I'm thinking about the possibility of an individual with significant cognitive impairment nevertheless being very fast.
Would USATF owe them a standard of care that was higher than for the non-impaired athlete? In terms of explaining procedures, rules, assisting their compliance, etc? I think they would, as an analog to reasonable accommodation of a disability under something like Title 1 of the ADA.
On this same line of thought, does an association like US Swimming owe a higher standard of care to some of their very young female athletes (15 yrs old), who compete in the Open class and who make trials standard and might even go to the WC's or the Olympics? They are, after all, minors, and not just by a little bit. Yes, their parents/guardians are no doubt involved in protecting their interests.
But let's say there is an adult, who slips through the cracks. Somebody with a significant impairment, but who does not have a legal guardian for some reason, like they have not been adequately diagnosed. Considering the money, advertising contracts, TV contracts, politics, sponsorship, etc. that are integral parts of high-level t&f, does USATF have to act to a higher standard in making sure the needs of the individual athlete are at least equitably served?