Well, you need a prescription for those, so people do take lots of tylenol (aka acetaminophen, aka paracetamol) or ibuprofen. The problem is, it’s too easy to get prescription for opioids, and they get prescribed for relatively little things (but not for just e.g. a headache).

That said, I feel things are changing, people and authorities are openly admitting we have a opioid crisis, and there’s more awareness of the risks, which makes me think (hope) that doctors will be a bit more concerned before prescribing them. That said, I never got prescribed one, and probably won’t use them if I did.

Policy on prescribing opiates had gotten a lot tighter in the last 7ish years. It’s unlikely to get prescribed those drugs for small pains. People got addicted before this tightening, weren’t allowed to wean off them, and now turn to street drugs instead of pharmaceuticals. Also they cutoff people with chronic pain. OD deaths actually have steadily increased despite an enormous drop in prescriptions and it’s mostly fentanyl. Fentanyl is also much cheaper than pharmaceutical opiates.

Yes. This is the result of a privatized health system where the only outcome that matters is profit. Doctors write enough opioid prescriptions each year for 46% of Americans to receive one. (Source: https://drugabusestatistics.org/opioid-epidemic/)

It’s absolute madness, but I do think the prescribing is getting better slowly. Unfortunately, the massive jumps in ODs seem very related to fentanyl taking over an illicit drug market that used to be primarily heroin and rx opiates. When I worked on national drug use surveys ~8 years ago, fentanyl was not a part of the landscape at all. Things have changed so quickly.