A report examines whether students are faking disabilities and finds that the lived reality of many students with disabilities includes significant paperwork burdens, rising health costs, overworked administrators, and skepticism from faculty. The piece frames disability documentation and accommodation processes as structurally challenging rather than simply policed by individual misconduct. For higher education leaders, the article spotlights friction points in disability services workflows—especially where administrative capacity and faculty training are limited—and how those gaps can shape trust on campus. The discussion matters for institutional compliance and student success, particularly during periods when AI tools and documentation practices are accelerating and students face heightened scrutiny about legitimacy of accommodations.