Topic: harm reduction
That’s not a large percent of the user population, but it’s among the sickest. That along might be enough to justify the investment; I’m sure a number of lives have been saved along the way.
Nonetheless, in most instances it’s an a priori resistance rooted in fear, rather than legitimate objections.
Not surprisingly, the vast majority of patients who drop out or otherwise leave maintenance programs return to heroin at rates of 80% or higher.
He compares the patients he treats, who are often homeless, to “outcasts” and ‘lepers”, who have been “derided, despised, and marginalized.”
So even if drug use decreases, and clients continue on methadone, they don’t necessarily make the other much-desired (by society) changes — such as giving up crime.
In terms of a comfortable detox, Suboxone was a success. In terms of a return to opiate use, it was a failure.
It makes perfect sense to do something that’s been shown to be effective at limiting one very important adverse consequence to the individual and society