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What’s worse: an opiate addict using a fake prescription to get a safe pill; an opiate addict buying street heroin/fentanyl; or an opiate addict whose skin is crawling and will do ANYTHING to get their fix? No person who isn’t already addicted is going to the trouble of getting a fake prescription. And I’d rather them take a controlled dose of a pharmaceutical than inject heroin that was paid for by desperate theft.
In general, the way in which the government tries to enforce drug laws is problematic. They go after easy pickings first, which doesn’t really do anything for addicts other push them into riskier & objectively more harmful behavior that the government has a much, much harder time stopping. It’s not like there is any way to stop China & other adversaries from getting illicit opiates into the US at this point: doses are too small, densely packed, and hard to detect.
By making it harder for addicts to get their fix from legitimate pills, the US government is guaranteeing that its adversaries will fill the demand in a way that is the most harmful to everyday Americans and addicts alike.