And don't get me wrong. I'm not saying don't get advice where seeking it is reasonable. I just don't think it should be required.

As for opiates, that's a hard call. That's exactly where the modern prescription market started (see harrison act and related registration requirements). Everyone slid down the slippery slope of greed and profit from there, so now grandma pays 10000x the cost of production for her meds (including implied cost of coverage if on Medicare, doctors visits, etc.).