I think there’s something to be said for just the rising rate of actual diagnoses of neurological medical conditions that count as a disability. This would obvious behave an affect on the number of students across the board needing accomodations for their disabilities.

Additionally, there are far more poor people who aren’t being diagnosed at all and those people are likely to go to elite colleges. Poor people are substantially more likely to go to community college than they are to ivy leagues, and they are far less likely to ever get a diagnosis for a neurological condition.

So while I am sure that there are some rich kids getting to these schools and realizing they are in over their heads, and I’m sure some of them are rich enough to pay a doctor for the diagnosis they want, I find the disbelief rather egregious, especially in light of the difference in challenge of the curriculum at an ivy league vs a community college.