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You're downplaying fentanyl's and overplaying Tylenol's problems here. For example, the latter's hepatic toxicity happens in the case of an overdose (usually intentional), and most cases are self-limited. There's also a widely available antidote.
Overdosing on fentanyl is much more likely with "correct" use, and it will also most likely kill you due to respiratory depression. It also has very relevant and common adverse effects, like hyperalgesia (making the pain worse).
Hospital use for over 2 days is widely unencouraged due to withdrawal syndrome (plus quickly inducing resistance and hyperalgesia, demanding higher doses), and we've been trying to develop ways of reducing its use for the past 10 years or so. Check out PADIS 2018