Sounds like you're not working in a Kaiser hospital. My dad has serious kidney stone problems and does not have to deal with the dystopian shit you're talking

Sounds like you're not working in a Kaiser hospital. My dad has serious kidney stone problems and does not have to deal with the dystopian shit you're talking about. KP was famously overcrowded during COVID, but the dysfunction you describe is simply not on that level throughout the whole country. Really, we could bandaid a lot of these harms by making it easier to get access pain killers. I think the opioid crisis was worth allowing legitimate people to get access to strong pain killers quickly on negative utilitarian grounds.