Much easier to set up, yes, but many people learn about ADHD and medication from the internet lately (TikTok especially) and assume it's a complete fix in a pill.
You're a perfect example of doing it right: Setting up routines, setting up guardrails, maintaining the old techniques for discipline. Unfortunately that's not what happens with a lot of people who skim internet comments and then get a prescription from their doctor.
This problem isn't unique to ADHD. There's a similar problem with depression where people get SSRIs and assume they don't have to make any efforts any more, then wonder why they're still somewhat depressed. It's a difficult problem to solve when people only see their doctors for a small window of time but then consume hours and hours of low-quality internet advice from Reddit and TikTok every day.
Certainly. On dexamfetamine, focus has a distinctive sticky quality to it. I need to be very careful where I direct it. Opening HN mid-morning means a productive session of commenting and getting into Internet arguments.
It's a negative side effect that can be overcome with a good routine and schedule. I take my meds, sit at my desk and open Emacs at 9am every day, 7 days a week. Distractions are blocked, so the path of least-resistance is just doing work. But then again, good routine and schedule are relatively easy to set up once medicated.