[suggestion]

The point is it's obviously a problem of perspective. Things are not important because they aren't considered important. If the stakes are higher they are elevated in importance and more demanding of attention.

To pretend that humans are hedonic beasts incapable of cognitive adaption is ridiculous. We do not operate purely on impulse save for pharmaceutical intervention. We can force ourselves to give things more or less importance regardless of the actual stakes.

[autoexec]

Exciting and even emergency situations don't cure ADHD or allow people with ADHD to magically function "normally" (or even effectively enough to avoid serious harm to themselves/others). The amount of importance a person with ADHD attributes to a task doesn't tell you if they'll be able to complete it as well as they would if they were being treated with medication or even if they will be able to complete it at all.

People with ADHD cannot all just "force themselves" to function. Novelty, excitement and interest can help, some of the time, but the rest of the time it's disaster. Depending on severity, the result of not getting the treatment they need can often include things like an inability to keep a job, homelessness, prison sentences, and accidents/injury. Those kinds of outcomes are pretty damn important to avoid, extremely stressful (exciting) to experience or be in imminent danger of, and certainly more than enough to motivate people to do the best that they can, but some percentage of people will never be able to avoid those outcomes by trying to will themselves into "cognitive adaption".

Others may be able to stave off the absolute worst outcomes without medication, but only through exhaustive efforts that prevent them from accomplishing the things they want in life. Why should someone constantly and needlessly push themselves to their absolute limit just to accomplish what comes easily for most people? For what? Bragging rights about how they reshaped their brains by sheer force of will? If medication for a mental condition can make people's lives better they should be free to take it.

To whatever extent you've been able to function without medication, that's great. Don't assume that what worked for you is applicable to everyone else, or even to most other people.

[rini17]

You are forgetting what people did before psych meds were available. Almost everyone treated themselves with alcohol and tobacco. Coffee is up there, too. There is cognitive adaptation, not denying it, but only up to a point.

[suggestion]

Tobacco didn't exist for most of the world until the 17th century and you're discounting the fact that life was objectively much worse by virtually every metric.

People were constantly bombarded with death, disease, things like starvation were near term risks, violence was everywhere, etc.

You're also overestimating the prevalence of alcoholism. Alcohol consumption was largely driven by safety and necessity, not abuse. Alcoholism was arguably more of a social stigma historically than it was today, certainly with harsher criminal penalties in many societies.

[elcritch]

And living, or rather surviving, on adrenaline fueled high stakes brinkmanship sucks. Especially if that's just to enable doing simple chores.

[bgilroy26]

The situation you're describing is circular. Perspective taking and prioritization are executive functioning skills and executive functioning skills are precisely what are lacking in a person who has ADHD

[suggestion]

This is a gross over exaggeration of ADHD and under exaggeration of the effectiveness of non pharmacological treatments