“Walking proof that methadone ‘is failing’ after 20 years on treatment”
A 12 Feb article in News.Scotsman was headlined: “Walking proof that methadone ‘is failing’ after 20 years on treatment”. the article reports the latest harsh criticism of methadone maintenance by "one of Scotland's leading experts on drugs," Prof. McKeganey. The man referred to in the headline has been dependent on opiates since a teenager, and in Scotland – even more than most countries of the world – untreated heroin use with tragic frequency ends in death. It is difficult to imagine anyone positing that the methadone prescribed in this case did not contribute in a major way to survival. And if survival of a frequently fatal condition is not proof positive of a treatment’s efficacy, then what is?