I think Peter Roebuck has nailed this one right on the head. There's no doubt in my mind that Shoaib Akhtar chucks, and does so beyond the stipulated 15 degrees of tolerance. The excuse profferred is that he has a condition, that leads to hyper-extension of the elbow, and so on and so forth. I don't dispute that, and nor do I wish Shoaib, or anyone else similarly afflicted, any ill-will.
The point Roebuck makes, with which I completely concur, is that this condition should be completely irrelevant. The Laws of the game stipulate conditions and requirements, and they must be met. Failure to meet them is a contravention of the Laws, plain and simple. This is not an issue that should be covered by the Americans with Disabilities Act, or any such international equivalent. The sport of cricket does not have to uniquely accomodate every human being on the planet.
With any sport, if you are physically unable to comply with the demands, you don't play it. Cricket should be no different. Some may say this is heartless - but it isn't.
Consider the example of an individual with a debilitating rotator cuff injury combined with bursitis (two things I know plenty about). He cannot raise his arm above his chest, and therefore cannot legally throw or bowl a ball of any sort.
Would the ICC make an exception and allow him to bowl underarm, because a natural physical ailment prevents him from complying with the Laws of the game? Hell no - such people are forced to seek careers as umpires or coaches, or simply forget about playing cricket altogether.
There is no question in my mind that the same principles need to be applied unilaterally. Either you comply with the Laws and regulations, or you don't. If you fail to do so, then that's the end of that. No special exemptions because you bring in extra television dollars. It's an insult to the game that we all love.