Did you know the United States National Survey on Drug Use and Health (NSDUH) reported in 2022, that an estimated 54.6 million people aged 12 and older needed treatment for a substance use disorder in the past year, but that only 24% of those received any help for substance use disorder? Layered atop these alarming statistics, gambling has expanded worldwide, including sports betting and online betting. An estimated 1% of the general population meet the criteria of disordered gambling and many more appear functional but experience serious gambling-related harm. The rates of treatment seeking for disordered gambling have not increased substantially in the last decade despite prevention and public awareness efforts. When it comes to addiction, why hasn’t the “treatment access dial” moved significantly?