My experiences being around people with cocaine have been at two opposite spectrums: people with shit lives that want a release, and people with families/wealth/opportunities that want a release.
The latter experience for me was an office Christmas party. We shared an office with a law firm, and one guy with a wife, two kids, and what I’d assume is a solid six-figure salary had two keys worth, several joints, several beers, and whatever he was smoking from a pipe in the toilets.
It might not be an addiction, but it’s definitely used by wealthy people. Hell, if the rumours about Musk are true, the dude is on all sorts of illegal shit all the time…
His shit isn’t illegal. He has his doctor prescribe whatever high quality shit he wants. It’s only illegal when YOU do it.
There certainly is for meth (for treatment-resistant ADHD), but iirc cocaine’s only medical use is during certain dental procedures, it’s not something you can be prescribed to take home