i don't suffer from moral defirm si. it's like anything else. it's like having caps ever. i suffer a disease, and there's no known cure. that's hard to get across to people. >> the new plan is to cut back existing treatment and focus on out patient care, giving patients heroin replacement drugs:. >> what we want to create is not one size fits everyone. as we put more capacity on outpatient treatment, or treatment at the hubs, the less we'll need the intradays. vermont does not have another doctors in prescribe the narcotics and meet the demand. >> there's a bunch of people on waiting lists. there's one waiting list that is 500 to 700. and some have waited two years. >> in the meantime they are forced to use heroin. >> and there's a problem. even though heroin replacement drugs can save lives, they are controversial. the pills replace one addiction with another. >> the fear is that some of the behavioural stuff that goes along with addiction, if you are giving someone a pill, may not get addressed or resolved. it will come back to haunt people. >> dr chen admits the challen