Although things may be more strictly controlled now, it seems my (exaggerated) scenario was not far off the mark. From my casual reading, and a couple personal examples, many prescription addicts got their start after surgery or an accident. When they get their "jones on" (sorry if my street slang is sub-par) the doctor shopping and black market come into play.
I had spine surgery about six months ago. On discharge, the nurse gave me a bag with discharge instructions and a bottle of drugs she said was pain meds for seven days and if I needed more I would have to call for an appointment. Didn't think much about it until that evening when I was clear of the drugs they gave me in the hospital. I looked at the bottle and called a shrink friend and asked what is oxycotin (as I recall). He said it was an addictive pain killer. The bottle contained 48 pills. I remember thinking, "No wonder people get addicted," before flushing them.
Had my appendix out last summer....."Are you in pain", "Do you want something for the pain?" "Are you hurting Do you want something for the pain?"
No thank you.
I can see the value when it comes to recovery in certain cases where trying to create mobility for therapy but in most cases it should be "Hey you broke your leg. Its going to hurt. Suck it up"