Answers are grounded in this paper and cite their sources.
We provide a new wrinkle to the Argument from Unfair Advantage, a rather popular one in the ethics of doping in sports discussions. But we add a new argument that we believe places the moral burden on those who favor doping in sports. We also defend our position against some important concerns that might be raised against it. In the end, we argue that for the time being, doping in sports ought to be banned until it can be demonstrated that our concerns can be satisfied. Keywords/NAMES: the Argument from Increased Health Care Costs to Othersthe Argument from Unfair Advantageblood dopingdopingdrugsharmhuman natureSigmund LolandAngela J. Schneider and Robert B. ButcherRobert L. SimonsteroidsClaudio TamburriniTorbjörn Tännsjö Notes 1. For a critical assessment of the WADA's position on doping, see Petersen and Lippert-Rasmussen (2007 Petersen, T.S. and Lippert-Rasmussen, K. 2007. "Prohibiting drugs in sports: An enhanced proposal". In New waves in applied ethics, Edited by: Ryberg, J. and Petersen, T.S. 237–260. London: Palgrave MacMillan. [Google Scholar]). 2. As we note below, the latter two arguments merge at a particular point. Nonetheless, we shall treat them as separate arguments. 3. Tännsjö (2009). 4. Tännsjö (2009, 321). 5. Simon (2004 Simon, R.L. 2004. Fair play, 2nd ed., Boulder, CO: Westview Press. [Google Scholar], Ch. 2). 6. Boxill (2003 Boxill, J. 2003. "The ethics of competition". In Sports ethics, Edited by: Boxill, J. 107–114. London: Blackwell. [Google Scholar], 107). 7. Boxill (2003, 108, 112–4). 8. Boxill (2003 Boxill, J. 2003. "The ethics of competition". In Sports ethics, Edited by: Boxill, J. 107–114. London: Blackwell. [Google Scholar], 109). 9. Boxill (2003 Boxill, J. 2003. "The ethics of competition". In Sports ethics, Edited by: Boxill, J. 107–114. London: Blackwell. [Google Scholar], 111). 10. Daniels (2009 Daniels, N. 2009. "Can anyone really be talking about ethically modifying human nature?". In Human enhancement, Edited by: Savulescu, J. and Bostrom, N. 25–42. Oxford: Oxford University Press. [Google Scholar], 25–42); Sagoff (2005 Sagoff, M. 2005. "Nature and human nature". In Is human nature obsolete?, Edited by: Baillie, H.W. and Casey, T.K. 67–98. Cambridge: The MIT Press. [Google Scholar], 67–98). 11. Buchanan (2011 Buchanan, A. 2011. Beyond humanity?, Oxford: Oxford University Press. [Crossref] , [Google Scholar], 138–9). 12. A version of this argument is found in Weiss (1973, 12–14): cited in Brown (1980 Brown, W.M. 1980. Ethics, drugs, and sport. Journal of the Philosophy of Sport, 8: 15–23. [Taylor & Francis Online] , [Google Scholar], 19). 13. Schneider and Butcher (2000 Schneider, A.J. and Butcher, R.B. 2000. "A philosophical overview of the arguments on banning doping in sport". In Values in sport, Edited by: Tännsjö, T. and Tamburrini, C. 185–199. London: E and FN Spon. [Google Scholar], 196). 14. Schneider and Butcher (2000, 194). Indeed, they go on to argue that such testing can properly be construed as a violation of athletes' human rights (presumably, to privacy, among others). But that anti-doping testing is a violation of a human right is problematic in that it would imply a duty of officials to cease doping. Yet such a demand is reasonable in that sports officials have a right to enforce the standards of their particular sports. In other words, what Schneider and Butcher argue here begs the moral question in favor of doping. The question at hand is whether or not there is a moral right to dope, and what they do is to effectively claim such a right (194–5) rather than defend it on non-question-begging grounds. 15. Feinberg (1984 Feinberg, J. 1984. Harm to others, Oxford: Oxford University Press. [Google Scholar]). 16. Knight (2003 knight, j. 2003. No dope. Nature 13 (November): 114–5. [Google Scholar], 114–5). 17. Adelson and Mitrosilis (2011 adelson, e., and t. mitrosilis. 2011. K2 gains popularity among athletes: Similar high as pot, no positive drug test. ThePostGame, March 9. [Google Scholar]). 18. Eichner (2007 Eichner, E.R. 2007. Infusions, erythropoietin and artificial blood. Sports Medicine, 37: 389–391. [Crossref], [PubMed] , [Google Scholar], 389–91). 19. Maravelias, et al. (2005 Maravelias, C., Dona, A., Stefanidou, M. and Spiliopoulou, C. 2005. Adverse effects of anabolic steroids in athletes: A constant threat. Toxicology Letters, 158: 167–175. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 167–75) 20. Loland (2002 Loland, S. 2002. Fair play in sport, London: Routledge. [Google Scholar], 78). 21. Loland (2002 Loland, S. 2002. Fair play in sport, London: Routledge. [Google Scholar], 79). 22. Fost (1986 fost, n. 1986, August. Banning drugs in sports: A skeptical view. Hastings Center Report: 5–8. [Google Scholar], 5–8). 23. Morgan (2009 Morgan, W.J. 2009. Athletic perfection, performance-enhancing drugs, and the treatment-enhancement distinction. Journal of the Philosophy of Sport, 36: 162–181. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 178). 24. Schneider and Rupert (2009, 182–206): 'The risks specific to gene therapy, and by extension to gene doping, fall into three broad categories: (1) complications due to the action of the gene; (2) unanticipated responses to the method by which the gene is transferred; and (3) unexpected secondary consequences of the transgene function' (187). It is noteworthy, however, that even their discussion of harmful doping focuses only on harm to doping athletes, not on the harm caused to others who are effectively forced in one way or another to pay for the harms to doping athletes. For a more extensive treatment of the health risks of gene doping, see Schneider and Friedman (2006). 25. This term refers to 'beings of a difference species from Homo sapiens' and is found in Buchanan (2011, 30, and Ch. 7). The term is also found in Fukuyama (2002 Fukuyama, F. 2002. Our posthuman future, New York: Farrar, Straus and Giroux. [Google Scholar]). We recognize that the difference between humans and posthumans is a matter of degree, and that there are difficulties in drawing the boundaries between humans and posthumans for purposes of athletic competition. But that it is difficult to provide such an analysis is not the same as saying that it is impossible to do so, or that meaningful philosophical progress cannot be made in attempting to do so. We proceed on the assumption that such a distinction can be made with at least an adequate degree of meaningfulness. And we leave the actual analysis of the nature of posthumanness for another occasion. 26. Simon (1985, 10). 27. Tengland (2006, 155–67). 28. Tengland (2006, 163). 29. Tengland (2006 Tengland, P.-A. 2006. The goals of health work: Quality of life, health and welfare. Medicine, Health Care and Philosophy, 9: 155–167. [Crossref], [PubMed] , [Google Scholar], 164). 30. One of several such discussions is found in Beamish and Ritchie (2006 Beamish, R. and RITCHIE, I. 2006. Fastest, highest, strongest, London: Routledge. [Crossref] , [Google Scholar], 103–35). 31. Negligence is the unreasonable risk of harm; heedlessness is where the risk of harm exists but is mindlessly ignored or unperceived; recklessness consists in knowledgeable negligence: Feinberg (1970 Feinberg, J. 1970. Doing and deserving, Princeton, NJ: Princeton University Press. [Google Scholar], 192–4). 32. Our version of the Principle of Actuarial Fairness does not fall prey to the objections to the notion of actuarial fairness discussed in Daniels (2004 Daniels, N. 2004. "The functions of insurance and the fairness of genetic underwriting". In Genetics and life insurance, Edited by: Rothstein, M.A. 120–145. Cambridge: The MIT Press. [Google Scholar], 120–45). Wherein Daniels rejects the principle as it pertains to 'high risk' persons whose health risks are not any fault of their volition because the said principle would ignore the social function of insurance, such a point hardly applies to instances of doping in sports that are the result of the volitions of athletes. Moreover, Daniels' invoking of the concept of the social function of insurance amounts to a utilitarian denial of the right of individuals to pay for what they deserve to pay based on their incurred risk factors, rather than to be coerced to subsidize the high-risk behavior (not merely the high-risk condition) voluntarily assumed by doping athletes. 33. It has been suggested that '… we could in any case require proper insurance for the athletes' [Brown (1985a Brown, W.M. 1985a. Paternalism, drugs, and the nature of sports. Journal of the Philosophy of Sport, 11: 14–22. [Taylor & Francis Online] , [Google Scholar], 20)]. However, it is unclear that either most doping athletes could afford or be willing to pay such costs, or that whatever such doping athletes are unwilling or unable to pay is not passed on to others in the form of higher health insurance premiums, higher costs of health care, etc. Thus Brown's claim that 'As Mill argued, such intervention [banning doping in sports, presumably] in people's lives would itself be a greater wrong than the possible injury of activities voluntarily chosen' (20) cannot plausibly be used to legitimate doping in sports as matters currently stand. 34. This kind of argument is found in Morgan (2003 Morgan, L. 2003. "Enhancing performance in sports: What is morally permissible?". In Sports ethics, Edited by: Boxill, J. 182–188. London: Blackwell. [Google Scholar], 187): 'But one who is morally committed to the ethics of competition and fair play should not be obligated to incur unnecessary health risks to fulfill her obligations of sport. Therefore, steroids ought to be banned.' However, we are aware of the reminder that 'It will not do to point out that the former [doping] pressures are generated by drug use. What is needed is an explanation of why the use of performance-enhancing drugs should be prohibited in the first place' (Simon (1985, 9). Our Argument from Increased Health Care Costs to Others directly addresses this concern. 35. This can be construed as a version of the Argument from Unfair Advantage against doping in sports that turns out to fold back into, as it were, the Argument from Increased Health Care Costs to Others. We believe that in this way these two arguments are related to one another. 36. Beamish and Ritchie (2006, 130–1). 37. Tamburrini (2000 Tamburrini, C.M. 2000. "What's wrong with doping?". In Values in sport, Edited by: Tännsjö, T. and Tamburrini, C. 200–216. London: F & FN Spon. [Google Scholar], 209). 38. Brown (2009 Brown, W.M. 2009. The case for perfection. Journal of the Philosophy of Sport, 36: 127–139. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 127). 39. The Mayo Clinic: http://www.mayoclinic.com/health/performance-enhancing-drugs/HQ01105 (accessed on 27 March 2011). Also see Schneider and Freidmen (2006). 40. Sandel (2007 Sandel, M. 2007. The case against perfection, Cambridge: Harvard University Press. [Crossref] , [Google Scholar]). For a criticism of Sandel's views on genetic enhancement, see Kamm (2005 Kamm, F.M. 2005. Is there a problem with enhancement?. The American Journal of Bioethics, 5: 5–14. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 5–14). 41. For a discussion of the natures of moral and legal responsibility, see Cane (2002 Cane, P. 2002. Responsibility in law and morality, Oxford: Hart. [Google Scholar]); Corlett (2006 Corlett, J.A. 2006. Responsibility and punishment, 3rd ed., Dordrecht: Springer. [Crossref] , [Google Scholar], Ch. 1). 42. Loland (2009 Loland, S. 2009. The ethics of performance-enhancing technology in sport. Journal of the Philosophy of Sport, 36: 152–161. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 159). 43. Simon (2004 Simon, R.L. 2004. Fair play, 2nd ed., Boulder, CO: Westview Press. [Google Scholar], 70f). Also see Schneider and Butcher (2000, 193). 44. Schneider and Butcher (2000, 187). Compare Gardner (1989 Gardner, R. 1989. On performance-enhancing substances and the unfair advantage argument. Journal of the Philosophy of Sport, 16: 59–73. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 59–73). 45. Rawls (1971 RAWLS, John. 1971. A Theory of Justice, Cambridge: Harvard University Press. [Crossref] , [Google Scholar], 1993). 46. Rawls (1999 Rawls, J. 1999. The law of peoples, Cambridge: Harvard University Press. [Crossref] , [Google Scholar]). 47. Brown (1980 Brown, W.M. 1980. Ethics, drugs, and sport. Journal of the Philosophy of Sport, 8: 15–23. [Taylor & Francis Online] , [Google Scholar], 19). 48. Principles of reciprocity in sports are found in Morgan (2007 Morgan, W.J. 2007. "Fair is fair, or is it? A moral consideration of the doping wars in American sport". In Doping in sport, Edited by: Schneider, A. and Hong, F. 1–22. London: Routledge. [Google Scholar], 1–22). 49. Morgan (2009, 162–81). Morgan bases his argument on the one found in Lavin (1987, 34–43). 50. For a discussion of such issues from a luck-egalitarian standpoint, see Cavallero (2011 Cavallero, E. 2011. Health, luck and moral fallacies of the second best. The Journal of Ethics, 15: 387–404. [Crossref] , [Google Scholar], 387–404). 51. Of course, the NFL has over the years added rules to protect players from physical injuries, such as increased enforcement of rules regarding unnecessary roughness, such as chop blocking, clipping, etc. (See the National Football League Rulebook, Rule 12, Section 2, Articles 8–9, 16, etc.). We assume that in time further such rules will be added, as they should. 52. Schneider and Butcher (1993–94, 65). For a critical discussion of the arguments of Schneider and Butcher, see Burke (1997 Burke, M.D. and ROBERTS, T.J. 1997. Drugs in sport: An issue of morality or sentimentality?. Journal of the Philosophy of Sport, 24: 99–113. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 47–66). 53. Schneider and Butcher (1993–94, 64f.). 54. Brown (2009 Brown, W.M. 2009. The case for perfection. Journal of the Philosophy of Sport, 36: 127–139. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 136). 55. Fraleigh (1985 Fraleigh, W.P. 1985. Performance-enhancing drugs in sport: The ethical issue. Journal of the Philosophy of Sport, 11: 23–29. [Taylor & Francis Online] , [Google Scholar], 23–29). For further discussion of this matter, see Simon (1985, 30–32) and Brown (1985b, 33–35). 56. Burke and Roberts (1997 Burke, M.D. 1997. Drugs in sport: Have they practiced too hard? A response to Schneider and Butcher. Journal of the Philosophy of Sport, 24: 47–66. [Taylor & Francis Online] , [Google Scholar], 101). 57. Carr (2008 Carr, C.L. 2008. Fairness and performance enhancement in sport. Journal of the Philosophy of Sport, 35: 193–207. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 200f.). 58. Carr (2008 Carr, C.L. 2008. Fairness and performance enhancement in sport. Journal of the Philosophy of Sport, 35: 193–207. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar], 204). 59. We thank Thomas S. Petersen and James S. Russell for their incisive comments on a previous draft of this paper.
No takes yet. Share an insight, caveat, or question.
Corlett et al. (2012) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: