> So, before we can get funding for treatment we need public will, right?
Again, that's a different problem entirely.
In my Country healthcare is public and funded by taxation.
We also have publicly funded damage reduction centers where they provide methadone to heroin addicts, problem is most of the time they do not show up voluntarily because of the stigma associated with it, secondly because those willingly participating are already in recover and take it to minimize the effects of abstinence. They are already on the path of healing.
> So long as they are viewed as degenerates unwilling to engage in basic care
They aren't all degenerates, you are putting emphasis on something no one ever said, but they are obviously unwilling or they would not need special treatments.
If they are able to take care of themselves, they don't need external help.
But only a very small minority is.
> A key is to not permit use in rooms but only at safe sites within the building
Which, again, as I've said before, is exactly why they do not need "4 walls with privacy"
Methadone is permitted only in person and they have to assume it in the facility that provides it under medical check, otherwise the first thing most of them would do is trade the methadone with something else.
> Rule violation would mean switching to a monitored room
That's the one thing that makes everything worse: basically it's an house arrest. We do not arrest as many addicts as in the US, but we still have jails full of people that used drugs that would be much better of somewhere else outside a cell (which basically is the 4 walls with privacy minus the drugs plus the suicide opportunity)
> The truth is we need to stop the problem before it starts and the only real way is to prevent traumas
We need to do both.