We send high ends to treatment when we get them. There are special programs for people with law, medical and other professional degrees. Sometimes we fly them out with a two person escort.
However, they are a small part of the opiate addiction cycle, which is about people who want to get a ride.
>>the opiate addiction cycle
One solution would be to give them as much scrip as their appetite desires - along with an expedient Darwin Award.
Problem with that is there’s nothing preventing them from turning around and selling any excess on the street.
That would be especially likely among a demographic who think they’re entitled to game the SSDI system... and to hell with everybody else who doesn’t have their “legitimate” need.