Dan Parker
Legal Issues of the 21st Century
Mind Drugs – ADHD Drugs as Cognitive
Enhancers
Ritalin,
Adderall, and other ADHD medicines are some of the most commonly prescribed medications
in the United States. While a
definite number is difficult to come up with, many millions of people take ADHD
drugs every day in the United States alone. Many of these are prescribed, and many are not. Ritalin and Adderall are stimulants,
similar in structure to cocaine or heroin, and derived from amphetamines. Both are classified by the U.S.
government as Schedule II drugs.
Schedule II drugs are defined as: i) The drug or substance has a high
potential for abuse; ii) the drug or substance has a currently accepted medical
use in treatment in the U.S. or currently accepted medical use with severe
restriction; and iii) abuse of the drug or substance may lead to severe
psychological or physical dependence.
Currently, a single Ritalin pill can be bought for somewhere in the
range of 25 cents to 75 cents with a prescription. Out on the street, however, the price ranges from $3 to $15
per pill. Because of this huge
disparity, illegal diverting and selling of ADHD drugs will always be present.
Countless
articles have been written about how ADHD drugs have been overprescribed[1]
and about their ÒabuseÓ by students[2]. In fact, Ritalin has captured the minds
of parents and legislatures sufficiently that ÒRitalin BillsÓ have been passed
in some states[3]. These laws prohibit teachers from
discussing with a childÕs parents or guardian that the child may have a
psychological disorder. This stems
from the notion that teachers would over diagnose unruly students because it is
easier for them to drug an unruly student than to deal with them in the
classroom. This is not only true
for teachers; many parents may over diagnose their children as ADD/ADHD simply
because they themselves have done a poor job of raising the child. And, rather than deal with the
consequences of a ÒbadÓ child, they would rather drug the child into behaving.
In
doing this research I was able to find very little discussion by the
legislatures (both state and federal) of using ADHD drugs as cognitive
enhancers – mostly the discussion of their use as cognitive enhancers was
limited to news organizations[4]
and individuals[5]. Unsurprisingly, many schools are
weighing in on the discussion, as they are one of the primary places and
reasons that ADHD drugs are used for cognitive enhancement. As the arguments for and against the
use of ADHD drugs as cognitive enhancers have already been discussed in the
class reading, there is no need to rehash them here. Indeed, some people are already calling on universities to
consider drug testing as a way to level the playing field for those who do not
take cognitive enhancers[6].
Similarly,
the Courts have not weighed in on the discussion. The majority of cases involving ADHD drugs fall into two
categories: Doctors being busted for prescribing too much Ritalin, and people
being busted for possession of Ritalin (usually with other drugs). I imagine that most people who are
caught with only a few pills of Ritalin (or other ADHD drug) get away with
minor consequences, as these people are simply not seen as harmful enough to
society to waste the police and CourtÕs time to put them away, nor are severe
penalties available. However,
large scale distribution of the drugs is seen as an issue and is actively
prosecuted by various District Attorneys, although any large scale distributor
is also selling many other drugs, and I was unable to find any instances of
someone be prosecuted only for possession/distribution of Ritalin, and not
other drugs as well.
In the near future, the
laws controlling the use of ADHD medications (as cognitive enhancers or to
treat a disorder) are unlikely to change.
Currently, the laws see no difference between someone who takes 1 pill
of Ritalin a day for cognitive enhancement without a prescription, and someone
who crushes up 2-3 pills of Ritalin and sorts them to get high. As with all of the U.S. drug policy laws,
this Òall or nothingÓ approach (in this authorÕs opinion) causes far more harm
than good. The use of ADHD drugs
for cognitive enhancement is similar to that of marijuana. Everyone knows that the use is
widespread, yet the Government continues to bury its collective head in the
sand. If the government were to
loosen the strict drug laws concerning ADHD medication, actual use of the drug
would likely go down, as has been seen in the Netherlands with regards to
marijuana and other drugs.
However, this is unlikely as there seems to be no middle ground (where
cognitive enhancement would be) in the debate, except for some scholars who
advocate the use of cognitive enhancers.
In general, the tone and perception of Ritalin and other ADHD drugs are
that people who have been diagnosed as having ADHD need the medication to be
able to function fully in society, or people who use the drug without a
prescription are snorting it to get high like cocaine. Until the middle ground is more widely
understood by more people, or politicians stop using the ÒIÕm hard on drugsÓ
stance to garner votes, there will be little to no discussion of the issue by
politicians. Also, it is likely
that people will equate cognitive enhancers with steroids and treat the two
separate issues as the same, making it harder still for potential legislation
and an honest discussion of the pros and cons to be had.