My strong belief is most physicians like most first responders are within the better than average among us with passion to do the best for people. We should be careful about labeling all or many because of a few. Closer to topic, I love pleasure but have been able to manage strong prescriptions and now with age have some issues where I sure value an occasional pain pill even though they're not so agreeable and diazepam for back problems. With a good patient and caregiver relationship a bottle of each can last more than a year. When I do take them it makes a major difference as far as keeping my job and life functions. In most cases those drugs you can abuse are the ticket for some healing, sleep or allowing anti-inflammatory meds to work. I'm sorry that I have no good answers for people who are quick to have an addiction problem but a good physician relationship helps. On criticizing doctors, my nephew's research area is better pain management. His wife's is understanding nervous system issues more to help that. He was honest that he doesn't have good bedside manner but was so serious about helping people that he changed to a different practice area while in med school. On a team that handles the most difficult surgery cases he jokes he doesn't need bedside manner. He says his group often just says WTF when they face the terrible scenarios that come from the helicopters, ambulances or other critical care areas. I also try to temper my criticism because other high earners do ridiculous stuff by comparison.