I’ve actually found that doctors I go to are reluctant to prescribe things unless they have an idea of what the underlying condition is. The ones I go to will send you to a specialist if they think it isn’t something they can deal with - case in point torn rotator cuff. Went to doc with really sore upper arm. Told me he didn’t know what was causing it and sent me to orthopedic specialist but only recommended nsaids. Orthopod sent me for MRI - torn tendon which required an operation to fix, gave me 24 oxy after operation which really didn’t help much with the pain, but ndaids before and after that. So I can’t say that any of them were really pushing pills.
Similar situation with stenosis of the neck. I get a week worth of oxy when I tell them I need a refill. My week now lasts almost two weeks since I take it as little as possible while we do PT and injections to work a solution hopefully without surgery. My doctor is not a big pill pusher either. My pain is not chronic and I feel sorry for those who have to jump through even more hoops to get a needed medication to help maintain a bearable living. Chronic pain people are dependent on pain meds to function. They are not addicted and, like so many things pushed by shortsighted politicians, I am tired of normal law abiding people being punished because criminals are abusing drugs and breaking laws.