Where will this take us? Some possible consequences:
- Patients and their parents will lose credibility with some physicians.
- Patients will drop reluctant physicians and seek out those more willing to write a prescription.
- Payers will demand more proof that subscribers really have the claimed condition.
- Schools and testing organizations will require pre-examination drug testing.
- Test takers will require proof of need from students who test positive for drugs.
- Increase in ADA complaints of discrimination if those who test positive for drugs are excluded from examinations.
- Independent psychiatric examinations costing thousands to prove appropriateness of prescriptions. (Never mind that no objective test for ADHD exists.)
- More will abuse or become dependent on the drugs.
- More will suffer adverse effects and overdoses.
How far should we go in allowing access to these drugs for performance enhancement? Why even involve physicians in deciding who gets them if a diagnosis is not required? How can we assure fairness in high stakes testing of students?