i hate capitalism as much as the next guy (i'm literally a socialist) but i still want to be successful, have healthy relationships, plan events in my life appropriately, and not let people down by inaction, forgetfulness, or social outbursts.
fwiw i'm hugely successful and was even without medication excelling in my field and have contributed to world-changing projects. but i still was frustrated about my utility, my actions in social situations, and the issues i had with executive dysfunction.
i don't fit any mold, and could give less than two shits about "fitting in" in the general sense, but i still want to create good works, build a career, and especially do things like raise a family and enjoy my time with others. and all of those things are domains where ADHD has an effect, and where medication helps.
i've been on-and-off medicated, and there is 100% a utility in it for some.