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There aren't clear lines between an unfair competitive advantage and a legitimate use of a performance enhancing tool. I think that if you let an amputee sprinter compete in "normal" competition - an individual who is clearly differently equipped to run a race than any other competitor - you need to consider allowing other types of performance enhancing tools as well.
My red blood cell count isn't as high as others. Should I be allowed to blood dope? Why not? It's not my fault and I work hard with my condition.
I can't seem to build muscle naturally the way that other competitors can. Should I be allowed to use steroids. Why not?
Why not make every performance enhancing tool fair game?
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