It seems like a big deal to us here because we are seeing the tippy top of elite drug using pros from all over the World, so it seems like a lot are dying. In real life, most steroid users are absolutely fine. You might see a few heart attacks in older guys that stay big, or an infection from a bad shot, but compared to many drugs or other reckless behaviors, steroid use is benign.
Stay off the rec drugs, and learn to stop playing the size game, and you'll probably live to a ripe old age.