Last time I checked the world is quite a bit larger than Seattle.
This discussion is incredibly relevant to the situation at large - I'm not even american and still I was affected by your opiate issues.
Stocks didn't get refilled, scripts had to be changed and there's an incredible stigma surrounding the whole thing - one that you're perpetuating with these very arguments.
You're dehumanising human beings in pain. They can be vile, terrible persons for sure, I'm not arguing against that, but you're still dehumanising them.
Why would they be nice to you in return when you've already written them off like this, I wonder?