I think we can accept that the premise is we've made astounding strides and there are still areas of improvement; I don't think that tarnishes the hopeful and utopian dream at the heart of Star Trek.
It doesn't, but it also shows that even in the future, they're not free from the foibles of being a person. Achieving and maintaining something like the Federation needs active, constant work. They can't just go bang, Federation, and be done with it for good. Constant vigilance is the price we must pay for our freedoms.
It's an angle that I'm honestly disappointed that hasn't been tackled yet, since it seems perfect for a Star Trek story. Early Picard seemed to be going that way, with former Borg drones being mistreated, and the Federation outlawing reproduction for inorganic beings, but then it veered off for the Season 3 plot.
There's a really juicy three-way conflict between people who think that the Federation is too soft to survive, those who think it's fine as it is, and those who think it doesn't go far enough, and should be expanded to cover more, that could easily come into play, and show how much work it took them to get and stay there.
I'd also argue that part of it is also maintaining Starfleet values in extremis. Even if you don't have the institutional support of the rest of the Federation and they are against it, it's important to stand up for your moral beliefs.
It's supposed to be a time after humanity has dealt with all of the stupid in-fighting and conservative BS. It's supposed to be about a time when the drama doesn't come from inside the house. When humanity is exploring the stars, not having a moment.
Though they clearly haven't, even if they think so. For example, if you're not an organic humanoid, it's very much up in the air whether you'll be treated as a person, or as an inconvenience.
The Measure of a Man was constrained to apply to that one instance, in Data's case, and he had the Sutherland automatically assuming the worst of him and nearly comm itting mutiny. Both the ExoComps and the EMH suffer from people thinking they're malfunctioning and factory resetting/lobotomising them.
If you're in a war with the Federation, it's equally ambiguous whether they'll stick to their own rules of conflict. The moment they feel threatened, they'll do things like unleash a deadly bio-weapon/memetic-weapon against your species, start laying self-replicating mines, or just make plans to blow up your homeworld. At best, your fate is left to the whims of a handful of admirals and captains.
Even within the Federation, Admiral Satie was not a isolated instance. She only made two mistakes, in going up against an unusually accepting crew that would bat for one of their own, and losing her composure in front of another admiral. If she hadn't, her crusade against Romulans in Starfleet would have continued unabated.
The fact that she could start it would suggest that those attitudes exist and are underlying within Starfleet. At least, on a significant enough level that she wasn't treated as being unusually paranoid about a non-issue.
They know their own preferences, and could mention if they have policies in the clinic that prevent them from accepting gifts from patients and the like.
That's what the article reports. An investigation was conducted into the death, and concluded that the injections were not related. The only issue with the cosmetic surgeons was that their licence wasn't applicable in France, or other regulatory faults.
The victim taking numerous erectile dysfunction and penile enlargement medications were suggested to have been the driver for the heart problems that killed him.
Why is US Immigrations and Customs Enforcement even going to provide security for a sports event in another country, anyway? It seems bizarrely out of scope.
Just for comparison's sake, how does it compare to modern episodes? Are they still shot within the span of a single week?