I think the problem with MADD is that it achieved many of its objectives, and didn't know what to do next. In the early days of MADD, severe, repeat drunk driving wasn't recognized as the serious crime that it is and should be. MADD had a lot to do with getting this recognized - in law and in society at large.
But now, I think MADD is a texbook example of an organization that achieves it's objectives but needs something new to do with its fervor. So now they've been pursuing a kind of neo-prohibition under the guise of preventing drunk driving. I don't believe the original founders have much to do with it anymore, and have actually even renounced the organization.