“Except in a few cases of doctor-caused addiction,”
it’s not a few, it’s a lot.
https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis
prescription opioid pain killers like Oxycodone and Fentanyl are EXTREMELY addictive, with most people being addicted after using for only two weeks, and many after only a week.
I have experience with people who were neurologically impaired by Fetal Alcohol Syndrome. They certainly did not choose to have their vulnerable neural networks.
There is hope for them, but they have to be in extremely structured and controlled environments.