This article compares East Germany's Cold War-era approach to doping to that of the USA's in terms of their respective impacts on medical risk. Although deserving of criticism on many levels, the GDR doping programme featured a number of safeguards designed to minimise medical dangers. Unlike their East German counterparts, American governmental units were not directly involved in the administration of performance-enhancing substances. The US approach to doping was not ideal in terms of medical risk, however. As a result of the country's regulatory approach to doping, the country's athletes frequently turned to black market sources for doping agents. It was also relatively common for American athletes to use performance-enhancing drugs without the benefit of medical supervision. The US approach to doping was in these ways inferior to that of East Germany's on the subject of medical risk
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