Simply down voting people because you disagree with them isn't cool IMO.
edit: Myself (and many others) have also been stigmatised from getting the correct medication because of a fear becoming addicts.
No. For most people with long term pain opiate meds are the wrong choice. Those people need rapid access to specialist pain clinics; cbt for pain; short term pain meds to enable them to take part in physiotherapist guided exercise; and possibly weightloss.
Opiate pain meds for long term use are not effective for most people; and are addictive. It is wrong to give someone a med that won't work and that has side effects and that carries a risk of addiction when there are less risky, non-addicting, better solutions to try first.
Downvote to disagree is going to happen; it's not forbidden on HN (PG has a post somewhere talking about the acceptability of using downvote to disagree) although there are a large number of people who strongly dislike downvote to disagree.