03/12/2026
“Hey doc, can you just write me Adderall? I don’t have money for an appointment.”
A stranger texted me this.
I never even got their name.
I shouldn’t have engaged at all, but I responded no — because prescribing a controlled medication to someone I have never evaluated is unsafe, illegal, and frankly terrible medicine.
Their response?
“Other doctors let you just text them and they send it in.”
Then the insults started.
I was called a bird, a n***y, and a few other things not worth repeating.
And it made me think about a bigger question:
Why do some people believe physicians should work for free?
Would this person show up to their job and provide services to a stranger for free?
Would they risk their professional license for someone they’ve never met?
Because that’s exactly what they were asking me to do.
Prescribing medication — especially controlled substances like Adderall — requires:
• A full medical evaluation
• Review of medical history
• Mental health screening
• Medication history
• Assessment for safety and misuse
• Proper documentation
• And an established physician-patient relationship
Without that, it isn’t just “cutting corners.”
It’s dangerous medicine and it can cost a physician their license.
Doctors are not vending machines for prescriptions.
We spent years training to practice safely and responsibly. Our licenses — and our patients’ safety — depend on doing things the right way.
So no… I will not prescribe medication to a random person who texts my phone.
And yes… physicians deserve to be compensated for their time and expertise just like every other professional.
Curious what people think:
Why do you think some people expect medical care — and prescriptions — for free?