I am a pcyhotherapist and have seen many instances where children arent able to pay attention in class, are highly distractable, and cant retain information. Often this leads to low grades, poor peer relationships and as a result low self esteem. If this is the case I think medications should be considered. It often is a combination of factors that lead to these behaviors and they certainly should be addressed as well. But the reality is that classrooms are overcrowded, and some families have poor parenting. Sometimes the fact that a kid has to take a medication is low on the list of their problems.