I don't think that anecdotes, personal beliefs, or unqualified claims are the right way to approach something like this, especially if you don't have any personal or professional experience with the disorder.

Any disorder or disease that requires a potentially addictive medication will inevitably have crooked doctors - this is seen as well with patients requiring Morphine or Codeine. This crookedness is a separate issue from the illness, and is not relevant in a discussion about neurobiology.

That's a symptom of bad healthcare systems.

In the UK, I didn't have to pay anything for refills of concerta. In NZ, I only had to pay the GP who gave me a referral to a free psychiatrist for methylphenidate and dexamphetamine sulphate.

In both places, it has been a relatively long journey to get medication. They were keen to try to resolve my issues without drugs - it was about half a year between when I started seeing a psychiatrist and when they suggested medication.