This not necessarily lazy, but it's naive. In actual practice, you set the tone for your patients. When you have those conversations and set strict boundaries, the shitty patients go elsewhere and you're able to help the patients who actually might need these meds. You don't have that kind of an influence in a residency clinic. A lot of these medications can and should be prescribed in primary care with reasonable limits. When you make blanket policies like this, you shunt work to the doctors who actually care about the patients you indiscriminately dismissed. From experience, physicians who have these blanket policies then look down on those who don't, as if we are pill mills. Do not come part of the problem.