Currently, such facilities are illegal in the United States and only exist in Canada, Australia, and 10 countries in Europe.
Americans have responded to drug addiction in a number of different ways in recent decades. The War on Drugs of the 1980s and 90s spawned mass incarceration of Black and Brown populations. Some addicts, many of whom have some measure of wealth and privilege, are sent to rehab.
In the face of the opioid crisis of the last decade, there has been a growing recognition of the inevitability of drug use. That attitude change has led to the proliferation of clean needle exchange centers and providing Overdose