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Douglas_Knight comments on Help: Neurochemistry question - Less Wrong
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Professionals aren't allowed to optimize for their patient's intelligence and productivity, they're only allowed to prescribe medicines to treat the conditions listed in the DSM, which, sadly, does not recognize the lack of superhuman productivity as a disease.
I don't think that's an accurate description of the legal restrictions on doctors. But the legal restrictions are not relevant, only the actual behavior, which has some resemblance to what you say.
As a clinical social worker and a therapist, I can attest to the fact that if you want to bill an insurance company for therapy you have to label the patient/client with a DSM diagnosis. If one is paying a doctor themselves for medication, there probably is a bit more leeway.