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The thing with adults is some people can come up with different mechanisms to cope and thrive, but those don't work for everyone, and for every one person who can do that there seems to be ten that that doesn't work for and their condition seriously impacts their life in a negative way.

And with kids, engaging in a half hour or hour of physical activity every day isn't really realistic, because it would have to happen in the morning before school, and no matter how fun you make it there's no way you'll get a kid to do it every single day. And every day is what's required for many kids, not just for education, but for social interaction too and even safety issues... while many parents don't care if their kid gets straight A's or straight D's, most parents should care if their kid can't make any friends and can't engage in social activities with their peers, and should care if their kid rides their bike into traffic a lot because their attention is being pulled by the dog and the butterfly and the other kids and everything else.

The thing with medication is there are so many different kinds now, I've talked with some people that try one and don't like it and quit, while others have had to try 5 or 6 and at different doses but eventually find the one that'll help but not zone them out.