Conrad, you might be interested in the following anecdote from my Dad's practice as a country doc who did house calls.
Cancer pain can be excrutiating, and woe to the one who didn't have a doc back then who would give you enough morphine.
My father always did, and taught the spouses how to inject, so he wouldn't have to go there every day a few times.
One day, one of his colleagues harshly criticised him, that he'd be creating "morphine addicts", by allowing them to self apply as much as they needed (to be painfree, mind you)
My father replied:
"Who gives a damn if he's an addict, if he's dead in 2 weeks anyhow...???
I am sure you won't find him loitering near your morphine stocks, take my word for it! He wants to die in dignity, not a high."
This other doc denied enough morphine, for said reasons.
My Dad would get totally upset over him too.
He was one of the first who fought with hospitals over enough morphine for his patients if they had to be hospitalized.
People were so thankful.