5 ms·

Adderall, OxyContin Prescriptions to Require In-Person Visit Under DEA Plan

32 points by impish9208 4y ago

whalesalad 4y ago
GDP will plummet.
desro 4y ago
While I agree that drugs like this shouldn't necessarily be handed out like candy (ignoring the lumping-together of amphetamines and opiates in the headline), it has been a real struggle to get legitimate stimulant prescriptions filled since at least October '22 in my experience. It's been an administrative challenge, which (ironically?) is one of the things ADHD types struggle with most, having to call ahead and try and get your order in before the prescription is due without coming off like a junkie. I feel grateful that I take d-amph "merely" for ADHD and not something like narcolepsy, which can be more acutely life threatening depending on the circumstance. I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications.
- spicybright 4y ago
  In the same boat. I've been off it for months now and it's been the worst time I've had in a while. I lost my job pretty quickly and just can't keep track of time all day. It's so tough to stay on top of making the phone calls every 30 days to fill it, and now figuring out what meds are actually available and what would work for me that I've pretty much given up at this point.
  - junofan 4y ago
    It’s disgusting that psychiatric medication is lumped in with opiates by the DEA and subject to many of the same hamfisted policies.
    - PraetorianGourd 4y ago
      Opiates are incredibly effective at treating debilitating pain. Not headaches, not toothaches, but overwhelming “please just kill me” pain. I take adderall with a prescription but I am not going to pretend that my psychological needs are somehow more worthy of medication than another’s pain. You want to get real angry? Cannabis and psilocybin are both schedule I drugs while cocaine is schedule II. I know cocaine has medical uses and is unfairly maligned, but still.
      - catchnear4321 4y ago
        You do yourself and others a disservice by treating physical pain as “more real” than the psychological pain that can be caused by simply not functioning the way one wants and knowing a restricted pill could help. Comparing one’s pain to another is meaningless, if the pain of both can be treated. Pain isn’t necessary. It is enforced.
- phpisthebest 4y ago
  >>I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs I dont. We have now almost 60 years of drug prohibition, and increasing levels of criminality of abuse of drugs with nothing really to show for it except billions, or trillions in wasted resources, the millions of destroyed lives with little or no evidence that any of the criminalization has done anything to curb abuse of drugs If nothing else is clear, one thing for sure is.. the DEA is the most ineffective federal agency ever created bar none. >>I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications. It absolutely has, and likely has increased overdose's and death at the same time.
  - HybridCurve 4y ago
    Not just ineffective, incompetent. They've ignored pursuing policies that focus across the spectrum of illicit drug use and instead implement hamfisted solutions to problems only when they've grown so bad that legislators have to intervene. Often thier approach, purely from a law enforcement perspective, is interdiction and supression. To them drug abuse is a criminal problem which can only be solved by aggressive policing, confiscations, and arrests. Now I hear that dealers in the US are cutting opioids sold to PWID with Xylazine which is highly destructive to tissue. There is no healthcare system to speak of available to the addicts so they don't end up in healthcare until their wounds have become gangrenous. It's no wonder an enforcement agency fails in this area because their mission is not to provide care and rehabilitation to criminals. Drug trafficking is supply and demand, maybe they should realize focusing on only half the problem isn't going to be a comprehensive solution.
- PragmaticPulp 4y ago
  > I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications. This shouldn’t impact patients with an existing doctor and prescription. It only applies to initial visits. This rolls back a COVID exception that allowed internet companies to remotely prescribe Schedule II drugs after a cursory call. Companies were using it to create Adderall subscriptions as a service. In fact, the rampant overprescribing might be why you’re seeing shortages right now.
  - pksebben 4y ago
    It already is affecting patients with existing prescriptions. Every time I move I have to jump through a series of hoops to get my doctor comfortable enough to prescribe, and I've been on the stuff for well over a decade. For a while, having the receipts for previous scripts was enough. Then they started needing medical records, which is like, okay fine. This most recent move has my new physician demanding I get rediagnosed (in an area where the next available appointment with a psych taking new patients is in, like, July). Because "this is a family practice, my license is on the line". The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. Never mind that the more beurocratic hoops you put in front of someone with an executive function disorder, the closer to impossible you make it for them. And the shortage is because of the dea. They placed arbitrary limits on what any one producer is allowed to make, so when one of them has supply chain issues, no one can cover for them. Disband the DEA.
    - protectionrkt 4y ago
      The Constitution protects citizens' Equal Liberty to Pursuit of Happiness. It says "Equal Justice Under Law" on the front of which building? Isn't the prescription system an illegally discriminatory protection racket? How can the state grant rights on the basis of medical status as determined by a physician that the citizen must pay? "You may only legally risk [juggling chainsaws in the privacy of your Lawrence v home] if you have a qualifying disability as determined by a physician you must pay?" Physicians can self-prescribe controlled substances. Patients can risk unintentional self-harm by choosing to participate in a Clinical Trial of a wholly-untested treatment; they do have such Equal Liberty as is necessary to pursue Happiness. Do pharmacies have the right to deny service? Per the more recently fraudulently-packed Supreme Court ("Where's his birth certificate,[ tax return, arrest records, and level of foreign debt]"), You don't have to serve a gay cake to a gay wedding. The UNDHR (UN Declaration of Human Rights) specifies "Equal Protection" of "Equal Rights" as fundamental rights. Shouldn't a US Constitutional Amendment be necessary to unequally deny rights on the basis of medical status (under the guise of authorization of right to regulate substantial affectation of Interstate Commerce), if an amendment was necessary to (also unequally) prohibit alcohol? How can we work together on our shared objectives: maximize compliance with the Constitution, provide for the national defense, minimize self-harm and physician liability, and secure the blessings of Liberty? How and why is there a profit margin in pharmaceutical resale without a license? What is the comparative cost of the pharmaceutical generic? We could give people a discount - equally - for speaking with a physician. There should be a financial incentive to work with a physician on what works and isn't working. https://is-this-valid.github.io/liberty/ https://is-this-valid.github.io/liberty/
flangola7 4y ago
What about people who are physically disabled or live in very rural areas? At one time my pharmacy was 10 minutes away but my psychologist was 90 minutes. You can't reasonably expect people to make a day trip into town every 30 days for the same meds they've been taking for years.
- deleted 4y ago
  [deleted]
- xxpor 4y ago
  First time prescription only
lost_tourist 4y ago
They keep doubling down on failed drug policies as if they didn't have decades of statistics showing what they're doing right now doesn't work. Kill off oxy? Well now you have very cheap fentanyl all over the place, which is much more likely to kill people. Legalize and regulate and stop making everything that is victimless (aside from the dummy who is addicted) a crime.
- morelinks 4y ago
  Legalize and regulate to what extent? Most drugs are certainly not victimless.
  - pksebben 4y ago
    What exactly do you mean when you say "victimless"?
tomcam 4y ago
I literally wish I knew what the ruckus is. I go in for surgeries every year or so and get sent home with a handful. No fun, i.e. no high for me, AFAIK. Not very good at pain control either. From my perspective all they do is act as the perfect sleeping pill. I used to regard myself as an honorary drug addict/alcoholic because I’m morbidly obese. My whole family were addicts, inspiring me to never try alcohol or illicit drugs. In my declining years I actually sort of hope I will get some fun out of legal drugs like this, but it hasn’t worked out that way. My life expectancy is low and I am mildly considering trying some illegal drugs
- PragmaticPulp 4y ago
  > I literally wish I knew what the ruckus is. I go in for surgeries every year or so and get sent home with a handful. No fun, i.e. no high for me, AFAIK. If you’re in pain following surgery, the prescribed medication isn’t expected to feel “fun” or produce a recreational high. Note that this does not mean that you are immune to addiction or recreational effects. In fact, this exact mindset is a common story underlying many addiction stories: A belief that the person’s response is in some way unique or less than average, leading to cavalier engagement with drugs. Don’t go down this path.
Spivak 4y ago
I can't speak to painkillers but this makes no sense at all for ADHD patients and is literally just an artificial barrier -- not because it's impossible to see a doctor in person but because finding someone local qualified to formally diagnose ADHD is a huge pain. My therapist was like, "you obviously have ADHD but I can't diagnose you, you should talk to your primary." My primary was like, "you obviously have ADHD but I can't prescribe anything -- not because I'm not allowed but because I need to cover my ass. You need to see a psychologist or psychiatrist and get a letter. Then I can manage your medication." You know how many psychologists in my area do evaluations like this -- none.
csnover 4y ago
https://archive.ph/nlk4Z https://archive.ph/nlk4Z
refurb 4y ago
ADHD clinics are the new pain clinics. With Covid and the rule changes allowing virtual visits for controlled substances, we ended up with start-ups like Cerebral Inc.
Pigalowda 4y ago
I’m not sure why doctors still prescribe any of this stuff. Straterra for ADHD. Tramadol, ibuprofen, Tylenol 3, and gabapentin for pain. Nothing stronger than hydroxyzine and clonipin for breakthrough anxiety. Everything else should be dealt with by mature coping mechanisms. Europe does it just fine - but not here in USA. I guess providers get rated by customers and we’re capitalists so addicts are the byproduct. Even people in this thread say they make sure to call every month for refills. That behavior is definitely noticed by physicians. Patients won’t do that for other drugs of far greater importance to their health. They’re very sticky for the fun stuff no matter the friction put in place.
- junofan 4y ago
  I am downvoting this comment for referring to medication as “the fun stuff.” Job loss is not uncommon and a powerful motivator.
  - Pigalowda 4y ago
    That’s OK, thank you for your dv. I don’t expect all users to have insight into their conditions. Like I said, there’s straterra, which is a non-amphetamine alternative and effective. But there’s some barriers. Initial constipation is a problem to do tolerance of the GI tract to amphetamine. Another barrier is the loss of “adderolling” which users enjoy.
    - olyjohn 4y ago
      You don't know what the fuck you're talking about, and you're condescending about it to boot.
    - PraetorianGourd 4y ago
      I threw up heavily and daily on straterra. Just because it doesn’t have the same suffix as meth doesn’t mean it’s a panacea. Doctors should have the ability to prescribe what is best for their patients
  - atlas_hugged 4y ago
olliej 4y ago
So... now if you need an adderall prescription now costs you hundreds of dollars a month: you need a day off during the work week to see a doctor, who is likely a out of network psychiatrist (because afaict most aren't in any network), and you have to pay the $1-200 that they charge for each appointment. It's almost like once a bunch of congress folk lost their payouts from the Sacklers (who recall essentially got away with mass manslaughter) they've decided it's time to be hard on drugs by punishing people with legitimate needs.
- PragmaticPulp 4y ago
  This is for the initial establishment of patient care. It’s not targeting the average doctor. It’s targeting the pill mills that were setup to prescribe Adderall as a subscription service. You paid a monthly fee to get Adderall prescriptions and the doctors would rush through a token “visit” to get through as many patients as possible in a day.
  - olliej 4y ago
    To be clear the _only_ reason that service exists is because the government passed a law that required adderal be represcribed continuously rather than having an automatic refill as you would with every other prescription. People who need adderall prescriptions don’t spontaneously get better. Imagine the outcry if diabetes, or heart diseases, etc drugs started needing you to get a dr sign off every month: how long do you think before the same service would exist for those? This is very simple: congress consists largely of untrained people looking for “hard on crime” sound bites, and as long as they’re just targeting generics that aren’t super profitable it doesn’t hurt their pay days.
  - faeriechangling 4y ago
    Sounds like a better and leaner service than what doctors offer, which is mostly a bunch of theatrics to justify the rents they earn from each adderall prescription, prescription adjustment, or renewal. Nobody would use doctors as their dealers if the DEA and co didn’t force everybody to cut them in.
thisismerica 4y ago
Americans are just a bunch of drug addicts aided by fake experts. For them, every natural body function is a disease that needs repeated and continual drug use.
faeriechangling 4y ago
Thanks DEA for forcing people doctors literally call disabled to ritually trek to a doctor every few months to plead once again for drugs. What a racket. Entire thing is a farce, you can’t test for a mental disorder through observation to begin with and research proves how easily one can get an ADHD diagnosis by putting on a performance. It’s not as if these check and balances do shit.
- nso95 4y ago
  My understanding is that you only have to see the doctor in person once, and then can do telemedicine after that. Still a pain, but not as bad.

32 points by impish9208 4y ago

GDP will plummet.

While I agree that drugs like this shouldn't necessarily be handed out like candy (ignoring the lumping-together of amphetamines and opiates in the headline), it has been a real struggle to get legitimate stimulant prescriptions filled since at least October '22 in my experience. It's been an administrative challenge, which (ironically?) is one of the things ADHD types struggle with most, having to call ahead and try and get your order in before the prescription is due without coming off like a junkie. I feel grateful that I take d-amph "merely" for ADHD and not something like narcolepsy, which can be more acutely life threatening depending on the circumstance. I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications.

spicybright 4y ago
In the same boat. I've been off it for months now and it's been the worst time I've had in a while. I lost my job pretty quickly and just can't keep track of time all day. It's so tough to stay on top of making the phone calls every 30 days to fill it, and now figuring out what meds are actually available and what would work for me that I've pretty much given up at this point.
- junofan 4y ago
  It’s disgusting that psychiatric medication is lumped in with opiates by the DEA and subject to many of the same hamfisted policies.
  - PraetorianGourd 4y ago
    Opiates are incredibly effective at treating debilitating pain. Not headaches, not toothaches, but overwhelming “please just kill me” pain. I take adderall with a prescription but I am not going to pretend that my psychological needs are somehow more worthy of medication than another’s pain. You want to get real angry? Cannabis and psilocybin are both schedule I drugs while cocaine is schedule II. I know cocaine has medical uses and is unfairly maligned, but still.
    - catchnear4321 4y ago
      You do yourself and others a disservice by treating physical pain as “more real” than the psychological pain that can be caused by simply not functioning the way one wants and knowing a restricted pill could help. Comparing one’s pain to another is meaningless, if the pain of both can be treated. Pain isn’t necessary. It is enforced.
phpisthebest 4y ago
>>I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs I dont. We have now almost 60 years of drug prohibition, and increasing levels of criminality of abuse of drugs with nothing really to show for it except billions, or trillions in wasted resources, the millions of destroyed lives with little or no evidence that any of the criminalization has done anything to curb abuse of drugs If nothing else is clear, one thing for sure is.. the DEA is the most ineffective federal agency ever created bar none. >>I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications. It absolutely has, and likely has increased overdose's and death at the same time.
- HybridCurve 4y ago
  Not just ineffective, incompetent. They've ignored pursuing policies that focus across the spectrum of illicit drug use and instead implement hamfisted solutions to problems only when they've grown so bad that legislators have to intervene. Often thier approach, purely from a law enforcement perspective, is interdiction and supression. To them drug abuse is a criminal problem which can only be solved by aggressive policing, confiscations, and arrests. Now I hear that dealers in the US are cutting opioids sold to PWID with Xylazine which is highly destructive to tissue. There is no healthcare system to speak of available to the addicts so they don't end up in healthcare until their wounds have become gangrenous. It's no wonder an enforcement agency fails in this area because their mission is not to provide care and rehabilitation to criminals. Drug trafficking is supply and demand, maybe they should realize focusing on only half the problem isn't going to be a comprehensive solution.
PragmaticPulp 4y ago
> I suppose what I'm saying is that while I understand the need or desire to regulate powerful drugs, I fear further zealous overreach by the DEA et al that has already made it difficult for responsible users to access important medications. This shouldn’t impact patients with an existing doctor and prescription. It only applies to initial visits. This rolls back a COVID exception that allowed internet companies to remotely prescribe Schedule II drugs after a cursory call. Companies were using it to create Adderall subscriptions as a service. In fact, the rampant overprescribing might be why you’re seeing shortages right now.
- pksebben 4y ago
  It already is affecting patients with existing prescriptions. Every time I move I have to jump through a series of hoops to get my doctor comfortable enough to prescribe, and I've been on the stuff for well over a decade. For a while, having the receipts for previous scripts was enough. Then they started needing medical records, which is like, okay fine. This most recent move has my new physician demanding I get rediagnosed (in an area where the next available appointment with a psych taking new patients is in, like, July). Because "this is a family practice, my license is on the line". The gradual ratcheting of pressure by the nanny-state DEA has doctors spooked. Never mind that the more beurocratic hoops you put in front of someone with an executive function disorder, the closer to impossible you make it for them. And the shortage is because of the dea. They placed arbitrary limits on what any one producer is allowed to make, so when one of them has supply chain issues, no one can cover for them. Disband the DEA.
  - protectionrkt 4y ago
    The Constitution protects citizens' Equal Liberty to Pursuit of Happiness. It says "Equal Justice Under Law" on the front of which building? Isn't the prescription system an illegally discriminatory protection racket? How can the state grant rights on the basis of medical status as determined by a physician that the citizen must pay? "You may only legally risk [juggling chainsaws in the privacy of your Lawrence v home] if you have a qualifying disability as determined by a physician you must pay?" Physicians can self-prescribe controlled substances. Patients can risk unintentional self-harm by choosing to participate in a Clinical Trial of a wholly-untested treatment; they do have such Equal Liberty as is necessary to pursue Happiness. Do pharmacies have the right to deny service? Per the more recently fraudulently-packed Supreme Court ("Where's his birth certificate,[ tax return, arrest records, and level of foreign debt]"), You don't have to serve a gay cake to a gay wedding. The UNDHR (UN Declaration of Human Rights) specifies "Equal Protection" of "Equal Rights" as fundamental rights. Shouldn't a US Constitutional Amendment be necessary to unequally deny rights on the basis of medical status (under the guise of authorization of right to regulate substantial affectation of Interstate Commerce), if an amendment was necessary to (also unequally) prohibit alcohol? How can we work together on our shared objectives: maximize compliance with the Constitution, provide for the national defense, minimize self-harm and physician liability, and secure the blessings of Liberty? How and why is there a profit margin in pharmaceutical resale without a license? What is the comparative cost of the pharmaceutical generic? We could give people a discount - equally - for speaking with a physician. There should be a financial incentive to work with a physician on what works and isn't working. https://is-this-valid.github.io/liberty/ https://is-this-valid.github.io/liberty/

flangola7 4y ago

What about people who are physically disabled or live in very rural areas? At one time my pharmacy was 10 minutes away but my psychologist was 90 minutes. You can't reasonably expect people to make a day trip into town every 30 days for the same meds they've been taking for years.

deleted 4y ago
[deleted]
xxpor 4y ago
First time prescription only

lost_tourist 4y ago

They keep doubling down on failed drug policies as if they didn't have decades of statistics showing what they're doing right now doesn't work. Kill off oxy? Well now you have very cheap fentanyl all over the place, which is much more likely to kill people. Legalize and regulate and stop making everything that is victimless (aside from the dummy who is addicted) a crime.

morelinks 4y ago
Legalize and regulate to what extent? Most drugs are certainly not victimless.
- pksebben 4y ago
  What exactly do you mean when you say "victimless"?

tomcam 4y ago

I literally wish I knew what the ruckus is. I go in for surgeries every year or so and get sent home with a handful. No fun, i.e. no high for me, AFAIK. Not very good at pain control either. From my perspective all they do is act as the perfect sleeping pill. I used to regard myself as an honorary drug addict/alcoholic because I’m morbidly obese. My whole family were addicts, inspiring me to never try alcohol or illicit drugs. In my declining years I actually sort of hope I will get some fun out of legal drugs like this, but it hasn’t worked out that way. My life expectancy is low and I am mildly considering trying some illegal drugs

PragmaticPulp 4y ago
> I literally wish I knew what the ruckus is. I go in for surgeries every year or so and get sent home with a handful. No fun, i.e. no high for me, AFAIK. If you’re in pain following surgery, the prescribed medication isn’t expected to feel “fun” or produce a recreational high. Note that this does not mean that you are immune to addiction or recreational effects. In fact, this exact mindset is a common story underlying many addiction stories: A belief that the person’s response is in some way unique or less than average, leading to cavalier engagement with drugs. Don’t go down this path.

Spivak 4y ago

I can't speak to painkillers but this makes no sense at all for ADHD patients and is literally just an artificial barrier -- not because it's impossible to see a doctor in person but because finding someone local qualified to formally diagnose ADHD is a huge pain. My therapist was like, "you obviously have ADHD but I can't diagnose you, you should talk to your primary." My primary was like, "you obviously have ADHD but I can't prescribe anything -- not because I'm not allowed but because I need to cover my ass. You need to see a psychologist or psychiatrist and get a letter. Then I can manage your medication." You know how many psychologists in my area do evaluations like this -- none.

csnover 4y ago

https://archive.ph/nlk4Z https://archive.ph/nlk4Z

refurb 4y ago

ADHD clinics are the new pain clinics. With Covid and the rule changes allowing virtual visits for controlled substances, we ended up with start-ups like Cerebral Inc.

Pigalowda 4y ago

I’m not sure why doctors still prescribe any of this stuff. Straterra for ADHD. Tramadol, ibuprofen, Tylenol 3, and gabapentin for pain. Nothing stronger than hydroxyzine and clonipin for breakthrough anxiety. Everything else should be dealt with by mature coping mechanisms. Europe does it just fine - but not here in USA. I guess providers get rated by customers and we’re capitalists so addicts are the byproduct. Even people in this thread say they make sure to call every month for refills. That behavior is definitely noticed by physicians. Patients won’t do that for other drugs of far greater importance to their health. They’re very sticky for the fun stuff no matter the friction put in place.

junofan 4y ago
I am downvoting this comment for referring to medication as “the fun stuff.” Job loss is not uncommon and a powerful motivator.
- Pigalowda 4y ago
  That’s OK, thank you for your dv. I don’t expect all users to have insight into their conditions. Like I said, there’s straterra, which is a non-amphetamine alternative and effective. But there’s some barriers. Initial constipation is a problem to do tolerance of the GI tract to amphetamine. Another barrier is the loss of “adderolling” which users enjoy.
  - olyjohn 4y ago
    You don't know what the fuck you're talking about, and you're condescending about it to boot.
  - PraetorianGourd 4y ago
    I threw up heavily and daily on straterra. Just because it doesn’t have the same suffix as meth doesn’t mean it’s a panacea. Doctors should have the ability to prescribe what is best for their patients
- atlas_hugged 4y ago

olliej 4y ago

So... now if you need an adderall prescription now costs you hundreds of dollars a month: you need a day off during the work week to see a doctor, who is likely a out of network psychiatrist (because afaict most aren't in any network), and you have to pay the $1-200 that they charge for each appointment. It's almost like once a bunch of congress folk lost their payouts from the Sacklers (who recall essentially got away with mass manslaughter) they've decided it's time to be hard on drugs by punishing people with legitimate needs.

PragmaticPulp 4y ago
This is for the initial establishment of patient care. It’s not targeting the average doctor. It’s targeting the pill mills that were setup to prescribe Adderall as a subscription service. You paid a monthly fee to get Adderall prescriptions and the doctors would rush through a token “visit” to get through as many patients as possible in a day.
- olliej 4y ago
  To be clear the _only_ reason that service exists is because the government passed a law that required adderal be represcribed continuously rather than having an automatic refill as you would with every other prescription. People who need adderall prescriptions don’t spontaneously get better. Imagine the outcry if diabetes, or heart diseases, etc drugs started needing you to get a dr sign off every month: how long do you think before the same service would exist for those? This is very simple: congress consists largely of untrained people looking for “hard on crime” sound bites, and as long as they’re just targeting generics that aren’t super profitable it doesn’t hurt their pay days.
- faeriechangling 4y ago
  Sounds like a better and leaner service than what doctors offer, which is mostly a bunch of theatrics to justify the rents they earn from each adderall prescription, prescription adjustment, or renewal. Nobody would use doctors as their dealers if the DEA and co didn’t force everybody to cut them in.

thisismerica 4y ago

Americans are just a bunch of drug addicts aided by fake experts. For them, every natural body function is a disease that needs repeated and continual drug use.

faeriechangling 4y ago

Thanks DEA for forcing people doctors literally call disabled to ritually trek to a doctor every few months to plead once again for drugs. What a racket. Entire thing is a farce, you can’t test for a mental disorder through observation to begin with and research proves how easily one can get an ADHD diagnosis by putting on a performance. It’s not as if these check and balances do shit.

nso95 4y ago
My understanding is that you only have to see the doctor in person once, and then can do telemedicine after that. Still a pain, but not as bad.