Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”
Bad Choice
September 11, 2015
From our vantage point, we saw years ago that “choice” was disrupting schools more than it was improving them, and hindering more than enhancing the academic accomplishments of students.
What we saw years ago was that choice was more often exercised for adults’ convenience – to schools closer to child care or parents’ jobs – than for students’ academic improvement. Studies now tend to prove that observation is correct.
We also saw years ago that choice was mostly a chain reaction of prickly people. Students or their parents unhappy with their local school for one reason or another would move to a nearby school where, simultaneously, unhappy people would be moving from there to another nearby school. Studies now show that about half of choice students return to where they began; whether or not they ever accept that the fault was their own and not the fault of the first school is more difficult to discern.
In July, Michigan State University reported some of the most recent research about, and some of the faintest praise for, school of choice; but because previous studies have demonstrated that students’ learning diminishes as their mobility increases, there should have been much more scrutiny of Michigan’s school of choice policy when it was introduced 20 years ago, and as it has spread to 80 percent of Michigan school districts since 1994.
As a means of improving schools, choice has failed by making poor schools worse. As a means of integrating schools, choice and charter schools have actually re-segregated schools. And as a means of destroying neighborhoods, choice has been the perfect weapon.
You want to rebuild Michigan? Then start with neighborhoods, at the center of which will be a grocery store and a school, both within walking distance for their patrons who are invested in them.
School of choice has created problems for administrators of school sports. But what’s far worse is the damage it has done and continues to do to our students, schools and society.