10 years ago the best players on my sons high school team were using performance enhancing drugs.....and the coaches knew. They ignored the drug use because winning was the single most important thing in the coaches lives.
There are plenty of high school students taking Adderall and other attention deficit disorder drugs because they think they will enhance their academic performance. Probably more in college. Personally, I think the problem is in part that we have redefined what ‘success’ is in life.