I have seen alot of negative discussion involving Methadone Maintenance Treatment (MMT) and am curious if anyone else has had success with their MMT like I have. Before MMT, I tried absolutely everything including but not limited to rehab, sober living, cold turkey, NA, AA, CDA, suboxone, subutex, probation, jail time, and much more. Then finally, I made the decision to move to Italy where I happen to have dual citizenship and receive free treatment through their socialized medical care. In Italy, methadone clinics are run through the governments healthcare plan so there is not as much room for corruption and money making schemes like you see in privately owned American clinics. The very first day I went to the clinic I was assigned my own psychiatrist who would monitor my methadone as well as my psych meds as I am a dual diagnosed addict with bipolar. I am given my methadone and psych meds at the clinic all free of charge and in the beginning had to go to the clinic daily and submit to urine screenings 3 times a week. Two years later I am still clean, my bipolar is totally manageable, and I only go to the clinic weekly for my methadone. I still see my doctor once a month or sometimes more if I have something I wish to discuss. To be clear, I was only awarded weekly take homes after submitting to urine tests and coming back clean every time and they slowly allowed more leeway. In the US, methadone clinics are not run like this. First, they are usually for profit businesses that are privately owned. They usually only have one Pdoc that oversees all the patients but rarely actually sees any of them after their original induction. Psychiatric services are not offered in house and usually referred out to another doctor who cuts them in on every patient they send their way. The medical field is so financially driven in the states that it makes it very hard for somebody to be successful in their methadone programs. Patients are overseen by less trained addiction counselors whose abilities often vary greatly. Methadone clinics in the US actually charge their patients and if you do not have some sort of health coverage you will be paying a pretty penny. To top it all off, if you cannot pay they take away your methadone which to me is INSANE! So my question for all of you WITH first hand experience in a methadone treatment program is why do you think you were or were not successful and how is YOUR clinic run? If you do not have first hand experience please to not reply for the sake of writing something. I want honest first hand accounts from people around the world.