https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4032801/
Here's the raw data on prescriptions and outcomes summarized in that paper, built from claims data for 2000–2005:
Opioid Dose and Days Supply
total addiction
No opioid use 371,371 150 (0.04%)
Low dose, acute 90,415 111 (0.12%)
Low dose, chronic 6,902 50 (0.72%)
Medium dose, acute 83,542 101 (0.12%)
Medium dose, chronic 3,654 47 (1.3%)
High dose, acute 12,378 15 (0.12%)
High dose, chronic 378 23 (6%)
So acute opioid doses 3x your risk of addiction, no matter the strength. And long term dosing will 18x to 150x your risk, depending on the strength. Relatively few people are receiving chronic (90+ days) opioid doses, but those that are have a significant risk of addiction.I'm not the right person to do this analysis properly, but I'd hardly call this "thoroughly debunked"
Regardless of whether or not this accounts for the majority of addictions, it is sufficient to say that opioids are far more dangerous for patients than many doctors believe. Addressing prescribing habits is a necessary part of a multi-pronged solution to opioid addiction.
Often what happens is that the 25% that got hooked from being prescribed start buying additional pills. Eventually they can't afford that and they switch to cheaper heroin, often funded by selling their prescription pills.
Also, is “throughly” debunked really the case? That makes it sound like there can be no link at all, but higher levels of these in society legally could lead to an increase in abuse. On complex topics like this it is rarely possible to talk in absolutes.
There is definitely a big complex drug ecosystem otherwise, though.
Now this article is about something different - teaching doctors the warning signs of when already addicted patients are drug seeking, so they can avoid prescribing then. The key fact here is that almost all of the deceased had gotten prescriptions from multiple doctors.