I don't think the junkie/heroin route or the chronic patient/legal pharmie route are either one a picnic, and usually neither really understands the hardships of the other. I know I don't understand the heroin user's plight as I have never been there....but I can sympathize with it.
But if anyone thinks the chronic pain patient has it made in the shade because he picks up his pills every month and they are legit so no worries...., well, let me just say you might be surprised.
Doctors just look at you incredulously when you describe you pain to them and point out that opiates are the only treatment that has any positive effect any longer. Only 1 in 4 or 5 will prescribe anything useful, and then mostly in such small quantites that it creates more problems than it solves. When you finally find a doctor who understands your plight, than a few short months later the insurance from your work changes, and your compassionate doctor is no longer covered under your insurance plan....and so you are cut off and began the search all over for an new source. Meanwhile, you go start going through withdrawls for he umpteenth time while you are looking. This repeats itself every year, because your employer goes with a new insurance carrier every year because of the incentives the new company offers to get their business. I have literally had dozens of doctors over the span of a few short years.
I've had doctors refuse to give me anything at all, saying in their exact words "The pain won't kill you".
I've had doctors that have said they don't give out painkillers for longer than a 2 week timeframe - oh yes, that's a common one.
Meanwhile, you are trying to stay legal, so you just grin and bear it and just lay up in bed if the pain is too great to get out, or sit glued to your couch and watch the minutes go by while your pain throbs and keeps time with the second hand.
You are often looked upon as a degenerate by the pharmacies, and you see the techs and the counter people giving you kinds of strange looks as they wonder why someone like you needs such a strong opiate without even being in a wheelchair. Most of your friends and even your wife may think you are an addict, as you time and time again describe to them the difference between addiction and dependence.
Oh yeah...give me that easy lifestyle with insurance, pain doc with the prescription pad and the quick pen rather than the hard life of dealers, dark alleyways and dingy hotel rooms.
If I have a choice, please don't give me either one, thank you very much.