VeloNews’ interview with Joe Papp, who crashed while taking blood thinners and an EPO-like substance, is absolutely riveting. Go read it.
I’d like to highlight one of Dr. Richardson’s points, though, as it emphasizes a thought that I’ve had for a while; namely that, for riders currently doping, the incentive is to continue, as coming clean publicly can mean a lifetime ban:
Realistically, most of those involved in doping are using many products at the same time and for long periods of time before they are caught. They are currently penalized for one positive test per substance. That means that there is a built-in disincentive to be honest. Indeed, if a rider were to reveal the whole ugly story he or she would risk being charged with a second (non-analytical) positive and a likely lifetime ban from competition.