I feel strongly
@soulless_curiousity s comment about lack of belief in future.
And
@deficiT about lack of concern about the systemic part of social issues.
Both these things lead to guilt over using once caught up in it, which can perpetuate addiction.
You guys are only looking through a narrow lens.
What about people who just like to party and have fun? Alcohol is a big gateway drug; as in there are countless millions who just drank some and ended up ruining their lives. I know this, first hand.
How about people who have a predisposition to OUD; and get a script for a weaker opiod like the 7.5 mg of Hydrocodone in a vicidin and are hooked before their first bottle is through?
What about people in severe chronic pain; who can't get prescription opiods legally?
As a teenager; Most who are predisposed to addiction; aren't thinking about how alcohol, pills, pot, psychedelics, ect... are going to ruin there future.
You are focusing on one segment, of users. There are so many drugs people get( mostly in the past) legally prescribed and get addicted( yes I know the difference between physical dependency and addiction.) I am a long term lower dose pain patient. I know there are a lot of people who find Oxycodone enjoyable.
The mood lift and euphoria of a good dose when you are opiate naive, is great for many. Some hate it. It worked along with the morpine script I had for~ 6 years.
I liked that and it still can happen at a low dose even after all these years.
Many people are wimps and think opiods are supposed to get rid of all their pain. No more like pain easers. They take and take because they want absolute relief from pain and their scripts can't handle that.( not strong enough for them and they use them up too quickly).
When the pain subsided( pancreatitus), I tapered for a week and got comfort meds, and I suppose keeping the Oxy script helped( I am in pain and I can only get so much. Unfortunately I can't have Tylenol so many weaker opiods are out of the question.) I have had no real psychological addiction to opiods and benzos.
Nicotine has been an issue for billions. Does that count? If given a choice( provided I wasn't in pain or would face any wd's): I would take a carton of Pall Mall 100's unfiltered over a bottle of pain killers.( provided that doctors would prescribe me necessary pain killers if it were really needed).
Alcohol was the opposite. I just loved it. Many people, consider themselves opiod enthusiasts. I only quit drinking because I got allergic to it.
Being told I had a year to live without a liver transplant; I decided that since I would have to drive to a lab in Detroit everyday and piss clean( besides my list of prescribed drugs), for six months; I said no.
I like, Not being in a lot of pain. The energy boost and Euphoria is long gone. But, even so, it was not alcohol; my DOC. By just being a college kid and drinking beer. I pretty sure there are others.
Living in areas with little to do, can also get people into drugs. Especially in areas with awful weather.
There is more to it ;than just the people trying to hide pain.