The good thing is that there's more awareness being spread about those types of painkillers. They don't just hand them out anymore.
I broke my finger back in December, and the bone was starting to crush at the joint. They still didn't automatically write any prescriptions for painkillers; I had to ask for them (actually, that was the main reason I sought treatment; I was away from home and just planned to go to a hand specialist when I got home...but I pretty much couldn't stand it anymore). I was only taking it at night because during the day I needed to be able to work with a clear head; during the day I was taking high doses of ibuprofen. I've been on oxy a few times in my life, a couple of times to stop migraines that absolutely would not stop and then for the broken finger. Thankfully knowing the risks meant I tried to get off of it and onto something like Tylenol and Ibuprofen as soon as I could.