Summary:
How to ban the fraudulent use of performance-enhancing drugs is
an issue in all professional – and increasingly in amateur – sports. The
main effort in enforcing a “clean sport” has concentrated on proving
an abuse of performance-enhancing drugs and on imposing sanctions
on teams and athletes.
An investigation started by Freiburg university hospital against two of
its employees who had been working as physicians for a professional cycling
team has drawn attention to another group of actors: physicians.
It reveals a multi-layered contractual relations between sports teams,
physicians, hospitals, and sports associations that provided string incentives
for the two doctors to support the use performance-enhancing
drugs. This paper argues that these misled incentives are not singular
but a structural part of modern sports caused by cross effects between
the labor market for sports medicine specialists (especially if they are
researchers) and for professional athletes.