and why they get away with their crimes
Intimidation is always the primary factor in criminal governance. The state may have institutions that strike fear into peoples lives. MAID in Canada comes to mind. If it isn't a large systemic killing field in Canada, it so happens to be equaled by another systemic killing field in Canada, drug death. Soon the two combined will equal 50,000 deaths per year.
The drug ODs sustain a large harvest of organs for transplant. Why not profit from your crimes? I mean, isn't that what it's about? At the same time, why not eliminate needless drains on your annual budget? The MAID terminates long term medical care demands.