Taking nothing away from the Sackler situation which appears to be entirely self-inflicted, and allegedly, a reprehensible criminal conspiracy. I think you may

Taking nothing away from the Sackler situation which appears to be entirely self-inflicted, and allegedly, a reprehensible criminal conspiracy. I think you may want to consider the doctors' perspectives, by general theme, that may or may not coincide with groups of years, but maybe not quite decades. (1) Pain is inadequately treated, some patients are in a lifetime of pain. (2) Pain is being adequately treated, we have these new non-addictive pills "Pain as the 5th vital sign" [1] (3) Doctors are experiencing litigation due to OD-by-misuse and patients doctor shopping, dropping of "Pain as a 5th vital sign" [2] (4) Doctors recoiling in general from any type of narcotic prescriptions, issuing very tiny doses, doses which cannot be used for, sending the patients onto a pain management doctor that has become the de facto only doctor willing to withstand the DEA scrutiny [3] [1] https://www.bjanaesthesia.org/article/S0007-0912(17)54182-3/fulltext https://www.bjanaesthesia.org/article/S0007-0912(17)54182-3/... [2] https://www.painnewsnetwork.org/stories/2016/6/16/ama-drops-pain-as-vital-sign https://www.painnewsnetwork.org/stories/2016/6/16/ama-drops-... [3] https://www.hcrcenters.com/blog/doctor-refuses-to-prescribe-pain-medication/ https://www.hcrcenters.com/blog/doctor-refuses-to-prescribe-...