We might have been making things more difficult for the patients we wanted to help. This is not unknown in healthcare.
The notorious revolving door wasn’t entirely due to the patient’s desire to avoid change– the hospital couldn’t get them out the front door fast enough.
Diversion to abuse has been significant. Currently methadone represents only some two percent of all opioid prescriptions, but it’s been implicated in an astounding one-third of all opioid fatalities.
If we could reach them now, the process might well be interrupted. Preventing a host of more serious problems — some of them fatal to other people, or the user himself.