At the same time that more doctors were prescribing stimulants, a new analysis finds that 1 in 18 U.S. physicians received some form of payment from drug companies that were marketing these medicines, notably ADHD pills often prescribed for children. And the researchers suggested the financial ties may have partly contributed to the rise in prescriptions.

Between 2013 and 2018, nearly 592,000 payments totaling more than $20 million were made to physicians who prescribed stimulants, according to the analysis in JAMA Pediatrics, which reviewed a database run by the U.S. government. Overall, about 55,000 pediatricians, psychiatrists, and family doctors received food, travel expenses, consulting and speaking fees, or other payments.

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