I think Dr. Kozak needs to defer to specialists in the area of pain management.  The ideas she is expressing here are not really relevant to long term opioid addictions.  

For example, the prevailing problem with higher-dosage time-released medications like oxycodone (Oxycontin is a marketing name), is that addicts grind the pills up in order to defeat the time-release formulation, and are able to take amounts of opioid narcotic in higher quantities -- 20 or 30 mgs -- in a manner (injection) which produces instantaneous highs.  Because addicts require larger and larger amounts of the opioid narcotic to realize the same opioid effect in their brain chemistry, oxycodone became the alternative to using 5-6 hydrocondone tablets (5 mg each).  

The solution is to find other ways of dealing with long-term pain management. As long as opioid therapy is an accepted medical practice, there will be addicts who do not need opioid therapy for a medical condition, but use it to satisfy their habit.