Argument: Needle exchanges involve state in drug paraphernalia distribution
David Noffs, Founder and Executive Director of the Life Education Center. "Should needle exchange be publicly funded?". PBS: "needle exchange programs, if backed by public funding, i.e., through Government Health Departments, would signal an unprecedented shift in public health policy. Rather than preventing and treating drug addiction, needle exchange programs would use taxpayers money to supply drug paraphernalia to addicts without mandating treatment.
[...] Without an ironclad link showing needle exchange programs reduce HIV and do not increase hepatitis C or drug use itself, the constitutional legality of such a proposition should be questioned, even if supported by Congress and the President."