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Notes -
Why are drugs (Adderall etc.?) at all akin to extra time, or generally the problem you discuss? Someone who takes Adderall to complete the job in the allotted time still completes it in the allotted time.
Not that the analogy is perfect, but if anything, the restriction of access to drugs feels more similar to "accommodations" here: rather than letting the law of the jungle do its work and give the job to whoever is willing to sacrifice whatever it takes to do it best and fastest, it artificially levels the playing field for the benefit of those who would not augment their performance with drugs, even if the job to be done suffers for it. Presumably the reasoning is that for moral/aesthetic/higher reasons, we value the undrugged equilibrium higher than the best possible legal work, just as disability accommodations are justified because for moral/aesthetic/higher reasons, we value equity higher than the best possible legal work.
(edit, I see @fmaa made the same point below. Should have refreshed before posting)
To be honest, it was a separate train of thought that was combined in my head incorrectly. Both are manifestations of doctor shopping based grubbing in law school, but you're right, the valence is precisely opposite.
I had a roommate in law school with a prescription for addies, and he started dating a friend of mine 1L year, and right before finals I caught her walk of shaming out of there when I was making Turkish coffee. I of course offered her coffee, she scurried out. My roommate proceeded to tell me that she had asked him if she could buy some adderall off him, and he had said "Oh, you'll find a way to earn it..." and I started laughing and said "Jeez, if y'all were black and lived in Baltimore they'd call this prostitution for amphetamines."
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