The ability to evaluate their life needs disappears. Ernesto Margaro, a user for seven years recalls using at a notorious drug den in Brooklyn, a man stumbled out onto the sidewalk and collapsed. Margaro figured he was dying and opened a fire hydrant on him. When he finally came to, the first thing we asked him was where he got that dope from. There are many answers to this question.
Drug paraphernalia is hard to come by in some states without a prescription.
Drug users that utilize NEPs are also issued ID cards that entitle them to carry drug paraphernalia wherever they go. Opponents of NEPs also argue that not only are the programs counterproductive in slowing the rate drug use, but they will not stop the spread of HIV because of drug users money making strategy. Although the NEPs do provide education and health services about drug-use and sexual behavior, the program workers are not supposed to approach the users about the programs. It seems unfair to almost abandon people with a life-threatening problem. Treatment communities that stress abstinence, responsibility, and moral renewal, backed up by tough law enforcement, are the best hope for addicts to escape drugs and adopt safer, healthier lifestyles.