I haven’t said anything about the “drunk astronauts” story, but I do think that it epitomizes the atrocious state of reporting on space (and any technical subject), in which it becomes sensationalized and drained of reality. Everyone assumes that the two incidents referred to were Shuttle launches, when the word I get is that it was a T-38 and a Soyuz flight. And of course it has become inflated from two (anecdotal) incidents to everyone doing shooters before each Shuttle flight. The real story, as Jim Oberg points out in this interview with a terminally clueless BBC reporter, is the special treatment of astronauts, and the (lack of sufficient) power of the flight surgeons (at least in their minds) to ground them. Of course, this is a tough problem, as we saw in the Nowak case.
There is a natural antipathy between the astronauts and the flight surgeons. From an astronaut’s point of view, an encounter with the latter can’t have a good outcome. At best, it can be a neutral one. The default is that one’s flight readiness is go. A flight surgeon can’t improve that–they can only change it for the worse. If one is sick enough to need to get permission to go, it’s unlikely to happen, since there are many trained backups, even for a given mission, who are fine. Recall Apollo XIII, when Ken Mattingly had to be replaced by Jack Swigert because he had merely been exposed to German measles, due to concern that he might come down with it during the mission. He ended up not getting them, and while the decision made sense, he had to feel frustrated (though obviously not as much as he would have had the mission been successful).
It’s not a new problem, and it’s not one likely to go away, but it would help if the media would treat it seriously. Not to mention soberly.