It’s easy to get medication because you don’t have ADHD (or are high functioning). The rules that have formed around ADHD medication are designed to prevent abuse, but in reality are one huge ADHD obstacle course that is incredibly difficult to navigate for someone who actually has ADHD.
Many of the steps you take to get on medication when you don’t need it seem trivial. To someone with ADHD, each of those steps is a barrier that they have a high chance of failing to clear because they “just forget” or “don’t follow up.”
Needing to setup and coordinate appointments amplified by the regular required checkins, the monitoring of “steady use” in filling your prescriptions, on-again off-again potentially impacting your eligibility. Needing to coordinate migrating your entire diagnoses and treatment history over (including childhood) to get a new prescription from a new doctor. Etc.
I don’t like being on ADHD medication because of the side-effects and the impact on how I communicate. So I frequently fall off the wagon. As soon as I’m off my prescription, the obstacle course starts over and I have to navigate it to get back on my medication.