There are millions of people on opioids like Suboxone, Tramadol, hydrocodone, etc that aren't "rotting to death". Opioids, in general, don't have many deleterious effects on the body the way that things like alcohol, cigarettes or amphetamines do.
We let people smoke cigarettes and alcohol, both of which are physically more dangerous than opiates. There's even research that tobacco is as addictive as or more addictive than most opiates. I wouldn't call this argument "progressive" and instead call it "consistent with what Americans do with some drugs that are taxed".
Oh I am sorry, I forgot that we spend hundreds of billions of tax dollars on providing safe spaces for smoking cigarettes, free smoking paraphernalia, treating smoking overdoses in public spaces. Great analogy!
So?