Living The Off-Label Life
Professor Henry T. "Hank" Greely is quoted in a guest editorial column in The New York Times about the use of Ritalin and Adderall for off-label use to improve memory:
Cognitive enhancement — a practice typified by the widely reported abuse of psychostimulants by college students cramming for exams, and by the less reported but apparently growing use of mind-boosters like Provigil among in-the-know scientists and professors — goes against the grain of some of our most basic beliefs about fairness and meritocracy. It seems to many people to be unnatural, inhuman, hubristic, pure cheating.
That's why when Henry Greely, director of Stanford Law School’s Center for Law and the Biosciences, published an article, with a host of co-authors, in the science journal Nature earlier this month suggesting that we ought to rethink our gut reactions and “accept the benefits of enhancement,” he was deluged with irate responses from readers.
“There were three kinds of e-mail reactions,” he told me in a phone interview last week. “‘How much crack are you smoking? How much money did your friends in pharma give you? How much crack did you get from your friends in pharma?’”
But Greely and his Nature co-authors suggest that such arguments are outdated and intellectually dishonest. We enhance our brain function all the time, they say — by drinking coffee, by eating nutritious food, by getting an education, even by getting a good night’s sleep. Taking brain-enhancing drugs should be viewed as just another step along that continuum, one that’s “morally equivalent” to such “other, more familiar, enhancements,” they write.