To be perfectly honest, while concerning from a corruption perspective, these substances might not be doing what you think.
Are you worried about any and all on the job use? You might be okay with an occasional drink/smoke/addy. I’ve met some people that work very well under these substances, even on a daily basis. I’m not saying this is ever a good cultural decision. Perhaps your a purist.
The stims actually have some stuff under the surface many people aren’t aware of. For instance, many people with cognitive problems do well with even hard stimulates, coke, meth, etc; they do well in the short term, but it doesn’t last. Modern ADHD meds are supposed to alleviate this.
Here’s the kicker. Millions (100,000s?) are being told that their lives are too good for ADHD, then things go to shit. Either that or they tell you you’re too much of a degenerate; just give up your career living independently, and move in with your parents at 30+. They have lots of patients who are wards of the state, that can’t live independently.
Discrimination towards people with ADHD actually seems to be accelerating due to these policies. The world isn’t black and white.
Maybe you were talking about conscious and problematic use? Are you worried about off the job use?