John Clendon wrote:
Please be aware that they both have substantially different active ingredients.
Sorry John, maybe I should state the question more precisely, because your post is pretty non responsive. If we took the universe of substances you might put in your body, some of them troubling, many of them not, we could probably all agree that they represent a universe of "substantially different active ingredients."
The last line in my previous post was more the point of what I was getting at--when is remediation problematic, and when is it not? Allegra is very clearly "performance-enhancing," though not often considered morally problematic as far as I can tell, for an allergy-sufferer. Prednisone is often a next line of defense for extreme allergies, but I assume we'd all make the argument that it might have other benefits/act on other pathways as well, and that makes it problematic. What if allegra (and all analogues) didn't exist? Prednisone okay then? Probably not. Is that because we just want you to be able to fix the very specific issue you have, but not gain "other" benefits? How would you go about making those classifications?
Which is why I asked about the guy who's "actually" hypothyroid. Give him the drug, but not the guy with a tsh of 2.1? I guess I assume that's how most folks would work through this line of questions. And they'd get to something like "we rely on 'generally accepted' medical definitions for most of our line-drawing." That, I assume, would satisfy most folks, and most athletes. But who decides what's generally accepted? It's pretty clear there's an awful lot of disagreement about an awful lot of things when it comes to "medicine"--you look at generally accepted standards of care in the law, and theyre not easily definable. You get regional variations, specialty and subspecialty variations, etc. Thyroids probably a pretty good illustration. Survey different types of docs, and in different regions of the country, and I don't know that you'd get a consensus of +5, or +4, +2. Do you just take the median? And thats just a very, very specific question. What's the end result? WADA draws up a complete sketch of the canonical man and canonical woman, defining every attribute and maximum allowable deviation, and also draws up a list every allowable remediation and its permissible mechanism? Sounds awfully Gattaca and awfully hard to administer.