ArticleBioethics2026
Against Moral Panic and Citation Fiction: A Critique of "Panem, Corticoids and Circenses" and a Proposal for Editorial Gatekeeping on Reference Integrity.
Article in Bioethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The proposed Enhanced Games have become a convenient stage for bioethical sermonising about risk, authenticity, and the "spirit of sport". This is epitomized by a recent article arguing that institutionalizing pharmacological enhancement under the "pretence of medical supervision and personal autonomy" would redefine human excellence in "purely biochemical terms", erode ethical norms, normalize doping, and burden public health systems. The present paper offers a two-level response. First, I criticise the argument on its merits. Its central claims rely on rhetorical inflation, false dichotomies, and circular appeals to unspecified ethical norms. The risk argument is selectively paternalistic, treating pharmacological risk as uniquely disqualifying while ignoring the substantial and well-documented risks that elite and even mass-participation sport already normalizes. The treatment of autonomy is reduced to assertions rather than argument; the depiction of medical supervision as mere "pretence" is offered without evidence, despite public-facing claims by Enhanced Games proponents that they seek clinically supervised enhancement. Second, and more seriously, I turn my attention to an audit of the target article's scholarship. Multiple citations in Demas's article appear to be bibliographic fictions presented as high-profile clinical evidence on performance-enhancing drugs. Even when genuine sources are cited, they are invoked for conclusions that those sources do not sustain. This is a serious breakdown of the minimal contract between author, reviewer, and reader, one that demands that cited evidence exists and supports the claims made.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.