Proper informed consent and respect for an individuals agency and right to make the ultimate informed decision seems to answer most questions. If I know the harms (the full extent), potential (even rare) risks, and these harms and risks are given the same level and weight as how I may benefit from a medication; then it is I that has full agency to decide. The current system fails as it attempts to move those labeled ill back towards what society deems respectable (generally, generating economic activity). Still, even if we accept as utterly arbitrary the labeling of mental illness, and note its social construction (the Crux of Foucault’s Madness: The invention of an idea, a novel I recommend to anyone unfamiliar) medication as a choice is ethical. We have created a tool that does something (well, some of it), and we should have some right to attempt to utilize any tool we deem fit. We should always have equal right to refuse any tool, and have the most honest and well rounded perspective presented before we decide. A drug based model allows discussion of what the substance will actually do, eliminating the theoretical pseudoscience about brain chemistry. For example, rather then some convoluted and poorly researched theory that stimulants “function differently” in the brain of someone diagnosed with ADHD, a doctor might explain that the child struggles with cognitive tasks involving sustained attention, and one option might be utilization of a powerful stimulant, which will have x set of effects other then simply increasing attention, a mid-high risk of dependence, and x side effects. Far less people would choose medication in this world, and the one’s that did would be making the best informed choice they good within their personal context.