It demands that their patients surrender to the program and God, look at the 12 steps:
This part is flexible. God is conceived of as "a power greater than ourselves" in AA, there's a section in the Alcoholics Anonymous book addressed for agnostics that covers this. For some, this is the power of the group setting, or a spiritual connection with the universe, etc.
Rather than teaching personal willpower and how to moderate it pushes a feast or famine model on the basis of giving up, making it easy to give up on giving up. It also makes them act more like bitch boys until their faith is no longer enough, then it's like when college-aged Christians leave the closet and go whole hog into sin.
Willpower can be a reasonable safeguard certain people. There are those where I am that are in their 50s and 60s, and they've tried moderation, usually many times since their 20s. Any drug use for them has led back to their drug of choice, and then often to criminal behavior, prison, and a total collapse in the living situation. Many of these people will say that they have no self control once they make the first step, and that drug use just isn't worth what comes with it. Addiction is something to be avoided at all costs for these people. There are lots of stories here of people that were here or other local treatment centers that end up relapsing and dying.
Those who have had severe addiction but may not necessarily be confined to that with use (I include myself in that group) should be able to live normally with willpower. It can be risky, especially for people such as myself that sees the end goal as the heavily intoxicated experience as opposed to a few drinks or one pill. It's a game of dose frequency, spacing, and gauging lifestyle permeation that requires a lot of care and investment in other obligations.
If you call that working and not integrating, then yeah we could even call Synanon 'healthy'.
AA doesn't seem very sinister to me. One might miss out on a bit of fun if they're one of the people who could develop adequate discipline in a responsible way, or if they fall victim to a "13th stepper."
You aren't worried about the slippery slope of perception and an adaptive tolerance?
I would be a fool to not worry about that. I still haven't completely thought out how I want to conduct all of this yet.