Many countries, including the US, use methadone for maintenance. As I understand it it’s not as enjoyable as some people’s opioids of choice but it’s still an extremely powerful opioid depending on the dose (easily fatal).
So it’s not only the countries you mentioned that provide pharmaceutical opioids as maintenance treatment. The US does too, though the form is different.
What is this supposed to mean?
That’s a completely nonsense statement to make because you’ve provided no data on problem opioid use in Switzerland.
Is 1500 a lot? Not many? Average? Should all nine million be on the program?
Note that it is free, supervised and voluntary so ymmv in other countries. The conclusions of the original program with methadone in the 80s was that it resulted in hardly any reduction amongst heavy and problematic users and they were likely to go back to using heroine with all the associated problems, the heroine distribution program worked but needed some tweaking, thus the program was fully legalised and put into law resulting in supervised consumption (at the distribution point) with dosage control and medical checkups and far less issues.
I can understand why methadone is ineffective as a treatment.
I had to call an ambulance for one friend cos he stopped breathing in front of me.
I woke up on my kitchen floor 45 minutes after a shot. I had time to cap the needle before I passed out and had no idea I was about to go down.
Another mate died because she used at home alone while her partner was at work.
Other than that, it’s a pretty nice high :)
Sure, you could demand injection on site to reduce this problem. But that just makes the program less appealing. You could also just hand out the users' drug of choice directly (heroin) rather than the less harmful substitute, but at some point that starts counting as physician-assisted suicide, really.