In Maryland, Medicaid officials have removed Suboxone film, an opioid addiction treatment which is placed under the tongue, from their list of preferred medications—replacing it with Zubsolv, a tablet-based treatment option. The decision was spurred by increasing instances of the drug making its way into the state’s prison system, but the change is affecting patients in the real world and their ability to stay clean.

“Partnering with the Department of Public Safety and Corrections, we are combating Suboxone smuggling in jails and prisons,” Van T. Mitchell (state Secretary of Health & Mental Hygiene) and Steve T. Moyer (state Secretary of Public Safety and Correctional Services), wrote in an op-ed in the Baltimore Sun on July 1 upon receiving steady criticism of the move by treatment providers and those currently in recovery. The change has back-room deals written all over it, as Mitchell used to work for Manis Canning & Associates, the lobbying firm that represents Orexo AB, the Swedish manufacturer of Zubsolv. But Mitchell and Moyer claim the switch will save lives.

“Smuggling has been extremely problematic,” they wrote in their op-ed. “Not only does it jeopardize prisoners' health and safety but it also jeopardizes the security of correctional staff. Suboxone Film has been the most prevalent controlled dangerous substance paraphernalia found in Maryland correctional facilities since 2014. The film is easy to smuggle: Public Safety seized 2,160 smuggled strips from January 1 to May 31, 2016, 64.9% more than the same period in 2015. Since 2010, the correctional system has seen 13 fatal overdoses.”

But making a move to stop Suboxone from getting into jails is severely affecting those in recovery out in the free world. "This is taking patients who are stable, who are doing really well, and saying we're going to do something to disturb how well you're doing," Michael Fingerhood, a primary care practitioner at Johns Hopkins Bayview Medical Center in Baltimore, told NPR. His program treats about 450 patients who were using Suboxone film to help their recovery. Now these ex-users are having withdrawal issues and getting sick again.

"In the midst of addiction people are searching for a high, they're having withdrawal, they're running the streets. Their lives were horrible," Fingerhood told NPR. "Having withdrawal brings back all those memories of how terrible life had been and it's a terrible feeling to be in withdrawal.”

This is another policy change by public officials that might make financial sense for those involved, but one that doesn’t take into account how those in recovery will be affected. Because at the end of the day, it's more about money than individuals actually getting off drugs and getting on with their lives.