What is his main proposition? He has a model of the world in which enormous amounts of energy and money are being spent running a rat race where the satisfaction only comes from winning it, not from running it, and meanwhile there are numerous places where just a small fraction of that energy and money could be spent, creating great and lasting benefits. His proposition is that in the current situation, modafinil is known mostly to a minority which includes people working on some of those important neglected matters, but if modafinil becomes as well known as Prozac or Viagra, its main consequence will be that the rats in the rat race will all run faster, with no net benefit.
Your comments imply that you disagree with this model, but you need to say where and why.
I think that Yvain's thoughts on the matter are poisoned by working in a poisoned field. Would doctors be better if they studied 16 hours a day, instead of 10? Some, but not much. Perhaps people would live a bit longer- but better for everyone to adopt intermittent fasting than to slightly improve the quality of doctors.
But why only give modafinil to studying medical students, and not those who hold lives in their tiring hands instead of books? Given the hideous prevalence of medical errors, and their known association to fatigue, I would far prefer a doct...
If it's worth saying, but not worth its own post (even in Discussion), then it goes here.