The problem with performance enhancing drugs isn't their use per se, it's the fact that competition at a high level more or less forces you to use any and all means at your disposal to win, and this forces would-be winners to consume large, unhealthy, long-term unstable and harmful amounts of drugs.<p>People who manage sports associations are comfortable with people sacrificing time and fortune for their passion, but they are not (in general) comfortable with creating an environment in which people must sacrifice their health and well-being to compete.<p>PEDs in some form should probably be (and in fact are, in most states) legal for personal use, but I believe that anything with the potential to cause long term bodily harm when abused should be banned in organized competition by the organizers (not some state, unless it's a publicly funded athletic organization). I further believe that unless demonstrated to be safe, most medications should be assumed to be damaging, within reason. There should be a long, slow, tedious path to approval.<p>That's the world view that, to me, does the best job of creating a healthy environment for athletic competition.