I agree...but if you've been on long term opiod therapy, the beauty of tolerance is that the "deficits" that accompany narcotic use initially fade....so for someone who is returning to work after an injury and been on narcotics a few months probably requires more scrutiny than someone whose been on narcotics for 3 years....I also know that when my docs were prescribing 10 different meds for me to keep me off narcotics, I was a huge danger to myself & everyone around me, a literal zombie! So it's not a cut & dried issue..