A perfect storm:

- Corporate misinformation pushing a significant set of users on a repeated and addiction forming schedule.

- Morphine (one of the proven and cheaper alternatives) perceived as problematic / cancer drug

- Doctors having less hassle and financial incentive to prescribe OC on q12 schedule than alternatives

- shame on user side and war on drugs policies that make it hard to reach out for help

The good news is that the internet makes it harder to spin misinformation over the long run.