answered why alcoholism is a disease and not cigarettes.
They start as a behavior issue, but once physical and mental dependence on the substances begins, then it crosses over into being a disease. You need to look into dopamine and what it does to your brain and body. Then go here, it spells it out quite simply:
http://www.macalester.edu/psychology/whathap/UBNRP/Dopamine/alcoholtobac.html
This is why addicts need mental health support, biochemical support as well as medical support (for the other diseases that both smoking and alcohol abuse eventually cause) when they are trying to quit coke, cigarettes, booze, crack, whatever.
I hope this explains the situation. In the beginning, it may be a choice, but once addiction sets in and their behavior is driven by that need for that feeling brought on by dopamine, then they are in trouble and it IS a disease. Please do not judge people based on their being addicted or not. I have seen wonderfully talented, educated, brilliant people brought down by this. No one would choose a life driven by drugs that may/ will eventually kill them.
The key to breaking an addiction is to break that dopamine reward loop. So, if you are old enough and smart enough to understand this, go here:
http://books.google.com/books?id=OUC4igr3O4sC&pg=PA390&lpg=PA390&dq=dopamine+loop+addicts&source=bl&ots=gxi7UBOomZ&sig=sCdTx5VEWe2ji8a0g7B0MRG1xDc&hl=en&ei=FLP1SZ2GKY-MtgfVnpifDw&sa=X&oi=book_result&ct=result&resnum=2
Try searching the mesocorticolimbic dopaminergic system as well.
Sorry, thumbsdowner, but this is NOT a moral issue, it is a medical and biochemical issue. People need support not judgement if they are ever going to break the cycle, and therefore the addiction. Take off the judge’s robes.

Questions we all should have about the disease concept and Alcoholism and how it it sold as fact when it is not fact.
Dr. George Scipione teaches on alcohol abuse as not a disease, but a sin that can be overcome through Jesus Christ.