Intent matters. That is part of the decision making process on if its a foul or not. Was it excessive, was it done intentional? Those are the two questions asked.
Didn't say intent doesn't matter. Intent matters. Ron Artest got however many games because of his intent. You intend to hurt someone, then you get hammered, this is fine by me. Why should intent and excessiveness be the only criteria? You don't intend to puncture a lung, but it happens anyway, well then why not consider the outcome?
Because freak accidents/injuries should not be the basis for suspending players in this league. Wallace cracking a rib is a freak accident/injury IMO. Like I said before a lot of players get hit like they when they jump into others players in traffic. I've seen slashers do that a few million times since I've watched basketball and I've only see one guy puncture a lung. If you review what happens to a player after every foul you are asking for it.
If Manu does his normal floppyness around the rim, get nailed, falls, and then after the game they determine he hurt his ankle again because of it do you now go back to suspend that player?
When Kobe Bryant got fouled above the 3 real hard and it messed up his shoulder 4 seasons ago (I believe) do you go back to suspend that player even though they were trying to keep him from getting the shot off as usual? I considered that a freak accident/injury and I don't think it warranted a suspension.
I didn't agree when the league suspended Bruce Bowen because after the fact Stu Jackson found out his butt buddy Ray Allen hurt his ankle.
Not saying you should never go back and review a play to dish out some punishment. I am just saying you can't do it every time and certainly have to consider if it was a freak injury/accident.