It is technically possible for a physician to prescribe methamphetamine or fentanyl. Many adults in the United States want to consume methamphetamine or fentanyl. (Sometimes both at the same time!) But it is very hard to find a physician who will write those prescriptions purely on the basis of “the patient asked for it”. Like it or not, some degree of paternalism is an inherent part of the practice of medicine.
""" I will apply, for the benefit of the sick, all measures that are required, avoiding those twin traps of overtreatment and therapeutic nihilism. """
Which does not include "except those I don't feel like doing".
The Declaration of Geneva states the following:
""" THE HEALTH AND WELL-BEING OF MY PATIENT will be my first consideration; I WILL RESPECT the autonomy and dignity of my patient; """
Which I read to similarly state that a doctor's own preferences as to the procedures is necessarily secondary.