> Some students get approved for housing accommodations, including single rooms and emotional-support animals.
buries the lede, at least for Stanford. It is incredibly commonplace for students to "get an OAE" (Office of Accessible Education) exclusively to get a single room. Moreover, residential accommodations allow you to be placed in housing prior to the general population and thus grant larger (& better) housing selection.
I would not be surprised if a majority of the cited Stanford accommodations were not used for test taking but instead used exclusively for housing (there are different processes internally for each).
edit: there is even a practice of "stacking" where certain disabilities are used to strategically reduce the subset of dorms in which you can live, to the point where the only intersection between your requirements is a comfy single, forcing Admin to put you there. It is well known, for example, that a particularly popular dorm is the nearest to the campus clinic. If you can get an accommodation requiring proximity to the clinic, you have narrowed your choices to that dorm or another. One more accommodation and you are guaranteed the good dorm.
It should be expected that some portion of the teenage population sees a net-benefit from Amphetamines for the duration of late high school/college. It's unlikely that that net-benefit holds for the rest of their lives.
My research was done a long time ago. I understood Ritalin to have mild neurotoxic effects, but Adderall et al to be essentially harmless. Do you have a source for the benefits giving way to problems long-term?
Regardless, your overall point is interesting. Presumably, these drugs are (ridiculously tightly) controlled to prevent society-wide harm. If that ostensible harm isn't reflected in reality, and there is a net benefit in having a certain age group accelerate (and, presumably, deepen) their education, perhaps this type of overwhelming regulatory control is a mistake. In that sense, it's a shame that these policies are imposed federally, as comparative data would be helpful.
In the workplace, I saw the same folks struggle to work consistently without abusive dosages of such drugs. A close friend eventually went into in-patient care for psychosis due to his interaction with Adderall.
Like any drug, the effect wears off - Cognitive Behavioral Therapy matches prescription drugs at treating ADHD after 5 years. As I recall, the standard dosages of Adderall cease to be effective after 7-10 years due to changes in tolerance. Individuals trying to maintain the same therapeutic effect will either escalate their usage beyond "safe" levels or revert to their unmedicated habits.
Apropos of anything else, 5 years of weekly CBT to get to the same result is a _lot_. 260 hours of therapy that, on my current health insurance would cost nearly $12,000 in copays. And during that 5 years you're still dealing with your ADHD to some heavy extent.