People who have a death wish shouldn’t be saved from themselves.
There are more deserving people doctors should save.
If you’re a heroin junkie shooting yourself up, what happens to you is really between you and God.
Having the taxpayers subsidize your self-destructive drug habit isn’t what I would call service to medical ethics.
Things like this come up all the time in practice. In my line of work, complications from the heroin "epidemic" are especially common.
Here's my take: I get one vote, same as you do. I (hopefully) vote for excellent people who will make wise public policy.
The current response of public policy makers in my state, and of my US Senators, is terrible. What they are doing is, in my opinion, immoral on two grounds: First, they are facilitating heroin addiction by conveying the impression, via "emergency public health regulations", that heroin use can be and should be made safe. Second, by greatly complicating the process of prescribing narcotic pain medications, they are obstructing access to these medications by injured and diseased people who need them desperately.
That having been said, I don't and won't use my skills to make public policy I favor. I save the lives of heroin addicts almost every day. I do that because that's what I'm trained to do, what I know how to do, what I'm licensed to do. If I do not do those things, I'm in effect canceling the votes of the 272,000 NH voters who voted for airhead and kindergarten teacher wannabe Kelly Ayotte, who promotes the "epidemic disease" model of heroin use.
I won't vote for officials who promise unwise policies. But I won't use my skills to subvert their authority to make policy.