On this view, to the extent that biomedical shortcuts allow specific accomplishments to be divorced from the admirable practices they were designed to reflect, the social value of those accomplishments will be undermined. If one’s good grades are gained by drug fueled “cramming” rather than disciplined study, their value as evidence of learning diminish. This means that for institutions interested in continuing to foster the social values for which they have traditionally been the guardians, choices will have to be made. Either they must redesign their games to find new ways to evaluate excellence in the admirable practices that are not affected by available enhancements, or they must prohibit the use of the enhancing shortcuts. However, knowing which way to go suggests that one has a theory of the social practice at risk and of the values that animate it. The case of sport again leads the way down this path in the literature, perhaps because, unlike most important social practices that might be susceptible to enhancement shortcuts (like child-rearing, education, love, politics, and spiritual growth), the stakes are low enough to allow for some deliberate policy-making at the international level.