it's more about 'pain mgmt' here than helping people get healthy and fix what ails them.
Docs don't say "exercise, eat some veggies and tuna, and stop abusing drugs and alcohol!" Instead, they just throw painkillers at people as requested.
In SW Florida, it's gotten much better in the last 2 years actually. This poor area used to be legendary for it - it's improved a lot since then. People still abuse when they can, but it's dried up for many users and doctors are much more conservative. The local media makes a huge huge deal about busts, making it a deterrant.