In a field as complex as heroin addiction, controversy is useful in st
imulating exchange of ideas. An appeal for action, however, based on w
hat we already know to be enormously beneficial to addicts and to the
general society, must be given higher priority than proselytizing for
any given approach. We know that narcotic addiction takes a terrible t
oll and that, like alcoholism, we are currently unable to cure it. We
also know that many addicts desperately seek methadone treatment, that
many can be helped by it, and that many will die without it. The conc
lusion is clear: methadone treatment, one therapeutic approach among m
any, must be available upon request to all those who want it.