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When enhanced games outpace public health and ethics. Commentary
Ilaria Palmi1, Simona Pichini1, Renata Solimini1
1Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.
Annali Dell'Istituto Superiore Di Sanita
|March 23, 2026
Summary
The Enhanced Games will permit performance-enhancing drugs (PEDs), raising significant public health and ethical concerns. This approach risks normalizing dangerous substance use, especially among young athletes.
Area of Science:
- Sports Science
- Public Health Ethics
- Doping in Sports
Background:
- The upcoming Enhanced Games plan to permit performance-enhancing drugs (PEDs).
- This deviates from traditional anti-doping regulations in sports.
- Major international bodies criticize the event due to health and ethical risks.
Purpose of the Study:
- To examine the ethical and public health implications of the Enhanced Games.
- To analyze the conceptual frameworks of sport, performance enhancement, and doping.
- To highlight potential risks associated with normalized PED use.
Main Methods:
- Conceptual analysis of sport, performance enhancement, and doping.
- Examination of public health consequences.
- Ethical review of permitting performance-enhancing drugs.
Main Results:
- Permitting PEDs poses severe physical and mental health risks.
- The event could normalize dangerous substance use, particularly in youth.
- Ethical concerns include the impact on vulnerable populations and the integrity of sport.
Conclusions:
- The Enhanced Games present substantial public health and ethical challenges.
- Normalization of PEDs risks widespread negative health outcomes.
- Urgent consideration of ethical frameworks and health impacts is required.
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