OP has had parts of his frontal lobe removed.
The 'doctor' that prescribed him the medication is most likely a neurologist
or something of the like and not his psychiatrist.
Ritalin stimulates the frontal lobe as well as parts of the brain stem(which
was discovered only about 10 to 12 years ago) Before that it was thought that
neurons last a lifetime and never undergo tissue renewal. The fact that this was
found out only 10-12 years ago gives a good idea of how little is known about the
workings of the brain.
The possibility of the brain stem cells to differentiate and regenerate frontal lobe
tissue is most likely the reason that his 'doctor' prescribed him ritalin. If his doctor knew about nootropics would he have prescribed them? IMO only if there was a certain nootropic that was better suited for his medical condition.
The key word there is medical condition should nootropics(or I should say racetams specifically) be given to people to improve cognitive function?
IMO only if the possible benefits outweigh the possible risks.(What are the possible risks? I don't know but I can think a broad spectrum of POSSIBLE risks that range from cell apoptosis all the way to brain cells behaving asocially leading to cancer. When you take these things when you're old and in a senile state you probably won't develop cancer but if you start taking them when you're under 30 and do so for a considerable period of time IMO just using common sense it is possible.
"In fact it is entirely possible that anyone with any degree of critical thinking and access to the internet can design themselves a perfectly safe nootropic stack that will be more effective and far less damaging than what the doctor prescribes them."
This is a very general statement your doctor can prescribe you an antibiotic as a placebo and if you take fish oil it can be true. MAY be true for non-extreme cases of depression, anxiety or other few circumstances depending on what kind of nootropics you are talking about.
In most cases I would have to disagree and think that is quite ridiculous. That statement just made me think Kevin Trudeau and I think he thinks that aliens are still after him.
It's your brain you can put as many racetams and vintopentenes or whatever they're called in them, it's not right to influence impressionable people that read a few message boards and read a few pubmed articles and think they have done "research" what to do with theirs.