Can anyone walk into a pharmacy and receive naloxone? Should naloxone be as readily available as automated external defibrillators? Should law enforcement and first responders administer naloxone? After administering naloxone isn’t the patient going to become aggressive and violent? Can EMS sign refusals on patients following naloxone administration? Is public access naloxone a temporary fix for a bigger problem or a real solution to this epidemic? These are just some of the current dilemmas facing EMS providers who are on the front lines in the fight against opioid abuse. By asking controversial questions and diving headfirst into the data, the impacts of public access naloxone can be evaluated.