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Modern Healthcare - - OPINIONS EDITORIALS -

The July 8 edi­to­rial “Ethics of med­i­cal en­hance­ment” (p. 27) ig­nores the pos­si­bil­ity that peo­ple with men­tal ill­ness who take psy­chotropic med­i­ca­tions may be some­what dys­func­tional and un­pro­duc­tive with­out those sup­ports pre­cisely be­cause of that men­tal dis­abil­ity. While I agree with the author’s skep­ti­cism about the sig­nif­i­cant up­surge in di­ag­noses of ADHD, it is pos­si­ble that some of this in­crease has re­sulted from im­proved ac­cess to men­tal health re­sources and the bet­ter di­ag­no­sis of peo­ple with ADHD who might have pre­vi­ously gone un­di­ag­nosed.

To char­ac­ter­ize ADHD di­ag­noses and ac­com­pa­ny­ing ac­cess to needed med­i­ca­tions as con­tribut­ing to “med­i­cal en­hance­ment” of per­for­mance is to over­sim­plify a more com­plex phe­nom­e­non. Richard Heg­ner Columbia, Md.

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