I would say the FDA who approved the use of these drugs, and the doctors who set up businesses specifically to give bogus prescriptions to abusers are the most

I would say the FDA who approved the use of these drugs, and the doctors who set up businesses specifically to give bogus prescriptions to abusers are the most culpable in all of this. The people who end up paying these big settlements are targeted because they have the most money, not because they're the most culpable. The big evil company narrative is also a fantastic way to distract from the fact that regulatory failure caused a decades long epidemic of opioid deaths. "We investigated ourselves and found McKinsey were to blame".