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The ratio is probably more like 1/5 if you believe the results of the Capture Rates study on wikipedia https://en.wikipedia.org/wiki/Substance_dependence.

That said, I agree with you that patients who need these drugs should get them. I had to get emergency surgery a few years ago and they also gave me morphine, oxycodone and fentanyl at the hospital. I find it hard to imagine how awful the experience would have been without medication.



> That said, I agree with you that patients who need these drugs should get them. I had to get emergency surgery a few years ago and they also gave me morphine, oxycodone and fentanyl at the hospital. I find it hard to imagine how awful the experience would have been without medication.

Almost no one is suggesting this medication should be banned. A significant driver of the problem was that Purdue pushed heavily for 12 hour dosing periods despite knowing that the medication wore off in only 8 hours for a non-negligible number of patients. Their motivation for this was explicitly financial.

Patients were faced with following the dosing periods Purdue were strong-arming which meant enduring 4 hours of pain, finally salved by an addictive opiate or taking the medication more frequently than prescribed, running out early, and exposing many of them to black market alternatives.




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