i agree they are not Dr's and shouldn't be made to make a medical decision but the governing body could keep info on file for those individuals with pervasive enough conditions to warrant in match use the rest can pre-medicate as those inhalers are meant to be used. The medical fact of the matter is there are VERY few people with asthma so bad that a pre-exercise dose would not preclude in match use...people with reactive airway disease that bad don't play sports generally. How many youth football/basketball/insert team sport here players have you seen run to use their inhaler every 6 minutes? I know how many I have seen ZERO... all the bad asthmatics must be wrestling