As I understand it, a purchased dose or "spit" of methadone won't get you high, but it will keep someone who is presently using opiates that get you high (heroin, prescriptions, oxy, synthetics etc.) you from having to go through withdrawal. If you score a lot of it, you can get high....
So, folks who are about to go into to withdrawal tend to gravitate toward methadone clinics despite not being enrolled because they are confident they can buy a spit.
Likewise, not everyone who is enrolled in the methadone clinics remains abstinent from the "real" opiates that do get you high. The principal reason for not remaining solely on methadone is that although it takes away the withdrawal, opiate users miss the high of the real stuff.
So, we have two phenomena:
a. Active users of opiates continue to remain enrolled in the methadone clinic so they can sell the spits for money to buy opiates to get high.
b. People who have opiates to sell know that methadone clinics are good place to make a sale.
As a result, those seeking drugs (or money from drugs...) follow the clinics no matter where they go, and putting a clinic in a good neighborhood is not going to stop patients from selling the methadone.
Likewise, putting a clinic in a good neighborhood is not going to stop sellers and customers of methadone, oxy and heroin from gravitating toward it.
For good reason, no one wants a methadone clinic nearby. However, the clinics do effectively keep large numbers of people stable on a substance.
The clinics are sort of like a homeless shelters in that everyone wants the cities to provide them, but no one wants them to be located in their 'hood. The clinics are unlike shelters in that they are small and thus easier be relocated to a less powerful neighborhood.
Tish James and other politicians are well aware that the demographics of their districts have changed, and they now perceive themselves as having the power to get rid of clinics in their districts AND as having a group of constituents that demands they do so. Folks who own property and vote have her attention....
I completely agree that clinics for persons addicted to opiates are needed: We live in a world in which people are going to continue to use and get addicted to opiates.
Re: Methadone. I believe that the alternatives to methadone have draw backs such as increased cost, that prevent them from being implemented.
The change on Nostrand will make the one on Franklin look minor