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Spam
We already have the 'Flag' button for that. I've recently noticed that negative votes for spam remain added to the discussion total even after the spam is deleted. See the ever-popular 'Fix .PST' discussion; it has a total of 17 negative votes, greater than the number of votes visible in each post. Ah, synergy.

I have trouble with clicking before the page finishes loading, usually hitting the 'Start Discussion'. If I aim for the 'Last Modified' column title to resort before the page finishes, the topmost ad will push 'Start Discussion' under my cursor.
Updated - 26th Feb