It is a real problem with addicts and mental patients who are on their own recognizance, agree to prescribed medications, but will simply not take them. And they don't respond to treatment. It takes a while to sort out that this is happening, and then you have to invoke a more stringent regime, where someone else is administering the prescription medicine. But a recalcitrant patient may contrive not to swallow the pill and spit it out afterward. This all happened with my stepdaughter. Fortunately, we finally got her into a more favorable environment and she has been living clean since doing so.

So, it may be interesting to those who have not heard of it, but it is totally commonplace in the realm of healthcare.