Faster. Higher. Stronger. Braver.by Jennifer Gibson, PharmD | March 10, 2011
Athletes the world over are continuously searching for new ways to one-up their competition. Better training, improved technique, innovative coaching. In sports, if not always in life, there are clear winners and losers, and, often, the winners are the ones who can combine natural talent with the best and brightest advantages training and coaching have to provide. When the advantage comes from the latest and greatest gadget or gear, coaching style, or training regimen, competitors are just sorry they did not find it first. But, when the advantage comes from performance-enhancing drugs, the line between winners and losers gets a little blurry. And now, there are some sports gurus and bioethicists who wonder if legalizing performance-enhancing drugs is, in fact, a fair play.
The desire to succeed in sports has led many athletes to use so-called doping substances to enhance performance. Doping agents include anabolic steroids, human growth hormone, creatine, protein supplements, minerals, antioxidants, stimulants, erythropoietin, beta-blockers, and inhaled beta-agonists, among other substances. Most of these drugs and substances have a place in the appropriate management of defined disease states under the care of an experienced medical professional. However, when they are used without proper medical guidance and knowledge of the risks and benefits, the potential for physical and psychological damage is enormous. Most of these substances have been designated as banned by the World Anti-Doping Agency, making users of the substances ineligible for competition in most mainstream sporting events.
One survey of Olympians reports that 90% of athletes believe doping substances have positive, performance-enhancing effects. (For most of the substances, however, little or no data confirm this belief.) Nearly one-third of the athletes admitted personally knowing someone who has used a banned doping substance, and 15% were offered such a substance during their athletic career. Stimulants and anabolic steroids are the most cited drugs, in terms of availability and benefit, according to these athletes. Athletes engaged in competitions of speed and power is the most-often approached group when it comes to doping opportunities. Overall, the athletes did not view doping as a major health risk, an attitude that needs to be addressed, according to many experts.
Similarly, another analysis of young male athletes reports that shame, not health consequences, is the primary reason that athletes do not engage in doping. Injury recovery and economics of elite sports reportedly encourage doping. A large group of the athletes acknowledged that they would use a banned doping substance under conditions of guaranteed success and undetectability.
In an argument somewhat akin to the medical marijuana debate (If they’re going to do it, let’s control it.), some supporters of legalizing banned doping substances posit that it is better to know when people are engaging in unhealthy or risky behavior than it is to not know. Plus, if doping were made legal, it would be provided under medical supervision, leading to a decline in the number of adverse health consequences, and the related costs, currently associated with doping. Unfortunately, some doping cases are already provided under supervised medical care, with physicians diagnosing medical conditions and prescribing some of the banned substances for “therapeutic use”. The clinical judgment skills in such cases are misguided at best.
Another argument brings to mind the age-old question about jumping off a bridge if all your friends were doing it. The fairness argument claims that legalizing doping substances would level the playing field, allowing all athletes to compete with access to the same performance-enhancing techniques. Supporters further elaborate that the substances do not do the training for an athlete — he still needs to lift weights, run laps, or practice at-bats; doping just lets him do it better. In the end, though, the athlete with the best pharmacist wins.
Still another case for legalizing banned doping substances evokes prohibition-era moonshine, bootleggers, and speakeasies. The more a product is deemed illegal, the deeper underground it will go, making it even more dangerous, both physically and criminally. Most likely, legalizing doping substances will not set a firm line as to what is acceptable and what is not. It will merely move the line into more treacherous territory.
The cynics will claim that complete eradication of doping in sports is an impossibility, so embrace what is known, and educate athletes to use the substances responsibly. The idealist will recall that sports are beloved because they allow humans to go far beyond the potential that most people see in themselves, and in others. The winners in sports, as well as life, should be the ones who recognized the potential within themselves, worked hard to perfect their talents, and played fair until the end. To lose respect for the rules of the game, and ones competitors, is to sacrifice the gift of one’s talents.
Alaranta A, Alaranta H, Holmila J, Palmu P, Pietilä K, & Helenius I (2006). Self-reported attitudes of elite athletes towards doping: differences between type of sport. International journal of sports medicine, 27 (10), 842-6 PMID: 16586338
Bloodworth A, & McNamee M (2010). Clean Olympians? Doping and anti-doping: the views of talented young British athletes. The International journal on drug policy, 21 (4), 276-82 PMID: 20056401
Greydanus DE, & Patel DR (2010). Sports doping in the adolescent: the Faustian conundrum of Hors de Combat. Pediatric clinics of North America, 57 (3), 729-50 PMID: 20538154
Kayser B, Mauron A, & Miah A (2005). Viewpoint: Legalisation of performance-enhancing drugs. Lancet, 366 Suppl 1 PMID: 16360735
Kayser B, Mauron A, & Miah A (2007). Current anti-doping policy: a critical appraisal. BMC medical ethics, 8 PMID: 17394662
McKenzie DC, & Fitch KD (2011). The asthmatic athlete: inhaled Beta-2 agonists, sport performance, and doping. Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine, 21 (1), 46-50 PMID: 21200170
Rogol AD (2009). Growth hormone and the adolescent athlete: What are the data for its safety and efficacy as an ergogenic agent? Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society, 19 (4), 294-9 PMID: 19487146
Wiesing U (2011). Should performance-enhancing drugs in sport be legalized under medical supervision? Sports medicine (Auckland, N.Z.), 41 (2), 167-76 PMID: 21244107
Thinking Slow About Thinking Fast – Part III
Migraine and Stroke – What’s the Link?
The Intrapersonal Consequences of Schizophrenia
Thinking Slow About Thinking Fast – Part II
The Relationship Between Depression and Arthritis
The Gamification of the Literary Mind
Fetal Pain – When Does Pain Become Pain?
The Hollywood Medical Reporter – Medics in the Media
Welcome to the new Brain Blogger! We just completed a complete redesign of our desktop and mobile Brain Blogger sites. Powered by the web-design expertise... READ MORE →
Do not miss out ever again. Subscribe and get latest Brain Blogger articles straight to your inbox.
Like what you read? Give to Brain Blogger sponsored by GNIF with a tax-deductible donation.Make A Donation