Thank you to those who have commented; the pain topic seems to strike a chord that rings differently for different individuals. Because it is late and I am only now getting to a post that I intended to write hours ago, I’ll use this post to respond to a couple of the comments.
One person believes that pain medications are under-prescribed, and resents the air of suspicion that hangs over legitimate ER visits for painful injuries. I concur and sympathize in regard to the suspicion. The writer mentions that laborers are particularly susceptible to injury and, perhaps in part because of their blue-collar positions or ‘rugged appearance,’ fall under greater suspicion for misuse of pain medications.
I believe that his perceptions are accurate, and agree that doctors tend to separate patients– consciously or unconsciously– into ‘good patients’ who are trusted and ‘difficult patients’ who must earn that trust.