The problem is with adolescents taking them. Adolescent boys see a really nice immediate payoff for taking PEDS (better musculature and better sports performance->more popular) while the downsides are in the future. It's really hard to fight that.
Even when I was in high school several decades ago, we had a handful of people on PEDS. And we were a tiny school with no significant sports programs. I can't imagine what it's like now with social media pushing everything.
The incentive to cheat and hide was one of the points from the podcast. In Cycling, in order to win, you have to compete with other cyclists who are doping, and doing so in such a way that they are unlikely to get caught. In order to win, you have to dope and not get caught. Youre not forced to dope, but the option is there, and yours to take should you choose.
Not saying we should be promoting them, but if we can eventually get to the point where we eliminate the really bad side effects and get most of the benefits it's going to be a great thing for everyone, the next thing after GLP-1.
My issue was the disingenuous use of a "5-year post compete" monitoring as justification for Enhanced Games.
To me, it seemed like a modern day tech-take of human cock-fighting.