Yes, let them dope themselves but keep track of collateral effects: any athlete who dies before some life expectancy mark looses all medals, victories and throphies. So does any athlete that starts requiring dialysis at any age. Anything else? Liver failure too perhaps? And any hormonal therapy I guess.
Now we're back into competition: to see who has the body that can take the greatest amount of trash and survive long enough AND win some events.
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"Tout ce qui est exagéré est insignifiant." ("All that is exaggerated is insignificant.") - Talleyrand
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