I had neither healthcare coverage in high school nor expensive college consultants. When I got to college (Cornell) all my friends told me they had plenty of extra time on the standardized exam (the SAT) by virtue of doctors letters declaring conditions requiring accommodations. I'm sure some of these were legitimate. But practically everyone I spoke to supposedly had ADHD and resulting accommodations on the SAT. I'm not a MPH or Epidemiologist, but does 80% or 90% of the student population truly have a condition requiring accommodations?

Once 10 or 20% of students are doing this, it isnt unexpected for everyone to start doing it just to get on an even playing field. As usual, the poor students lose out because they cannot afford the doctors or expediters who can facilitate all these things.