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Because I don't think a 2 year old should be given Adderall without a parent knowing?
I personally am pretty open minded about these things, I was able to get birth control with my partner when I was 15 without her Catholic parents knowing. That was very important, but I recognize that if we were 10 it maybe becomes a different conversation involving parents.
You might say a parent could be included but you also have cases of divorced parents where one parent is for and another is against and there is a question of if the childs opinions are theirs or their parents. What age should the child be able to make the call? 15? 10? 5?
What a totally reasonable and not completely fictional scenario that shows you are discussing in good faith.