Medals and tournaments have always had somewhat of a love hate relationship and there are two sides to the issue. When giving out medals we're talking about people who have actually gone through and completed the tournament and there isn't any issue with them IMO although there are some who complain about the lack of originality with the 16 player 1v1 bracket tournaments however, lets be honest, those are popular for a reason.
The larger problem, that I see, is the people who start tournaments and don't bother to finish them. There are certainly serial deadbeat TOs such as caymanmew, or sensfan who start little crap tournaments that they can't even be bothered to finish up. That kind of thing irks me far more than anything else. If we didn't have to deal with his kind of crap I'd wholeheartedly approve any medal for anything but the little pissants ruin it for everyone.