Although you might disparage so called anti-ADHD people as being as a group ignorant, likewise some ADHD proponents exhibit a lack of knowledge of analogous medical anomalies like antibiotic abuse, or even somatic and conversion disorders (including, Münchausen syndrome or Münchausen syndrome by proxy)...
FWIW, it appears (to me anyhow) the current diagnostic of ADHD is problematic in that it is really an attempt to categorize a vague set of symptoms (effectively a syndrome) and associate this with a generic treatment plan. This is not unlike having a fever, stomach aches, etc and looking for some sort of pre-emptive and/or palliative cure in antihistamines and antibiotics (instead of perhaps waiting for a bacterial culture to verify the diagnosis before taking antibiotics). Sure some of those with symptoms might have TB or Salmonella poisoning, or have cold that results in secondary bacterial infection like pneumonia, so you can't rule that out, that possibility doesn't make it an inevitable (although personally, that's happened many times to me).
Studies like this ADHD study can really help to improve the situation greatly and hopefully result in a diagnostic tool that has much higher predictive powers for designing treatments rather than broad-spectrum palliative medications that can be over-prescribed and potentially have a net-negative outcome.
With more discrimination, sometimes newer treatment will emerge (like Neuraminidase inhibitors like Tamiflu did for actual viral influenza) that actually start to clinically improve outcomes (rather than just vaguely mask symptoms). In the meantime, palliatives are generally tradeoffs and if Ritalin actually helps a patient's situation relative to the side-effects, it is certainly useful, but as we can see with the anti-biotic over-use fiasco, the patents (or even the doctors) aren't necessarily always capable of making good tradeoffs in many cases, which leads me to be skeptical generally of ADHD being as wide spread as it is diagnosed (and similarly treated)...
My wife is a doctor and I know from her there is still strong bias and pressure to preemptively prescribe anti-biotics in the medical community (both from patents and over-worked doctors) even with all we know now... The main reason given... Just in case, side-effects are usually minimal, cannot treat the underlying virus anyhow and want to do something...
I suspect many feel the same is true with ADHD. It isn't that a brain/body disorder analogous to ADHD doesn't exist, it's just that we must be careful what we are trying to treat and why since we do not yet have the best diagnostic tools available to distinguish this disorder from other disorders for which we do not know the cause only symptoms, nor do we have a great understanding of the treatment outcomes relative to a specific underlying cause.