> Also lack of craving is a ridiculous justification for effectively prescribing substance abuse
What? The justification is improvement of patient's quality of life which is often unacceptably low without the treatment. Blinded by the anti-drug dogma you are unable to see that sometimes the only available alternative is endless suffering.
> these cravings do not qualify these activities as substance abuse.
Strawman. Substance abuse? No. Addictions? Absolutely.