I am not saying they are a corrupt class, nor would I mean to imply that. But I do think we need to think of physicians as a part of health care, rather than at the top of it.

The entire drug regulation system is predicated on the idea that you have certain providers, namely physicians, who are competent to make decisions, and shifting that decision-making power to those providers protects us from harm.

The opioid crisis has demonstrated that whole paradigm is faulty.

The problem is that no one profession should be entrusted with that level of power or command over decisions.

Imagine, instead, a system where there was no drug regulation. Rather than assuming that physicians were making the best decisions about opioid use and sweeping the problem under the rug, such use would be constantly scrutinized.

We need more competition, and fewer gatekeepers. Gatekeeping means there's only one thing that needs to be breached.