The article frames the nonmedical use of PCEs by healthy students as a form of academic dishonesty, particularly among privileged populations. Many students in the study compared this off-label use to cheating, as it provides an unfair advantage in academic settings without merit-based justification. This highlights how such behavior is often overlooked or downplayed—especially when done by affluent, white students—despite violating norms of academic integrity and reinforcing systemic inequities.