Some people like to shoot dope: Ideology and pragmatism in the film ‘Methadone: An American Way of Dealing’

Author: David Frank

People on methadone maintenance treatment (MMT) are in a difficult position. I should know since I’ve been on it for close to 20 years. They are caught in the space between a program that helps them in a way that is primarily pragmatic – by providing access to a safe and consistent supply of opioids outside of the difficult and dangerous conditions created by prohibition/criminalization – and our culture’s need to frame everything drug related through the ideological narrative of “addiction” and “recovery.” In short, MMT enables criminalized drug users to decriminalize their opioid use, and yet, like the emperor who wears no clothes, it must publicly masquerade as a “treatment for addiction” so as to not disrupt the War on Drugs ideologies that require firm distinctions between “drug” and “medicine”; “addict” and “non-addict”. It’s no wonder that people end up a little confused.

Methadone: An American Way of Dealing captures these contradictions playing out in real time.

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