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Or it could be that most people who pull out doesn't have the choice not to. It's one thing to pull out because you don't feel 100%, or because you can't make the weight cut, it's a totally different thing having to pull out due to a legitimate medical issue.
I would agree with fining fighters who pull out even though they are medically cleared to fight.
People obviously get sick, but it's very obvious most of them are full of shit. These guys either try to cut too much weight or don't take their weight cut seriously and then they get sick or injured and pull out. MMA needs to basically create a USADA for weight cutting, and make sure there are more stringent rules and monitoring to ensure these fighters aren't fucking around anymore.
The fact that is 100% more likely to occur with big fights isn't only embarrassing and telling, but also problematic. When there's more of a chance a major fight gets cancelled than actually happening, something needs to be worked on ASAP.