I don't think it does. Revisit the story of Jeffrey Hudson, and how winning a duel changed his life. What it does imply is some personal risk in making unsubstantiated claims against people.
Try looking at the glass as half-full. Under the present system, true claims are suppressed well enough by the pay-to-play nature of mass media. Re-introducing some aspect of personal risk--one that couldn't be mitigated by mere cash--would, hopefully, let the air out of entire industries of manufactured controversy, which fuel everything from needless wars to societal decay.
As for the challenge, there are worse things than death.