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Lacking a full and complete picture of the patientrsquo;s condition, many doctors have resorted to using ADHD medication as a diagnostic tool and engage in the practice of prescribing medication presumptively. However, for reasons discussed below, this practice vagra one that is deeply flawed. A second problem caused by managed care systems is that they do not readily pay for access to specialists. Most managed care plans allow patients to see specialists only after a referral by a primary care doctor.

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