A version of this article appears in print on October 13, 2013, on page A 1 of the New York edition with the headline: The Soaring Cost of a Simple Breath. Get Free Email Alerts on These Topics Asthma Drugs (Pharmaceuticals) Prices (Fares, Fees and Rates) Series Inside Health » Too Hot to Handle Arts » The Harmony of Liberty Opinion » Should Beach Privatization Be Allowed? Room for Debate asks whether shorefront homeowners should have to open their land to all comers.
There was some controversy surrounding "Up the Down Steroid" and the 2005 film The Ringer , as both feature the same plot: someone pretending to be disabled in order to compete in the Special Olympics.  The Ringer was written and filmed months before this episode was aired, although, The Ringer was not released to the public until after this episode aired. According to the episode's DVD audio commentary, series co-creators Trey Parker and Matt Stone did not think that they ripped off The Ringer , since the idea to them did not seem hard to come up with, and they did not even think it was big enough for a twenty-minute episode let alone a two-hour film.  In the opening scene, the boys are playing the same "Investigative Reports with Bill Kurtis " funtime game as they did in the season two episode " Cartman Joins NAMBLA ".