I have absolutely no problem with opium vending machines for addicts.
This appears to go against the opinion of most posting to this thread, but I have what I consider valid reasons.
The "junkies" who are dying are generally doing so because the very cheap, illegal Chinese fentanyl is being pressed into pharmaceutical pill clones; look alike pills for Oxys, Hydro's, Morphine and even Xanax are actually unreliable doses of street fentanyl. Also, the statistics for overdose by opioid do not take into account poly-pharmacy use. That is to say; that if an autopsy shows that the deceased had 6 different drugs in their system, one of them being an opiate, it will be counted as an opioid OD. This obviously skews the "death by opium" statistics.
The price on the street for actual pharmaceutical pills is higher than street heroin, so there is a huge profit motive to press fentanyl into look a likes. The people who end up buying these fakes are dying because they think they are just taking a couple of hydros and are not aware that they are actually taking a drug that is 100s x stronger.
There are cases of OD's from heroin being cut with fentanyl, but it is much less common than the OD's that are caused by someone taking what they think is a real pharmaceutical, only to wake up dead.
Regardless of who is ODing, the people who are currently being punished for all this dying hat is going on, are my former clients; Hospice patients, chronic pain patients, even post-surgical patients. There is no "Opioid Crisis" in North America. There is an illegal Chinese fentanyl crisis.
The number of fatal OD's from the Chinese fentanyl that is smuggled into North America has been the impetus for the absolute draconian rules and laws that have now interfered with people who need actual pain management. The DEA, the CDC, the FDA are all making it nearly impossible for Drs to treat pain without fear of losing their licences. Grandma is not going to become an addict by having Hydro's for a month after she breaks her hip, as long as she follows correct dosages and titrates her dose when stopping taking the pills. Many post surgery patients now are rarely sent home with anything stronger than an Advil. That is unacceptable. Patients dying of stage 4 cancer are having to fight tooth and nail for pain meds. They are sent to "pain management clinics" where they are treated like addicts; they must submit to pill counts, urine tests, etc. In my state, if a pain patient shows any cannabis in their urine, they are immediately cut off from pain pills.
All this to say...If addiction is treated like a public health issue and not a criminal issue, then I say let registered and regulated addicts have their daily dose at low cost, while also making available treatment for the addiction if they so desire. Let them take the safer pharmaceuticals rather than letting the criminal enterprise profit. (Of course the Hell's Angels in BC would actually hate this idea.) Actual pharmaceutical grade drugs instead of street drugs means fewer deaths. Lower cost drugs mean less crime committed to fund the addiction. While I have some sympathy for addicts, I can't say I care if they end up killing themselves through their drug use. It is their choice.
Who I do care about are the people who are being treated like addicts and having their valid need for opiates denied and criminalized. A very small percentage of patients prescribed pain meds become addicted. Most studies that I have seen indicate that less than 5 percent of people prescribed pain meds for any duration actually become addicted. So stop interfering with the Doctor/Patient relationship and allow people to live with some kind of relief and dignity.
So, yeah, put a pill vending machine on every corner. I can only see an upside. What is currently being done hasn't been working. So outside of glassing China, I think it's a grand idea.