They make the horrible choice, chronic pain or chronic addiction.
Pain homeostasis, it is part biochemical, part neural. The pain doctor has to harm that process, make it atrophy and flood the system with opioids. His insurance will go through the roof.
An opioid user cannot stabilize between severe injury and the normal aches and pains of the day. Normally a bit of self awareness and the pain center releases the proper dose, on a pain by pain basis. That function is gone for opioid addicts, you see them curled up in abdominal pain a lot, until medicated..
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