Unfortunately the more money involved the greater the chances are that people are going to be tempted to cheat in life.
I try not to get to wrapped up in what is being thrown around forums, or stables, wine/beer sessions on this topic, those if any
in denial about the use, well thats ok to live with your head in the sand
Race vet's pre-race horses and it is not just looking at them from a distant, the bigger the stable the bigger the vet bills.
Some even have their own full time, just for this job. Talking NA.