You may be right and I may be guilty of hindsight bias, but I would probably put this in the realm of BS. It’s not like opioids were unknown to cause addiction,

You may be right and I may be guilty of hindsight bias, but I would probably put this in the realm of BS. It’s not like opioids were unknown to cause addiction, and when physicians witness the company continuing to up the dosage and wordsmith terms like “breakthrough pain” I would expect a cognizant doctor to be throwing red flags. To overextend the mechanic metaphor, it would be like making a part out of aluminum and claiming it has infinite fatigue life. We know aluminum doesn’t so the threshold of evidence needs to be very, very high or the mechanic should remain skeptical. If the part continues to fail, but the manufacturer keeps making new, novel excuses the mechanic should be throwing the BS flag about their infinite fatigue life claims.