The shield usually consists of blatant lies to patients such as:
"I actually can't prescribe narcotics..."
"There is too much of a risk of addiction with that product so I'm not going to prescribe it"
"Its too addictive"
"I'm not allowed"
Or commonly just a blank stare as they look at you as if you just asked for 900mg of heroin in tablet form simultaneously coming up with a way to avoid the topic. Ask any chronic pain patient how many times they've had to arm wrestle physicians for better quality of life.
Earny 91 years old had been doing manual labor work for over 30 years and was hit by a car causing severe pain that could not be resolved with regular pain killers. His doctor refused to put him on MS Contin or any other pain killers citing the fact that he could become addicted. Even though Earny's health was rapidly deteriorating his doctor put his own agenda ahead of Earny's quality of life. Earny died a slow painful death which could have been eased with Morphine.
Narcotics are vital and legitimate aspects of medicine! Do not be an opiophobic shield to a better life for pain patients!