I'm an american and I think relying on any long-term medication is a failure of sorts. I know that that's not totally fair and I try not to judge anyone else but that's my feeling for myself. I don't take any prescription meds aside from occasional antibiotics for infections but it's been at least a decade since I even did that. I would not be on board with any long-term prescriptions if I had not exhausted every possible change in diet and behavior first.