This is the loophole. Universities aren't the ones diagnosing, they're the ones accommodating.
The current meta-game is for parents and students to share notes about which doctors will diagnose easily. Between word of mouth and searches on Reddit, it's not that hard to find doctors in any metro area who will provide diagnoses and accommodation request letters to anyone who makes an appointment and asks nicely.
There are now also online telehealth services that don't hide the fact that this is one of their services. You pay their (cash only, please) fee and they'll make sure you get your letter. The same thing is happening with "emotional support animal" letters.
Once it becomes widely known that getting a diagnosis is the meta-game to getting housing priority, nicer rooms, extra time on tests, and other benefits the numbers climb rapidly. When the number is approaching 38%, the system has become broken.
It's a real problem for the students who really need these accommodations. When 38% of the students qualify for "priority" housing, you're still in competition with 1/3 of the student body for those limited resources.
This used to be a thing with medical marijuana as well (maybe still is?).
The answer is for schools to grab their share of this money by selling each of these accommodations directly, or perhaps via some kind of auction. Acceptance to such a school will be the “basic economy” of attendance. If you want to pick your seat, you can pay to upgrade.
Great to know we're basically raising an entire generation without any integrity.
Can't wait to be in a nursing home where all the staff are trying to meta-game for lowest amount of responsibility rather than caring for the elderly.
And believe me, I'm the last person to disparage the truly disabled or those down on their luck. But 38% in a developed country is just straight up insane. Not to mention that if you have a "disability" that is treatable with medication, should you still be accommodated?
My roommate in the 90s was ahead of the curve, he memorized the Cosmo quiz “do you have ADD” went to the student center, got a script that he sold or snorted, and got to take his test in a comfortable room at a time scheduled centrally.
Just randomize assignments to rooms all over campus.
In 2025 it seems integrity is meaningless, “winning” is all that matters. Particularly, you are not punished for acting without integrity but definitely “punished” for having it.
None of these things measure "not an asshole". They measure results. The incentives from there are obvious.
The business owners who treats employees, customers, vendor, everyone like shit in his quest to produce the most widgets, juice every stat, is the one who gets the attention from investors and the one left alone by the government.
I really find these "in 2025" takes tiresome. There is no golden age, only your own personal nostalgia masquerading as analysis.
Maybe your theory is that if you weren't alive in the past to see "an asshole" for yourself, then the prudent conclusion is a sort skepticism about their very existence.
I wonder how you envision the past then... a vacant landscape? Perhaps you actually believe human nature has radically changed just in the past few decades? The odd thing is I think an actual analysis might contradict your claim, that is if the measurement is simply who is "an asshole". Perhaps we would find more surveillance actually reduces "asshole" behavior generally. Like how confrontational people often change their behavior when confronted by a camera, .etc
Yup. A few years ago in California, go to a weed store in Napa. "Oh, you need a medical card" "Oh, sorry". I get handed a business card, no worries, just call this doctor here, it'll be $x (can't remember) and you can get a medical card and just come back in. I had my medical card within 5 minutes on the phone on the sidewalk outside the store.
Was having stress related ED issues a fews ago. Hit up Hims, fill out the questionnaire. Physician reviews it in our online chat. "If these are your answers, I would not be able to prescribe for you. If your answer to Q3 was x, Q5 was Y, then I would. Would you like to review your answers before re-submitting?"
There was a gilded age in the early 20th century and we appear to have entered another gilded age - do you think something structural or cultural has changed? I have a hard time a president like Trump getting elected in past elections - certainly he models himself after Nixon and even Nixon was a very very different kind of president both in temperament but also being less about self aggrandizement.
If you treat students like children, it's not surprising if they try to game the system
You'd pay online and quickly receive a PESEL (local equivalent of an SSN) + a 4-digit prescription code, which is all that is needed to redeem a prescription there.
Nah, the reality is that people have always been greedy and selfish, gaming the system where they can.
exactly. This isn't a new problem. But what has been new is the recent growth in funding to "help" those who are deemed helpless - at someone else's cost (it could be taxpayers, it could be, in this case, other fee paying students).
The problem isn't the grift - it's the lack of any real oversight, and the ease with which such help is given lately (i would call it overly-progressive, but that might trigger some people). It is what makes grift possible.
Shame has practically been thrown out the window in certain places and we can see the effects of that - people scamming each other, lying in the streets, etc. Guilt is also being eroded across the west, leading to things like rampant criminality and punishments that are less than a slap on the wrist.
Fundamentally these emotions are designed to keep us in check with the rest of the group - does this negatively affect some: yes. But at the benefit of creating high trust societies. Every time I encounter this topic I can't help but think: Don't throw the baby out with the bathwater.
That's a strawman. I'm pretty darn sure they're not claiming it never happened in the past. Only that it is becoming significantly more widespread than it used to be.
I think you're going to have an incredibly hard time making a compelling case that no such trend exists, given the statistics (even on this particular issue in the article, never mind other issues) would very likely strongly suggest the opposite.
Obviously it has? For one thing, we have billions more people on the planet. For another, we have far more constrained resources -- from the environment to education to everything else -- even for a constant number of people, never mind for the ever-increasing population size. (And there are more factors, but these are more than sufficient to get the point across.) These make competition more intense... in every aspect of life, for everyone. And it's only natural that more cutthroat competition results in more people breaking the norms and rules.
It would be shocking if this didn't happen. If there's a question at all, it's really around is when this occurs -- not if it does.
You’re talking about a lottery, which randomly distributes them - which is only fairer in the sense it’s unpredictable, not that anyone that actually needs it would get what they need.
It’s typical gaming of the system, and shortly it’s going to have to switch to punishing those gaming it or it will spiral even more out of control.
The ‘winner’ is he who scams the hardest without getting consequences.
I think if you capitalise the P it's fine. It's not actual progress, but the Progressive movement has pushed it. Because that philosophy has a naive view of people, and assumes the best. So their policies and spending allow tests with 100% sensitivity and 0% specificity.
That would mean the university hiring doctors, or at least paying a doctor to do the test.
A lot of people do recreational drugs while at college and go on just fine. George W. Bush, for example, is alleged to have taken cocaine.
A few years later, we've got a "walk-in clinic" a neighborhood over which advertises how easy/fast it is to get cannabis cards specifically; By this time there is no approval wait.
A few years later, recreational is legal.
He was one of those people who are able to contain their hedonism and self-abuse to their frat-boy era. Now, he’s a grey-ish beard tech dude with an awesome wife and family.
Are you talking about the generation of doctors writing the disability assessments?
Most young people are still fine. Neither of my kids ever claimed to be disabled.
As far as I understand, it was precisely because of situations like the one described in the article that people voted for him.
In practice, you don't need to be honest and incorruptible to win an election. You just need to be more honest and incorruptible than your opponent.
Snorting will also shoot your tolerance through the roof, so taking it orally will no longer be as effective. Definitely not a road I recommend going down
Typical cocaine use also does not result in meaningful harm.
The financial industry chugs along just fine despite approximately everybody using these drugs.
I’ve used cocaine regularly at social events since I was a teenager. The vast majority of people I know, whether they’re 25 or 65, will not say no when offered. In my whole life I’ve known two people from my circles to have developed an actual coke problem, and I know a lot of people.
At this point coke is just the cigarettes of the upper classes, but likely less harmful.
I don't think you can charge more for accommodations for the disabled.
If that takes away a limited resource from someone else (e.g. dorm space) or makes it worse for others (e.g. people don't want animals in a dorm), then yes. Absolutely.
And basically any big name in the financial industry has almost certainly used loads of cocaine. They’re mostly not suffering any horrible consequences.
But of course there’s a world of difference between cocaine use and addiction. An addict might start their day with a line, every day, but that’s far from typical use.
> Not to mention that if you have a "disability" that is treatable with medication, should you still be accommodated?
I know people with incredibly severe ADHD, who are on medication, but in their case the medication is only able to make them reasonably functional. They still have difficult day-to-day issues.
But yeah, in general I'd say if you have something that is entirely fixable with medication, you don't need an accommodation.
The problem is that the ADA is worded such that businesses and organizations can't dig into these sorts of details, so they err on the side of accommodating in order to avoid lawsuits.
At my (secular) university, we did have a few single-sex dorms (optional for people who were uncomfortable with a mixed-sex dorm), but all others were co-ed, though some were separated into all-male and all-female hallways where they'd share a single-sex bathroom.
IIRC even the female-only dorms had no rules about overnight stays (though males had to be escorted around the building by their female host). A university not allowing people to stay overnight reeks of puritanical values.
Regardless, this isn't Victorian England. Men and women mix and live in shared spaces. There are plenty of adult living spaces in the world where people have their own apartment/room, but share bathroom space. That's also common in lower end hotels/hostels for travelers. Requiring that college students live in gender-separated living situations is a bad way to prepare them for the real world.
"Brain damage" isn't a binary yes-or-no thing that happens to you.
It's not even clear that regular as-prescribed usage of amphetamine is without some harm potential. With regular doses and route of administration it's obviously limited or negligible, but someone insufflating (snorting) it routinely is exposing their brains to much higher concentrations and much faster onset.
Note that dopamine itself is toxic when metabolized normally, but your body is equipped to mostly handle that. Using drugs that disrupt dopamine flows in high doses can overwhelm the systems designed to keep dopamine metabolism from doing damage.
> Typical cocaine use also does not result in meaningful harm.
The works "typical" and "meaningful" are doing a lot of work here. One of my friend groups has a lot of ER nurses. They see a non-trivial number of people coming to the hospital from casual cocaine use. These cases are generally waved away as other conditions by drug users (e.g. heart attacks, etc) and therefore they don't "count" in some people's minds. Yet it's a common finding for them on blood workups for people, including young people, arriving with cardiovascular problems.
> The vast majority of people I know, whether they’re 25 or 65, will not say no when offered.
Significant drug users often don't realize how much of a bubble they're in. Also, the goalposts for having a drug problem tend to be moved around a lot when everyone you know is using drugs regularly. Typically, being unable to say no when offered a drug is a sign of having a problem.
When a pill is swallowed it is gradually released into the bloodstream. Some drugs are also partially degraded by the digestive system, meaning you don't get 100% into the bloodstream. For some drugs, as much as 90% or more can be destroyed in the stomach, but this is accounted for in the dosing. Your stomach contents also go through your liver, which does first-pass metabolism depending on the drug and can reduce overall concentrations.
When someone snorts a drug, it bypasses all of that. It has easy access to the brain. It spikes the concentration the brain sees far in excess of what you would get from taking the drug orally.
This spike is where the damage is amplified. A sudden spike to very high values can overwhelm the brain's protection systems, for example.
Dopamine degradation produces neurotoxic metabolites. The brain is normally decent at cleaning these up, but when you consume drugs that spill that dopamine out at excess rates and disrupt its storage in vesicles then you can also overwhelm the brain's ability to clean up safely.
The sudden spike also causes rapid downregulation of the affected receptors, leading to deeper withdrawal effects that can last for a long time.
The sudden spike is also more euphoric. Combine that with the deeper withdrawal and it's why taking a pill through the nose is far more addictive than taking it orally.
So you need to have respect for your dorm mate, and your suite mates. And you know that, unfortunately, while "be respectful and adult" should be the expectation, there's always someone that ruins that, and the next thing the college has to set rules and say "this is why you can't have nice things".
And I expect there's a bit of liability minimization on the college's part - I'm not saying I agree, but the college probably has concerns of "it's mid term, and an allegation of inappropriate behavior happens, what do you do?" (and I think there's multiple issues with that, like it's not like that can't happen in same sex dorms, but I'm just trying to think about why the college might see it that way).
I get it - and at my stepdaughter's school there are co-ed dorms of different styles. But what they don't offer, and in this case is what the students hoped to achieve was "give us our own dorm with one bed", effectively.
The issue then also comes down to "well, college relationships aren't always the most durable things" - what happens when they break up? Who has to move out? It's not one person's space. Now the college is also on the hook for ensuring that there's sufficient vacancy (wasted) to handle these situations in other dorms.
Essentially it's one night a week. So, if both students, effectively two nights a week.
I don't disagree. I think it would be disrespectful to your dorm mate if your partner was just living in that space (which is already small for two, let alone three) most of the time. And you have to imagine that's at least part of the reason why such things are rules now, not suggestions.
My son runs into the phony accommodation game in middle school. The latest BS is to get a dyslexia diagnosis, which lets you have more time and take a 90 minute break (where they look up the answers). 9 kids discovered that they have this condition in 8th grade. Performance impacts eligibility for placement in some programs in high school.
If the kids didn’t know it, I wouldn’t have an issue with it. But they do, and abusing accommodations and gamification of zero integrity behavior undermines society in a small way.
The biggest danger to cocaine? Using cocaine to stave off the over-dose effects of other longer-lasting drugs, and then running out of cocaine before you run out of the other drugs and then dieing from alcohol poisoning or opiate over-dose. Cops and politicians will pretend cocaine killed those people, but anyone who knows jack shit about drugs or gets to see the actual toxicology report knows better.
Shitty boss/job? Having extra money lets you tell them to fuck themselves and move to another job at any time. If you don't have extra money, well you are not going to be able to tell your shitty boss to shove it unless you want to risk becoming homeless and destitute. Legal trouble? Well money is the solution, which is why poor people are so often screwed over by legal trouble because they can't lawyer their way out. Etc etc
Similarly, I don’t think you could reasonably suggest that someone who has a couple of glasses of wine during such events has a drinking problem.
> Significant drug users often don't realize how much of a bubble they're in. Also, the goalposts for having a drug problem tend to be moved around a lot when everyone you know is using drugs regularly. Typically, being unable to say no when offered a drug is a sign of having a problem
Personally, I’d consider someone who uses cocaine on a daily basis to have a problem. I’d also like to suggest that it’s pretty hard to have a cocaine problem and not use cocaine on a daily basis.
OTOH, someone who infrequently shoots up cocaine probably isn’t addicted but would be engaging in some seriously risky behaviour unless they’re able to very precisely measure their dosage. I’ve never heard of anyone doing that though, it’s certainly not a common activity among the upper socioeconomic classes.
> The works "typical" and "meaningful" are doing a lot of work here. One of my friend groups has a lot of ER nurses. They see a non-trivial number of people coming to the hospital from casual cocaine use. These cases are generally waved away as other conditions by drug users (e.g. heart attacks, etc) and therefore they don't "count" in some people's minds. Yet it's a common finding for them on blood workups for people, including young people, arriving with cardiovascular problems
To my knowledge there exists no evidence that anything less than massive cocaine use could result in new cardiovascular issues. Of course it may trigger an existing condition, but someone who has a heart attack during normal casual use of cocaine would probably be prone to have one during exercise also. The stress on the heart from cocaine usage is not particularly different from fairly normal day-to-day activities of people who do not use cocaine.