Pugh has publicly used the formulation twice in recent weeks as she calls for the city to rethink how it works to treat the estimated 7,000 of its 24,000 opioid users who are not currently getting help. She says she agrees with the growing consensus that addiction should be viewed as a health problem rather than a criminal one. But she argues treatment needs to be shifted away from neighborhoods — where, she says, patients have a worse chance of getting better, and where clinics become magnets for drug dealers.