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📈 Pediatric ADHD/antidepressant over-prescription becomes an opioid-style reckoning

Jason's call, backed by Chamath: the mass prescribing of amphetamines and antidepressants to children (teen antidepressant scripts +38% since 2015; schools pressuring parents) is a public-health scandal in the making that gets re-read the way the opioid crisis was — 'we're going to look at this like the opioid crisis, I guarantee it.' Chamath adds that over-prescribing operators are already being shut down and sanctioned, and discloses his own book in the non-drug alternative: Akili, an FDA-approved prescription video game for 8-11 year olds with ADHD (listed as AKLI at the time, since delisted, so it is not scoreable as a play). The tradeable read-through is regulatory, reputational and litigation pressure on the stimulant/CNS makers.

0 CONVICTION
peaked 55.0 WATCH
DORMANT
band
▼ SHORT TEVA
expression · bearish equities
WRONG
result · return -2.8% · vs SPY -12.9%
2023-09-10
born 2022-09-10 (E95) → window closed

⚖ Why this result

fully deterministic — computed from daily closes on the scoring date; nothing below is editable or hand-set

  1. Window: 2022-09-10 → 2023-09-10 — first mention + 12-month horizon, then the window locks.
  2. The call: ▼ SHORT TEVA (primary play). TEVA rose 2.8% over the window → return (sign flipped for a SHORT) = -2.8% (the call lost money).
  3. Benchmark: holding SPY over the same window returned +10.2% → vs SPY = -2.8 − (+10.2) = -12.9% — what this call made or lost against just owning the index. This is the number the result uses.
    Direction-only read: +7.4% — did TEVA move the predicted way relative to the market. The two only differ on a SHORT: this call was right about direction relative to the index but still cost money versus holding it.
  4. Rule fired:
    · RIGHT — return ≥ +10% AND beat SPY by 5+
    · HALF — return ≥ +5% OR beat SPY at all
    ▶ WRONG — everything else
  5. Credit: supporters of a WRONG earn 0 each, opposers the opposite — this feeds the scoreboard. supported: Chamath, Jason

Conviction timeline

bands: green ≥ 65 · watch ≥ 45 · ember ≥ 15

Plays vs SPY · % since first mention (2022-09-10)

Plays

expressionsymbolkindrelevancerationale
▼ SHORT TEVAstock PRIMARY largest US supplier of generic ADHD stimulants and antidepressants, and the company already carrying the opioid-settlement template the besties invoke by name — the most liquid proxy for the thesis
▼ SHORT SUPNstock adjacent Supernus is the closest listed ADHD pure-play CNS pharma
▼ SHORT TAKstock adjacent Takeda owns Vyvanse, the branded pediatric ADHD stimulant franchise

Mention log newest first

Chamath
Chamath equities 42% · n=163 · E103 (2022-11-05) · explicit_prediction · strength 3 ▶ 1:02:29 SUPPORT
“Stimulant prescription is now the single biggest epidemic in children. It is now twice as prescribed as contraceptives and asthma drugs.”
Jason
Jason equities 49% · n=105 · E95 (2022-09-10) · explicit_prediction · strength 3 ▶ 1:09:16 SUPPORT
“to say they're overprescribed is going to be a huge understatement. We're going to look at this like the opioid crisis, I guarantee it.”
Chamath
Chamath equities 42% · n=163 · E95 (2022-09-10) · positioning · strength 2 ▶ 1:03:51 SUPPORT
“There is an epidemic right now of the over prescription of amphetamines to children who are diagnosed with ADHD. It's terrible. It is an enormously important issue that doesn't just touch kids anymore, but now also touches adults. You've seen a lot of really kind of bad companies that are over prescribing this stuff get shut down and get sanctioned.”

Who built this conviction

each voice's total push on the score, in conviction points across every mention — supports and opposes · share = % of all mention-driven movement

Jason
Jason 49%
1 scoring event · 64% of moves
+42.0 → net +42.0
Chamath
Chamath 42%
2 scoring events · 36% of moves
+23.6 → net +23.6

⏳ decay drained -54.1 over the idea's life — that's time passing, attributed to no one

Score events

episodekindΔafternote
E95 2022-09-10 init +42.0 42.0 E95 born by Jason (explicit_prediction x3)
E95 2022-09-10 reinforce +13.1 55.0 E95 Chamath support x2 (new voice)
E96 2022-09-17 decay -2.2 52.8 E96 silent
E97 2022-09-23 decay -2.1 50.7 E97 silent
E98 2022-10-01 decay -2.0 48.7 E98 silent
E99 2022-10-07 decay -1.9 46.8 E99 silent
E100 2022-10-14 decay -1.9 44.9 E100 silent
E101 2022-10-22 decay -1.8 43.1 E101 silent
E102 2022-10-29 decay -1.7 41.4 E102 silent
E103 2022-11-05 reinforce +10.6 51.9 E103 Chamath support x3
E105 2022-11-19 decay -2.1 49.8 E105 silent
E106 2022-12-03 decay -2.0 47.9 E106 silent
E107 2022-12-10 decay -1.9 45.9 E107 silent
E108 2022-12-16 decay -1.8 44.1 E108 silent
E109 2022-12-24 decay -1.8 42.3 E109 silent
E110 2023-01-06 decay -1.7 40.6 E110 silent
E111 2023-01-13 decay -1.6 39.0 E111 silent
E112 2023-01-20 decay -1.6 37.5 E112 silent
E113 2023-01-27 decay -1.5 36.0 E113 silent
E114 2023-02-04 decay -1.4 34.5 E114 silent
E115 2023-02-11 decay -1.4 33.1 E115 silent
E116 2023-02-17 decay -1.3 31.8 E116 silent
E118 2023-03-03 decay -1.3 30.5 E118 silent
E119 2023-03-11 decay -1.2 29.3 E119 silent
E120 2023-03-17 decay -1.2 28.1 E120 silent
E121 2023-03-24 decay -1.1 27.0 E121 silent
E122 2023-03-31 decay -1.1 25.9 E122 silent
E123 2023-04-07 decay -1.0 24.9 E123 silent
E124 2023-04-14 decay -1.0 23.9 E124 silent
E125 2023-04-21 decay -1.0 22.9 E125 silent
E126 2023-04-28 decay -0.9 22.0 E126 silent
E128 2023-05-12 decay -0.9 21.1 E128 silent
E129 2023-05-19 decay -0.8 20.3 E129 silent
E130 2023-05-26 decay -0.8 19.5 E130 silent
E131 2023-06-02 decay -0.8 18.7 E131 silent
E132 2023-06-10 decay -0.7 18.0 E132 silent
E133 2023-06-16 decay -0.7 17.2 E133 silent
E134 2023-06-24 decay -0.7 16.6 E134 silent
E135 2023-07-01 decay -0.7 15.9 E135 silent
E136 2023-07-09 decay -0.6 15.3 E136 silent
E137 2023-07-14 decay -0.6 14.6 E137 silent
E139 2023-07-27 decay -0.6 14.1 E139 silent
E140 2023-08-04 decay -0.6 13.5 E140 silent
E141 2023-08-11 decay -0.5 13.0 E141 silent
E142 2023-08-18 decay -0.5 12.4 E142 silent
E143 2023-08-25 decay -0.5 11.9 E143 silent
E144 2023-09-01 decay -0.5 11.5 E144 silent