Let me see if I can summarize this thread:
Wedrifid made a strategic observation that if a person cares more about their own health then the integrity of the trial it makes sense to find out whether they are on placebo and, if they are, leave the trial and seek other solutions. He did this with somewhat characteristic colorful language.
You then voted him down for expressing values you disagree with. This is a use of downvoting that a lot of people here frown on, myself included (though I don't downvote people for explaining their reasons for downvoting, even if those reasons are bad). Even if wedrifid thought people should screw up controlled trials for their own benefit his comment was still clever, immoral or not.
Of course, he wasn't actually recommending the sabotage of controlled trials-- though his first comment was sufficiently ambiguous that I wouldn't fault someone for not getting it. Luckily, he clarified this point for you in his reply. Now that you know wedrifid actually likes keeping promises and maintaining the integrity of controlled trials what are you arguing about?
Wedrifid made a strategic observation that if a person cares more about their own health then the integrity of the trial it makes sense to find out whether they are on placebo and, if they are, leave the trial and seek other solutions.
To me it didn't feel like an observation, it felt like a very strong recommendation, given phrases like "Better yet", "tell them placebos are for pussies", "It isn't your responsibility!", etc
...Even if wedrifid thought people should screw up controlled trials for their own benefit his comment
If it's worth saying, but not worth its own post (even in Discussion), then it goes here.
If continuing the discussion becomes impractical, that means you win at open threads; a celebratory top-level post on the topic is traditional.