Not really. I am surprised at the ridiculous hoops Americans have to go through to get controlled drugs from the pharmacy. Photo ID, special prescription pads for the doctor, a special copy filed off with the federal government... here we just pick up the prescription. As far as I can tell the difference is doctors are just less willing to prescribe opiates here for minor or transitory pain. I've always gotten Tylenol after dental surgery for example. I groan about it but it probably hurts less than a smack addiction would.