Right now in the US the brand name Oxycontin has prevailed in a lawsuit which resulted in the removal of all the generic Oxycontin availability. Even the makers of the brand name Oxycontin that had their own generic stopped production and then did a recall to get back what was out there from pharmacies so for a short time there was some of the generic non OP type available but that was put to a stop as well. Now the brand Oxycontin has their Patent well in place and is probably going to be another 2-3 years until we see generics available once again. Hopefully there will be some of the old style OC's rather than the new OP's. It is difficult to say what the regulatory agencies and the pharmaceutical companies will do. They may reproduce copies of the OP's to keep with the concern for public safety and the abuse of snorting and or shooting up the pills as was once commonplace. On the other hand greed could lead to the intentional distribution of the old style of the drug which would once again allow for those who like the old style drug to get their hands on it and make far stiffer competition for the brand name. Some pain doctors are aware of this and may prescribe "OP only". I had a pain doctor do this to me, however no longer have that issue as their are no other brands available and should they become available my relationship with my pharmacist would likely allow that part to be "overlooked". Personally I do not take as many as I am prescribed but if I were able to would grind them up and either ingest or occasional snort smaller amounts. Perhaps this is "abuse" but on the other hand I am taking far less than I am prescribed as those methods result in my needing to take less. Is that really wrong?
Other countries of course have their own situation. This is only for the US and what I have been able to gather from manufacturers and pharmacists.
It is not always what is best for the patient. For example I also take Actiq (Fentanyl pops) and they have about a teaspoon of sugar in each pop which my dentist said is harming my teeth. They got a version that contained an non sugar artificial sweetener approved for sale but ended up never making it for some reason. I don't know if they felt that having sugar made it not taste as good as the competition or if they though since these were mainly for cancer patients that they would die anyway so their dental health was of little concern or just making two versions was too costly but I would be taking them if available. There is so much corruption in the drug industry that I am never confident that decisions are made on a rational basis.