I'm from New England, US....There's probably about 5-6 clinics within a half hour of where I'm from. You just give them an opiate positive urine on the first visit, pay the $85 to $100 bucks and that's it. They used to let you go as high as you wanted on your dose if you kept complaining about your symptoms, and some of them will still let you get way up there. I've seen people go in for 30 mgs a day of hydrocodone and end up on 180mg methadone maintenance! Absurd!
Still, they've been much stricter in the last few years, especially in regards to benzo use. even if you're prescribed benzos, they'll give you a hard time and try to make you lower you benzo dose or refuse to let you go past a certain mg of methadone until you do so. Also, just recently, if you're positive for cocaine, they'll make you go to a "harm reduction appointment", where they weigh you and fuck with you a for a minute, just to make ya think!
It used to be virtually impossible to get kicked of the clinics in my state, but it actually happened to me a 1 1/2 ago! I have no idea what happened, but I went in for my dose blacked out on alprazolam, didn't remember what the fuck happened, but when I went to get my dose the next day, they said I was kicked off! Their policy for kicking people off, I forget if it was 10 mgs a day or what, but it sucked! I tried to get on another clinic, but the doctor "blacklisted" me and no other clinic in the state would take me! Forcing me to shoot dope! I also got kicked off Suboxone a month earlier for too many dirty urines. So, it's not the free for all it once was, dealing at the clinic and all that bullshit. Still, if you're not using benzos or cocaine or showing up at the nurses station reeking of booze, they don't care! Don't even test for weed!