Someone said :
And as for heroin/methadone and Dublin, there aren't many clearer demonstrations of where an informal tolerance approach leads; I don't think the results are good.
It is understandable how the lay person bases their opinion of heroin addicts or methadone replacement on the people they see on the street, but they are not seeing the big picture, or the many thousand heroin addicts or people on replacement therapy (such as methadone) who are living with the addiction and functioning.
For every dozen junkies you see on the street there are hundreds going to work and raising families.
The largest opiate addiction is pain killers (opiates, mostly codeine) and the typical addict is the average mother or father or brother or sister who were prescribed medication for accidents. But you dont see them on the street begging or mugging so they are not equated with opiate addiction.
Replacement therapy has kept the vast majority from falling between the cracks. So to say it does not work or the results are not good is down to not actually seeing the results but presuming that what you see on the streets are it.