An aggressive drug-testing program would cut down on certain abuses, but its never going to catch everyone - or even close to everyone.
I had to go into a studio and compose and write and press up 12 songs in 14 hours. When you're recording a song from scratch it takes you 14 hours to do just one song.
It really hasn't been demonstrated at any level by any major corporation that it can nurture what is euphemistically called creativity.

