I completely agree with you.
What you're saying is somewhat in line with the main principles of the low-threshold approach. It's about knowing who the population you want to serve is, where they are, what their needs are, and how you can reduce the barriers that prevent them from getting to the health care network. This can mean going to the people, as you said, or using community organizations, who know the terrain very well, or virtual care.
There are all kinds of barriers, and they can be geographical or financial. There are services that are covered and others that aren't, for example. However, there are also moral barriers and others related to stigmatization. We want people to feel welcome in health services, and we want to take care of them where they are, here and now. This includes people who aren't ready right away to stop using substances, and who may never be.
I can also tell you that some of my patients wouldn't be here today if they hadn't used substances to ease the terrible suffering they've experienced repeatedly over the years.
So we must also recognize that not all people are ready now to stop using substances altogether. We need to offer them a full spectrum of services, from abstinence, of course, to reducing consumption. We also need to offer them a safer supply. All these modalities must coexist. We want to reach out to everyone.