It is possible if not easy to enhance a horse's performance with medication and not get caught. Money and power have been motive to cheat as long as they have existed.
To deny that cheating is occurring is not only naive, it doesn't help anything.
It's like when Barry Bonds when put on 30lbs of muscle in one offseason and anyone with a pulse on the sport could notice, but it took years for most to admit that it is obvious.
It doesn't help the horse to pretend like some of these guys aren't sociopaths who cheat as much as they can within cost and danger of being caught. They are.
Trainer Talent, heavier use oflegal/accepted Drugs, and Money/quality are often enough to move up a horse substantially in their own right.
Not everyone is using some horrible undetectable designer drug, or EPO or pain blocking substance like venom, I'll even guess "most of" move up trainers and move ups are not, but some certainly are.
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