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Any kind of regulated doping has the same problems as the current anti-doping regimes. Whatever regulations you have, some people are going to try to get an advantage by breaking them. You need to catch some of those people or you don't really have regulations.

While physical activity is good, high level competitive sports takes a toll on the body. Adding doping into the mix means that you willingly encourage athletes to take even more risks with their health and life. You also create a much bigger opportunity for countries with loose human rights track records to abuse individual athletes they have control over, as having Olympic medalists is used as a political tool for politicians to improve their standing on the global stage, and to improve their image within their country.

You should read up on the history of doping, it's not pretty. An example I have in mind is female swimmers from USSR who were forced to get pregnant (by their coach) and abort before the competition to rise their hormone levels, as it was thought to help their performance. Compare images of what female swimmers looked at the time vs what their look like now.

I don't think anyone who cares about human rights want to go back to that era. And

While physical activity is good, high level competitive sports takes a toll on the body. Adding doping into the mix means that you willingly encourage athletes to take even more risks with their health and life. You also create a much bigger opportunity for countries with loose human rights track records to abuse individual athletes they have control over, as having Olympic medalists is used as a political tool for politicians to improve their standing on the global stage, and to improve their image within their country.

You should read up on the history of doping, it's not pretty. An example I have in mind is female swimmers from USSR who were forced to get pregnant (by their coach) and abort before the competition to rise their hormone levels, as it was thought to help their performance. Compare images of what female swimmers looked at the time vs what their look like now.

I don't think anyone who cares about human rights want to go back to that era.

I suppose you're getting downvoted because there's just no simple answer, except that it can't be that ?

If you push that to it's logical conclusion, the whole marketing angle around sport falls apart (you can sell aspiration and lifestyles, you can't for drugs), and if there's no money left, no professionals will be left as well, and we end up with Guinness book record types of chalenges.

It's the same reason all major sports have seemingly sily rules or performance limitations (cycling and the bike bans are my favorite ones), you need to care about the business side to keep a sport alive