Efficacy of Drug Testing in non-Olympic Competitions Print E-mail
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Wednesday, 21 July 2010 11:20

Drug testing in non-Olympic athletics is neither fair nor cost-effective, whether it's random or not

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Considering I have been involved in this issue since the 1994 Gay Games IV Physique fiasco where medalists who failed the first drug tests did not return their medals, I have been of two minds about the legitimacy and efficacy of Drug Testing in non-Olympic athletics. It has taken me almost 16 years now to finally take a strong position which is actually 180 degrees from what I originally believed. I specifically want to thank my partner in crime Roger Brigham, FGG Ambassador physique activist and photographer Tom Bianchi, and FGG Ambassador and World Champion PowerLifter Chris Morgan for their work with me on this issue.

What is ‘FAIR’?

This whining for absolute ‘FAIRNESS’ to be the winner is not just prevalent in athletics , but in every aspect of our lives. We all know that ‘FAIRNESS’ is a political ideal to strive for, but in actuality it is a myth. The debate actually says more about the degree to which we perceive ourselves as victims of some conspiracy to deprive of us our

gene_dermody_gold
Gene Dermody wins wrestling gold at Syndney Gay Games.



‘FAIR share’ of the pie. We all know the politics here, and it is no different with drug testing. But the devil is in the details just like it is in politics, and in other words, Fate is rarely FAIR unless you believe in predestination.

WADA Benchmarks

The scope of the World AntiDoping Agency (WADA) drug testing is severely limited by their collected data, overwhelmingly skewed to 20-year-old male black sprinters. It has been expanded over the years to women and other sports like cycling. But the bottom line is that the WADA blood and urine profile benchmarks are totally inappropriate for use with older/less elite/more recreational athletes in Masters or Seniors competition. Simply put, there is not the data either in scope or raw amount to be warranting the imposition of these WADA standards Outside of elite Olympic competitions. It is no secret that the 2009 San Francisco Seniors Games passed on drug testing because the common prescription for osteoporosis in women would trigger a failed WADA test. Is this ‘FAIR’?

Corrective Surgeries and Questionable Procedures vs. Drugs

One of the most profound arguments has to do with the elective or forced injury surgeries that corrects for muscle attachments in the arms of pitchers and quarterbacks. There are also the eye surgeries for golfers, the dehydration and fluid replacement in wrestlers, and a myriad of other ‘procedures’ for which there is no ‘FAIRNESS Test’. Is it ‘FAIR’ that Tiger Woods can afford to publicly have elective eye surgery to vastly improve his game without any repercussions or ethical judgments? Is it ‘FAIR’ that an NFL player taking HGH to help him heal faster from an injury just to get back his inherent natural ability is considered ‘dirty’? There are lots of unorthodox ways to improve your physical status to improve your game. The vast majority are NOT tested for, there is no ethical baggage, and they are far more ‘UNFAIR’ in their results. Olympic wrestlers from wealthier countries routinely can legally remove pints of blood BEFORE weighins (blood doping) to qualify for a lower weight category. Most often this action results in that wrestler winning a Gold Medal. Is this ‘FAIR’ to the 2000 German wrestler who had his Gold Medal stripped because the WADA test at the time could not identify a strange blood chromatograph peak (the unknown was an herbal tea)? Remember, it is not just what they find in a drug test, it is also what they cannot identify that can trigger a failure. Is this ‘FAIR’?

How ‘FAIR’ is Random

One of the ruses used by the WADA advocates to limit the financial burden of drug testing is to use the statistical Random algorithm. But how ‘FAIR’ is it to have random drug testing, when everyone knows the winners are the ones cheating, and the probability of them being selected given low budgets in a random procedure is low to non-existent? Random is a nice statistical tool, but it certainly does not achieve ‘FAIRNESS’, motivate, or educate. No competitor accepts it as effective. The winners are winners because they have the psychological determination, the resources to play the game to the extreme, and also take the nonexistent statistical risk of a Random test. Fate is rarely FAIR. Is this Random approach really discouraging drug abuse or just enabling riskier behavior? Is this ‘FAIR’?

The T-Factor

Call it the inherent individual’s testosterone level factor. It is a function of gender, age, race, genetics, ethnicity, diet, physical activity, etc…. WADA defenders will say that their drug testing range benchmark is broad enough that it is applicable to everyone. Really? Then why is there so much research on testosterone levels and health that refutes this claim and actually implies there is a problem with demonizing testosterone (or any natural hormone) to the level WADA tries. If testosterone is proven treatment for the health and well being of older, disabled, HIV-positive, or any athlete, who is WADA to be countermanding these treatments and excluding these people from competition?

Hormonal replacement therapy has been proven effective for quite a while now, and it is now big business. Let’s throw in the transgender and hermaphroditic issues and ask the question again. Is the ultimate conclusion with this WADA crusade going to be the elimination of all age and gender categories in competition, to be replacement by a testosterone index? Will we have this T-Factor on our driver’s license or on our on-line dating profile? In other words, should only individuals within a testosterone range be paired in competition? Testosterone is only one of many factors relevant to the performance status of an athlete. So is this march to a draconian WADA testosterone screening and classification what we really want? Is this ‘FAIR’?

Money Talks


The most egregious complaint about WADA drug testing has to be the cost. Drug tests run anywhere from $300-$600 per test, and the cost is born by various entities… e.g.. the IOC/USOC, the specific Sports sanctioning body like a FILA, the tournament itself like the ASICS OPEN, or in many cases the athlete themselves via registration fees. How ‘FAIR’ is it that athletes from wealthier countries can afford to pay for the registrations, drug tests, and even commission research to ‘get around’ the WADA tests? In the end, it is the poorer less educated athletes without access to wealthier government subsidized patrons who are caught in Random drug tests. Is this ‘FAIR’?

Utilitarian Concerns

Most recently in 2010, the ASICS OPEN Wrestling Competition held in Cleveland did NOT drug test! This is an elite level Olympic Qualifying event attracting about a thousand wrestlers. There was NO drug testing, when few will deny there were lots of steroid abusers out there (Brigham and I were there!). However no one was complaining. It was simply a financially driven decision NOT to make the competition inaccessible to poorer athletes by having to impose the much higher registration fees to cover drug testing. Wrestling has always been a ‘blue-collar’ immigrant sport. Are all of the financial barriers to competition imposed by drug testing ‘FAIR’? Is the ‘gentrification’ of sport to a level not even imagined by Couperin (the founder of the Olympics who thought only the ‘gentry’ should compete), something that is ‘FAIR’? Think of what will happen (it already has) to high school and university athletic budgets if the WADA advocates for drug testing impose their expensive procedures on our school athletic programs. The athletic programs will be cut, or even worse, only the wealthier districts will be able to comply. The results are higher taxes and/or that the minority athletes in poorer districts will be deprived of their athletic scholarships. Is this ‘FAIR’?

Summary

The entire WADA debate is reminiscent of the old War on Drugs in that it becomes a tacit agreement between the factions to keep the war mentality going for good business and good PR. As WADA ramps up its research for drug testing detection research with pharmaceutical companies and universities, the same entities will develop the antidotes/masking agents to deceive the very tests being developed, and sell them to the highest bidders. It is a vicious cycle that not only does NOT enable ‘FAIRNESS’, it actually undermines it by pricing athletics out of the market for the very people whom it helps the most (i.e… the poorer, the disabled, the HIV, the older, etc….).

In short, athletics are too important to be left to just Couperin’s cute young rich white boys.

It is unrealistic to expect WADA to develop therapeutic use exemptions (TUEs) for every malady and every legitimate drug known because of the remote probability that they will be able to recoup the development cost. But it is also unrealistic to hold all athletes to such a draconian WADA benchmark such that it discourages participation because of high cost or confidentiality issues.

Gay Games 2010 Koeln’s drug testing policy is a perfect example of this irreconcilable dichotomy of trying to have your cake and eat it too. The Koeln Sports University is a sponsor of Gay Games and they are ‘ground zero’ for WADA drug testing. They are demanding rigorous WADA Random drug testing in Gay Games. Tom Waddell, the founder of Gay Games was a victim of HIV. Gay Games has always been a leader in promoting its mission of Participation, Inclusion, and Personal Best to ALL athletes, over the Olympic elite mission of Citius Altius Fortius. Brigham’s analysis goes further into questioning the lack of transparent process and the exclusion of stakeholders that are the discouraging hallmarks of this Koeln policy.

It is a categorical insult to the memory of Tom Waddell to put an HIV athlete (or any athlete) at political risk by forcing them to disclose a diagnosis. For those who are so worried about protecting their Gold Medal at a Gay Games that they want drug testing for insuring ‘FAIRNESS’, I would ask that they consider competing in another more elite event that does offer drug testing (if you can find one these days!). The Gay Games drug testing budget could be better spent. E.g..for every one drug test canceled, a registration scholarship could be offered to up to four athletes! Think of the increased critical mass of competitors instead of your misconceived ‘FAIRNESS’ doctrine.

Lastly, I would question the motives and personal psyche of those who are so competitive in seeking the spotlight of a Gold Medal that they demand drug testing to insure ‘FAIRNESS’. The unintended consequences of this so-called ‘FAIRNESS’ through drug testing are just an overreaction to really a very minor psychological problem for some athletes in a total Gay Games registration of about 10 thousand athletes.

Medal inflation is one remedy for limiting the need to cheat and abuse drugs. It works very well in all sports where pairings and seedings are done to insure maximum Participation, Inclusion, and Personal Best. The Gay Games are not the elite Olympics. Gay Games is a celebratory community recreational athletic event where ALL (including elite athletes) are invited. But any intent to make Gay Games more elite focused in competition, and thereby forcing higher budgets in order to drug test should be shot down.

There is no way I could have written this 30 years ago. But then we were fighting a different battle.

Drug testing is not the ‘FARINESS’ panacea. It is far worse than the problem.

Author’s note: My analysis is drawn primarily from ‘Doping in Sport – Global Ethical Issues’ by Schnieder and Hong (2007) WADA Directors of Ethics and Education.

Gene Dermody is a past president of the Federation of Gay Games and a longtime champion of amateur wrestling.

Comments
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LACharlie13   |76.95.203.xxx |2010-07-21 17:55:39
I remember at the 94 Games when in flag football we played against the favored
New York home team and they looked like a physique team - we joked about
"steroid monsters" We mercied them [ the rule was 27 points]. The first
play on offense, they charged, we blocked forward. and they moved backwards. I
looked at one of my fellow blockers, winked and said " we have this
game" and we then blew them out
I know steroids can build muscle, but they
were like pillow men and we pushed them around so easily that by the end, they
stopped rushing. It led me to think that maybe testing for steroids was
irrelevant for most team sports. I recall reading a Games proposal in 2006 that
had the most fantastically complicated dope-testing process imaginable, and
laughed myself silly. Gene is right, in spades!
Gene Dermody  - IT people lose their sense of (mis)spellings...   |173.11.97.xxx |2010-07-21 19:02:58
Mea Culpa fat fingers and a bad spell check... But what's a missing 'T' between
friends?

Francois Couperin 1688 - 1733 was a French Baroque Composer (that's
music)

Pierre de Coubertin 1863 - 1937 was the Founder of the Modern Olympic
Movement. First Games in Athens, Greece 1896.

Thank you Richard Cavaler for
your astute capture.
mtkaxtreme   |71.220.99.xxx |2010-07-21 19:24:31
So drug testing is not fair?
It's okay to let guys use drugs to enhance their
performance and take over the podium?
We should just roll over and let these
guys win?
Fair?

No way! There's no question drug testing may be incredibly
complicated in the face of HIV medication, but maybe in time with more data drug
testing will be more acceptable.
Mike   |66.108.77.xxx |2010-07-22 04:35:45
What a cop out. OK - most of us would agree that drug testing is way too
complicated and too expensive for an amateur, recreational competetion like the
Gay Games. Why not just state that as your case?

To attack the people
trying to level the playing field as somehow being worse than the cheaters who
have created the problem is weak and illogical.

My solution would be to
create two divisions for body building, weight lifting and wrestling where
steroids are a big problem; One completely "open" division (i.e., no
testing) and one "clean" division. Ask people entering the
"clean" competition to sign (maybe even read publicly before their first
competition?)a declaration that they have not used PEDs.

I'm sure there would
still be a few cheaters entering the "clean" division in order to have a
better chance to win. But people usually know who the cheaters are and
hopefully the public scorn would shame those cheaters and dissuade future
cheaters.
Gene Dermody  - Great minds think alike..   |24.0.209.xxx |2010-07-22 11:14:03
Mike..
The 2006 Chicago GayGames did EXACTLY what you suggested with the limited sports and the 2 divisions.. It worked
very well, and it was supposed to me what 2010 Koeln was contracted to use.
I know because I pushed that drug testing policy in 2006.
The
criticism of the 2010 policy is warranted not only given the insult to
HIV athletes by this byzantine policy, but because it is NOT what Koeln was contracted to do. Koeln is NOT leveling the playing
field, they are perverting a tradition, and spending $$ they do not have to
let the Sports University make $$. Unacceptable on so many levels.
Kevin boyer  - Too bad   |99.151.78.xxx |2010-07-24 06:14:04
I just wish this had been better written. There are probably some decent
arguments here but Gene meanders so much and beats his "FAIR" metaphor
to death that it's hard to find a cogent thread. Like I've said before about
Gene, if he had an editor, he'd be dangerous (grin).

Digging, I think Gene has
some good points, though he stretches the argument and the facts a bit here and
there. But I do think that the FGG has done a fairly good job of trying to find
a balanced pathway here.

The Gay Games is a bit of a victim of its own success
here, I think. If the Gay Games are just a bunch of LGBT (and straight) folks
getting together to play games, well drug testing isn't an issue. But several of
the sports in the Gay Games have some kind of international sanctioning, people
qualify for country or international records, and there is attention brought to
some sports by Olympic athletes who are Ambassadors (if not participants in that
sport). Ask the average non-Gay Games person "should someone win a gold
medal who is using performance enhancing drugs" and they would say "well
of course not."

The Gay Games ends up with a foot in both worlds - serious
sports and "good time sports." This is as it should be, but obviously
causes some confusion. Part of this is an identity question for the Gay Games
and is something that will continue to evolve.
Gene Dermody  - Not too bad...   |84.44.149.xxx |2010-08-06 02:49:50
Kevin.. With all due respect... You need to preface your remarks like MichaelL
with the fact that you work for Koeln, and it is your job to do this damage
control. The fact that this article is getting traction bothers someone...
i.e... WADA and the German Sports University.
I do not expect either of you
to have done any legit research into any of the issues raised, as it is spinning
political perception and protecting your contract with Koeln that you are
interested in. FAIR enough. But please address the issues rasied and ignore
the style. We will have to agree to disagree about the efficacy of drug
testing. But to think that ANY LGBT event needs to spend this amount of $$ to
compromise the confidentiality of HIV athletes or protect the Gold Medals of a
few elite athletes is ludicrous. BTW.. Ambassadors do not get drug tested.
Gabriel  - An ambassador was drug tested   |173.11.96.xxx |2010-08-26 16:40:27
Gene,

I believe that Chris Morgan, the powerlifting FGG Ambassador, was tested
after the powerlifting event, where one man and one woman were selected for
urine tests. This quip is just an aside from the discussion.

I prefer no drug
testing at the Gay Games but if a significant minority of my fellow powerlifters
insist on drug tests, then I opt for two divisions: open and drug-tested. As a
powerlifting participant at the Cologne Gay Games, I didn't feel that the drug
testing was necessary, and I felt that a medical review is an unnecessary
intrusion for us rank amateurs who have no records to uphold in any sports
organization and whose main goal is to participate in the Gay Games. I don't
know if that will be practical for those powerlifters belonging to certain
sports organizations that do not permit participating in non-sanctioned events.
Gene Dermody  - Inconsequential now anyway..   |24.0.209.xxx |2010-08-11 00:48:36
The FGG overwhelmingly passed on Sunday the Motion to STOP across the board
Random Drug Testing at GayGames. It had the endorsement of the current Sports
Director as well. What it means is that there will be a return to the sane
policies that existed in Chicago as a starting point for future development.


The Koeln policy was a blatant attempt to drum up business for the WADA
German Sports University for this and future GayGames. But we are the GayGames,
Tom Waddell was a victim of AIDS, and until WADA can come up with a Therapeutic
Use Exemption (TUE) for HIV, they have no business asking for $300-$500 tests
per athelete.

As a returned FGG Board member and author of that Chicago
policy, I will be there to make sure this Koeln aberation never happens again to
embarass the GayGames.

FYI... I am just amaazed at the twisted
'sponsorship' logic used to justify what borders on a human rights violation.
We are NOT an Olympic Qualifying Event, and should never attempt to be one.


For those who are still perplexed, please try reading my article for the
CONTENT.
Jim Garrett - Matman174  - Drug Testing   |99.29.177.xxx |2010-08-19 14:34:36
Gene has made perfect and valid arguments on drug testing issue. I have read
several people posted on this subject. I do know the seriousness in keeping
some sports (i.e. swimming) clean because FGG competitions are allowed to set
world records for certain age & master group with their respective governing
bodies (i.e. FINA).

However, we are facing two dilemas here with our own
sports movement: financial and participation. The financial cost is very
burdensome to local GG organizing committee and time consuming to our FGG
competitions if you are performing drug testing on a random basis to specific
sports. With the average of $ 500.00 per drug test for five competitors per
twenty sports, we are talking about $ 50K easily in additional expenses that
could be spent better in other areas.

The other issue is participation as
you are going to affect your attendance rates. Many guys and gals will say
"screw you" with GG movement as they will not enter or compete any
games. Why? They are bigger and complex issues in today's economic world (i.e.
personal financial survival) to address in their own lives than subject
themselves to a drug test which will disclose their HIV status.

As a HIV
positive person who is undectible and healthy for ten years now due to the great
care provided by my medical providers & caregivers with latest HIV medication, I
choose to participate 2010 Gay Games in Koln with the chance of being tested by
the authorities. However, many guys who went to Koln and did not enter any
contest or stay home all together by not compete in the Gay Games 2010 because
they were afraid of being tested. I will estimate that you have reduced your
participation rate by a conservative 15 percent due to drug testing standards
enforced in Koln. If anybody knows me, I am a numbers man driven by the buck so
the GG2010 have reduced their competitors by 1,425 participants based upon 9,500
number being reported in several gay media outlets and publications. If you
take the multiple economic factor with travel, lodging, meals, and entertainment
that Koln forego without these participants, you had a reduction by $ 2.85M USD
or $ 3.75M Euros by competitors who did not compete in Koln. Plus, you had the
pyschology affect with the overall number concerning the Gay Games movement by
not exceeding 10,000 participants/competitors benchmark or threshold in Koln.
Remember, it is numbers and stats that are valid at the end!
Peter Chien  - My thoughts on drug testing in the Gay Games.   |76.19.8.xxx |2010-08-25 21:11:54
Hello, I'm the bronze medalist in bodybuilding for the age category 21-39 in the
Gay Games 2010 in Cologne, Germany. I have been weightlifting since I was 15
years old but only started dieting and training specifically for bodybuilding
within the past year. My first bodybuilding competition was the OCB Natural
Yankee Classic in Newburyport, Massachusetts, where I won Second Place in the
Novice Short division and Fifth Place in the Open Short division. This was just
one week prior to the Gay Games in Cologne.

I never thought seriously about
competing in bodybuilding until I met my coach, because I thought that in order
to succeed in the sport one must resort to an unhealthy lifestyle involving
steroids, growth hormones, and diuretics.  A disproportionate number of
professional bodybuilders have suffered from heart and kidney problems from the
side effects of these drugs that is inconsistent with the image of fitness
portrayed with the physique.  I was fortunate to find an amazing coach
dedicated to natural (i.e. drug free) bodybuilding and have discovered a
healthier culture and community of natural bodybuilding, which are also
consistent with my role model as a physician.

The below is my opinion on
steroids and other performance enhancing pharmacologic drugs in bodybuilding and
sports in general.

In response to Gene Dermody's article, I think the whole
point of the Olympics is to set ideals. It is precisely that athletes come from
countries with different resources that some standard for fairness be applied.
The challenge to determine what is fair and reasonable should not obviate the
effort to establish guidelines. If you wish to dispense with integrity at the
Gay Games by completely eliminating drug testing, it would be most unfortunate,
and the events become more about how well an athlete responds to pharmacologic
stratagem rather than celebrating athleticism.

Indeed, it's very disappointing
that the Federation of Gay Games voted to do away with random drug testing in
all events other than possibly bodybuilding, powerlifting, and wrestling
(http://www.queerty.com/gay-games-athletes-now-fre
e-to-drug-themselves-with-abandon-20100819/). If not random testing, I hope
they will test the medalists at least.

Also, I really shouldn't have to state
the obvious, but recreational steroid (and other drug!) abuse is rampant in the
gay community, and an untested Gay Games essentially condones this unfortunate
aspect of our culture.

Also as a physician (specifically a dermatologist), I
find it somewhat a stretch of justification to assert that drug testing
conflicts with maintaining privacy of health information such as HIV status.

My
understanding is that the drug testing was performed for gold medalists (at
least in the bodybuilding event). This testing protocol is independent of HIV
status. The test results are confidential and provided only to the competitor
and Games officials. If the result is positive, and the competitor has a
confidential medical waiver on file, then the positive result is excused. I
don't see how this process would jeopardize the disclosure of someone's HIV
status.

My medical opinion is also that anabolic steroids have only modest
benefits to treat HIV-associated lipodystrophy -- loss of fat in the face and
limbs with accumulation of fat in the abdomen and upper back. Anabolic steroids
does increase muscle mass and thus helps to balance out the look in relation to
the fat deposits but they do not actually correct the lipodystrophy. The true
wasting you see in the 1980s with hospitalized patients wasting away in bed is
virtually unheard of since the advent of highly active anti-retroviral therapy.
The lipodystrophy you see nowadays is a side effect of some anti-HIV medications
(stavudine, AZT, and various protease inhibitors) and can also be minimized by
switching to alternative anti-HIV medications. Only growth hormone has been
shown to decrease visceral fat at modest recommended doses. Growth hormone is
undetectable by any drug testing in sports but the effects of abuse are obvious
-- it induces growth of visceral organs, resulting in a distended abdomen with
an almost pregnant look despite still having rippling abdominal muscles that
some (especially professional) bodybuilders have. I leave it for you to decide
whether this is aesthetically a good physique. Besides the medical therapies to
treat lipodystrophy, the facial wasting can be corrected with poly-L-lactic acid
injections with dramatic improvement, done by a dermatologist or plastic
surgeon, and it is covered by Medicare in the United States.

Nevertheless, if a
patient and medical provider decide that using...
Gene Dermody  - Participation, Inclusion, & Personal Best trumps C   |96.54.175.xxx |2010-08-27 14:22:18
Peter..
I congratulate you, and I admire your discipline & commitment, but it
is too rigid a standard to apply across all the sports. Physique and Wrestling
2010 were the smallest least attended of all 8 GayGames because of the Drug
Testing. I have been to them all, I was dissappointed, and I would prefer a
larger, more diverse & inclusive event. Testing Gold Medalists is more
efective, but that is not WADA standard (however it is what was used in 2006
GayGames Physique). Any 'records' set at GayGames are not valid unless there
was rigorous WADA out of competition drug testing. Drug Abuse is NOT any more
rampant in the LGBT community, and we can argue the negativity of prohibited
substances such as marijuana. We should prefer a larger more inclusive event
that is less concerned about excluding people because of their personal choices
and health status. The 'confidentiality safeguards' for HIV athletes were an
accomodation, but still an insult to Tom Waddell's legacy.
Peter Chien  - re: Participation, Inclusion, & Personal Best trum   |76.19.8.xxx |2010-08-30 18:47:27
Too rigid a standard? Whatever happened to high standards? Well, I guess if
you expect athletes to perform in a lackadaisical fashion just because they're
gay but I really beg to differ. Also, the Bodybuilding/Physique event tickets
were all sold out so to say it was least attended is inaccurate at best.

I
don't believe in validating world records either for untested events, because
then you are measuring pharmacologic response to drugs, not just athletic
performance, and if we must invoke fairness, where's the fairness where athletes
from privileged countries get access to all sorts of performance enhancing
drugs?

WADA also prohibits drunken sailing, should we lift the ban on this
personal choice too? But we don't have to do everything by WADA protocol; I
think just testing the medalists would be fine. That's what's done in many
natural bodybuilding contests in the U.S.

Also, stop using Tom Waddell as your
strawman victim, lol. Confidential means confidential; this is standard
practice in safeguarding medical records in accordance with HIPAA in the
U.S.

Drug use is more rampant among gay men. Many studies have been done in
big cities like New York, a study was done for smaller cities, and a study
showing similar patterns among lesbians. You can go dizzy going through all the
results in a PubMed search but here are some links for your
edification:
http://www.ncbi.nlm.nih.gov/pubmed/19
939585
http://www.ncbi.nlm.nih.gov/pmc/articles/PM
C1615476/
http://www.ncbi.nlm.nih.gov/pubmed/16632
210?ordinalpos=1&itool=PPMCLayout.PPMCAppControlle
r.PPMCArticlePage.PPMCPubmedRA&linkpos=2
Gene Dermody  - Participation, Inclusion, and Personal Best   |24.17.55.xxx |2010-08-30 20:51:15
Peter..
We agree on more than you realize.. just testing medalists, not trying
to validate world records without testing, and the unfairness of the richer
countries being able to afford the research to get around the tests. This was
all addressed in the 2006 policy. But the Koeln Physique registration was the
smallest by far of all the 8 GayGames, and ran only half the number of days it
usually runs because of the drug testing policy. Confidentility for HIV
athletes still does not justify that they are being singled out and treated as
lepers for the medications they must take. Remember the motivations of he who
promised the 'cleanest' and 'purist' (Olympiad XI) games in 1936. Elitism and
discrimination should not ever be tolerated by the GayGames, and thankfully now
they now will not be. There are other events that have drug testing if you feel
you need it so badly to win your medal. But it is not in the GayGames Mission to
guarantee you a perfect drug free competition. The price is too high.
Peter Chien  - re: Participation, Inclusion, and Personal Best   |76.19.8.xxx |2010-08-31 20:03:27
So are you advocating no testing of any kind at the Gay Games, or limiting
testing with a policy that is reasonable?

But please explain how testing just
the medalists, regardless of HIV status, singles out HIV+ athletes as
lepers?

Also, your logic really doesn't make sense, equating steps to
discouraging the taking of controlled substances without a doctor's prescription
(which I might remind you is illegal anyway) with Nazism?

Explain to me why
some people would want to win a medal so badly they would take drugs not
medically indicated in order to win? There are other events that are untested
as well in which they can partake. I'm not asking that the Gay Games Mission is
to guarantee a perfect drug free competition. And in fact, if there is a
medical indication to take a drug, then it should be permitted. But a
completely untested Games would invite recreational use of performance enhancing
drugs, and I daresay the price of death and morbidity is too high and far
exceeds the minor budgeting considerations of having a reasonable testing policy
in place.
Gene Dermody  - Participation, Inclusion, and Personal Best   |24.17.55.xxx |2010-08-31 05:09:44
Peter.. to be fair to you..
The 2006 drug testing policy specifically
addressed 3 specific sports with 3 different requirements:
PowerLifting was externally sanctioned, and had to follow whatever.

Wrestling had safety concerns with roid rage, with steroid abuse only
dangerous with heavyweights. A dermatologist's steroid acne skin check
was added, and it did work to discourage 2 questionable heavyweights from
competing.  
Physique had requirements for both a tested
and non-tested division. In Physique, budget dictated that testing
had to be focused on Medalists 1-5, that there were NO TUEs in the tested
division, and no testing what so ever in the non-tested division. All
competitors in both divisions competed together with judges not knowing,
with standings to be sorted out later after judging.  It worked because the competitors bought in to the policy early (actually were
involved in the process!), and consequently registered for the event. It
was a first, and IMHO, was much closer to what you envision as good
policy. Granted it puts a lot of pressure on the criteria and value system
of the judges.
The other sports need to listen to their
constituents and devise a method that fits their issues as well.
The FGG
Motion just outlaws the useless 'Across the Board Random Testing'. It
is lazy, untargeted, ineffective, and actually disingenuous.
I strongly
encourage you to get involved in helping the FGG further develop
reasonable drug testing policies. You obviously have a passion and
expertise, and we are not that far apart in what we ultimately want
for the GayGames.
Peter Chien  - re: Participation, Inclusion, and Personal Best   |76.19.8.xxx |2010-09-05 13:46:57
Well I am glad we agree on some things! I'm definitely interested in providing
input in the next Games, had already met with others in the bodybuilding event
in Cologne about the various issues, looking forward to it.
Anonymous   |155.205.208.xxx |2010-09-09 15:48:58
  HAHAHAHAHAHAHAHA.
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