I agree, in particular with your second point. But the problem is: where do you draw the line? Is it only test anxiety, what about people struck by procrastinat

I agree, in particular with your second point. But the problem is: where do you draw the line? Is it only test anxiety, what about people struck by procrastination that don't manage to finish a thesis? Why is that not a valid medical condition? Is being lazy maybe also a medical condition? And being not all that smart? But more importantly, how do you make sure such excuses are not exploited by people simply failing the standards?