For many people who abuse opioids (and other drugs), their first exposure often comes from people like me — physicians. As a pediatrician who works in an emergency department, I often prescribe opioids for children who have significant bone fractures. The colleagues and mentors I’ve worked with over the years do not intend to provide medications that become the gateway to drug abuse later in life. And it should be pointed out that the majority of people who use legal and illegal substances will not become addicted. However, physicians can do an even better job of making evidence-based decisions when it comes to opioid prescribing practices.