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Unfortunately, most of the people I know who are using (or have used) either methadone clinics or suboxone clinics are people suffering from long-term, intractable, untreated pain. When their DEA-phobic doctors won't treat their pain, in desperation they start buying pain pills on the "street" in order to keep functioning. I'm talking about people buying pain pills and taking them at NORMAL (low) doses for actual pain; people who are NOT taking enough to get intoxicated, and who are simply looking for a way to be able to get out of bed and function every day. Believe it or not, many legitimate pain patients do NOT develop a "tolerance" when they are only seeking pain relief, and they aren't constantly increasing their doses like euphoria-seekers do, because even when the euphoria is gone, the pain relief is often still there. I am NOT talking about people buying them in order to snort them and get high. In my opinion, if you're taking them for legitimate pain, then you're not a drug abuser.
Anyway, these people buy the pain medication that physicians refuse to prescribe for them, and then either they hit a financial crisis and can't afford the expense of the pills anymore, or they wind up getting caught. Either way, treatment at one of those clinics is usually part of the end result--methadone for those who can afford it, and suboxone for the poor people who can't afford methadone. Medicaid won't pay for methadone here, but it WILL pay for a scant number of suboxone pills each month.
So in the end, you have a desperate pain patient lining up at the clinic, forced into "group therapy" for recreational addicts and abusers, and the only way to get even THAT small amount of pain relief is to lie your ass off and pretend to be a junkie. If you try to object and say that you were taking the drugs solely for PAIN, not for pleasure, and that you're not an "addict", then you get kicked out of the program, just like my sister's domestic partner did.
Opiates and opioids are less intoxicating than alcohol, FAR less toxic (at least when they're not mixed with Tylenol), and overdoses are VERY rare in people who are physically dependent upon them. Just like alcohol ODs, opiate ODs tend to be young, stupid college-age kids who decided to snort pills for a "high". And yet, we don't ban alcohol just because college kids OD on it and die.
In my opinion--drugs that are used primarily to treat PAIN (like opiates and marijuana) should be legal, because chronic pain is VERY under-treated in our society. My Mom is currently dying slowly of several different serious conditions, all of which cause her constant pain, but her pain is going completely untreated because her doctors fear "dependency".
Seriously, folks--when doctors start getting paranoid about "dependency" even in TERMINAL patients, things have gotten WAY out of control.
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