Max Sterling has to travel up to three hours every other week to get to the methadone clinic closest to his home in Joseph City, Arizona—an hour and a half there and an hour and a half back on the days when traffic is bad. While the 48-year-old former heroin user says the journey is costly, prohibitive, and annoying, it isn’t the most arduous barrier he’s faced since starting his current methadone maintenance treatment in 2009. His previous clinic, for instance, was located in Phoenix, three and a half hours away, and doled out the daily medication in smaller take-home amounts, requiring him to show up once per week. There was also the time his stepfather needed the family’s only functioning
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