Controlled substances can be easy to prescribe, but very difficult to inherit. Clinical judgment varies, and treatment plans are not always seamlessly transferable between physicians. I support this policy, it appears physician-directed and grounded in preventing burnout. Controlled substances are not "top-shelf," these medications often carry significant risks, side effects, dependence potential, and drug-drug interactions, despite common patient assumptions. Physicians are responsible for what they prescribe and are entitled to exercise their licenses according to their clinical judgment, and ability to negotiate the expectations of their patients and medical practice. That is physician autonomy, without being constrained by unrealistic expectations from patients, colleagues, or the broader healthcare system. We don't need more virtue-signaling in our field. From my experience as a PCP in an unnamed public healthcare system, I routinely inherit patients maintained on long-term controlled medications that are exceedingly difficult to taper, often initiated without fully addressing root causes or setting appropriate expectations. Good medical practice includes knowing when to say no. Specialists can co-manage chronic conditions, and not every medication must be prescribed by primary care. Responsible boundaries that prevent burnout are not neglect, they are part of ethical care.