Was going over the motivations for doping, and it is a classic prisoners dilemma scenario.
If the participant's motivation is economic (and for many, it is), then you have the following:
Assume a participant who would win under "even" circumstances.
If I dope and he doesn't, I win
If I dope and he dopes, I win
If I dont dope and he dopes, I lose
If neither dopes, I win.
(this is usually displayed in a 4 square box, w/ the intersection of both decisions, yielding 4 outcomes above).
Given imperfect information, the rational choice is to dope. In repeated trials of this sort of game, cooperation emerges i.e. we both agree not to dope. But we do not yet have the tools to determine who is and is not doping. Therefore, an athlete cannot know if a participant is doping and MUST assume s/he is.
Without going into names, it is clear that faced with the decision, an athlete cannot help but conclude that the only way to win is to dope. And that is unlikely to change.