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The person has an illness or injury. They are disadvantaged because of an illness or injury.
They're not necking a load of 'roids to build muscle fast or EPO to gain red blood cells they wouldn't have already had, they're taking a substance that might've saved their lives or otherwise kept them out of hospital so they can do their job.
I don't see that it's fair that we judge some can use a substance others can't.
And of those some who can some will get more benefit than others.