Most of those people are still under a doctor's care, so while they may not need the medication that much and may pay the price later, there is at least some ac

Most of those people are still under a doctor's care, so while they may not need the medication that much and may pay the price later, there is at least some accounting/supervision going on. When/if someone dies in a case of overprescription, there is clearly someone to be held accountable. A possibly overly sensational case of this is Michael Jackson's doctor who was found guilty of manslaughter. When you self prescribe foreign prescription medication, and die/suffer some massive side effect, there's no real recourse.