Critics of the opioid overdose antidote naloxone say the treatment encourages repeated drug use, according to The New York Times. Many people overdose more than once, sometimes many times, and naloxone brings them back each time.

Proponents of naloxone say it allows people to get into treatment. The nation’s death toll from opioids would be much higher without naloxone, the article notes. Lawmakers in every state except Kansas, Montana and Wyoming have passed legislation making the antidote easier to get.

Dr. Alexander Y. Walley, an addiction medicine specialist at Boston Medical Center, told the newspaper that arguing naloxone encourages riskier drug use was like saying seatbelts encourage riskier driving.