That's what Major League Baseball's steroid scandal was all about, the hidden harm in competitive sports that sends the wrong message to the young.
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The plausible outcomes range from the gradual and benign to the more precipitous and damaging.
Every time that I write a novel I am convinced for at least two years that it is the last one, because a novel is like a child. It takes two years after its birth. You have to take care of it. It starts walking, and then speaking.