Maybe that's not how your ADHD was handled. You admit that your diagnosis occurred in your 40's, and it is well known that adult diagnosis is much more rigorous. To add to that, it's important to consider the rigor of young patients and the apparent effect of amphetamines on developing brains.

>Starting with the assumption that people are drug abusers is damaging, and is entirely faulty.

I don't think many people hold this view regarding ADHD-medicated individuals. The scrutiny, at least mine, is aimed at the doctors who readily tell parents that their child has this disorder without much testing, and then scribble a vyvanse script like it's no big deal.