There are not enough treatment facilities available unless you have thousands or even hundreds of thousands out of pocket, a lot of insurance doesn't cover or is not accepted. For instance, medicaid is not accepted in most facilities and the ones that accept it have long waiting lists, so poor people have no options.
When one of my family members became addicted, we paid $32,000 for rehab, upfront, cash or credit card accepted, and that was cheap.
Doctors have to take an 8 hour class and get a special number from the DEA to prescribe suboxone and then they are limited to 30 patients, I'm in the SF Bay Area where we have a lot of medical providers compared to rural areas and it is very hard to find a suboxone doctor in the area that takes new patients, when a new doctor gets approved, they fill up their 30 patient quota in a minute.
https://www.naabt.org/faq_answers.cfm?ID=29
Another problem with suboxone, the company that created it switched from a pill (which they stopped distributing in the US) to a dissolving film as soon as their patent wore off which would have opened up the market to cheaper generics as it is very expensive, about $400 a month, cash. 36 states are suing the company over the patent issue.
http://www.baltimoresun.com/business/bs-bz-suboxone-lawsuit-20160922-story.html
On top of all that, states have put additional restrictions on prescribing, causing suboxone to be one of the most "abused" drugs out there. People that have a prescription take less than prescribed and sell the rest to other needy addicts, so now a drug used to get them off opiates is considered abused if you do it without a prescription.
http://wate.com/2015/08/28/new-tennessee-law-puts-restrictions-on-suboxone-subutex-prescribing/
Suboxone is highly "abused" in jails, the few who have scripts share with those who don't.
http://fox59.com/2017/02/03/indiana...-the-center-of-states-drug-trafficking-issue/
There is another problem too, some judges and state lawmakers are against any kind of replacement drug for addiction treatment, believing "cold turkey" is the only way to go.
Addiction specialists know, taking away the craving while an addict recovers saves lives. Period.
http://www.pbs.org/newshour/bb/promising-heroin-treatment-unavailable-in-many-states/