I don't really agree with that last point. I'm sure nearly everyone understands that there is a danger of taking opiods, but when your doctor hands you a scrip for 10 days, I'm quite positive the vast majority think they'll never be the exception, and doctors (at least in my experience and talking to others) are just about worthless as far as counseling patients on the risks. I'm sure they don't say, "Here's a 10-day Oxy prescription - you have about a 5-10% chance of becoming an opiate addict and ruining your life if you take them. Have fun, see you in two weeks!"
Hell, I'm a sober alcoholic who makes a specific point to tell my doctors this and after my last minor surgery, what do you think I got? A prescription for narcotics with exactly NO counseling or questions. Nothing. And I know from my recovering buddies this is common. He might as well have handed me a bottle of booze for my pain. I take care of my 87 yo mother in law's medical stuff - she gets opiates handed to her like candy, no counseling, nothing. As I said earlier, we told the doc after her hip surgery she does poorly on them, and out the door we get a scrip for 45 pills! There are other options for pain than opiates but even given the risk the go-to is Oxy or hydrocodone.
So, sure, it's a personal responsibility thing, but it's also a failure of the medical system that providers practically beg people to take drugs that just ARE causing massive misery and death in this country with, in my experience, ZERO real counseling about the risks. Even Mexico appears to handle this better than we do, or at least some hospitals. A friend got some elective surgery down there recently and was told before it - you'll get no narcotics here - none. Don't ask. You'll be in pretty bad pain for a day or so, but it's manageable, then it'll quickly subside, so no opiates. That ought to be the standard here - default is Advil, not Oxy.