Modern day living is now a highly competitive sport. The field events are well established: catching a bus driven by a cynical driver, getting a promotion at job, getting good grades in college, getting a grant for research, getting your research paper published, etc. Where there is extreme competition, there is room for the use of performance enhancement drugs. Some would call this ‘room for cheating’ but I am ambivalent on this. Enhancing your performance to compete is simply the natural thing to do. How far can/should one go in that direction is debatable but we can’t pretend that we have answers to the questions yet.
There an excellent discussion at All In The Mind podcast by Natasha Mitchell.