Because you’re comparing the *abuse* of opiates to the *consumption* of alcohol.
We have a word for the *abuse* of alcohol – drunk – and a word for people who regularly *abuse* alcohol – alcoholics. Society at large doesn’t consider people who are drunk to be any better than people who are high, nor does society at large consider being an alcoholic any more acceptable than being a heroin addict.
Alcohol, as a drug, is somewhat unique in the sense that most people who consume it don’t do so to a level where they become intoxicated. There’s nothing saying that you couldn’t do the same with heroin (or other drugs). For example, society doesn’t look down on people who take small amounts of prescription opiates to treat the pain caused by legitimate medical conditions. But in the context of heroin, nobody is taking heroin in small quantities to treat a legitimate medical condition, they’re taking heroin because they want to get high.
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