The way I look at it is if someone wants me to cook their cook steak Med-Well, Well, or Smoking Black.....I will. The reason.....I won't have to eat the piece of "horse meat" and they will be happy as could be with it!
Med-rare for me. I can do Med if I have to, but prefer not to. If its "walked" to my plate with its bell ringing, it will be a tad to rare for me.