Culture Wars

January 24, 2017

Our purpose in school sports is to help develop the whole child. That’s why we do not advocate that sports consume a child’s whole life.

We recognize that it’s not good to get too much of a good thing. Too many hours devoted to sports and too many months devoted to the same sport can lead to a life that is out of balance and unhealthy.

Unfortunately, every restriction we impose to protect children from such risks and to promote their good health is exploited by others. For example, by non-school club coaches that covet our kids. And by almost every convention and visitors bureau in the country that is sponsoring sports events to boost their local economy.

While we talk of balanced participation and a long-term approach that leads to a lifetime of physical activity, better health and reduced medical expenses, we are out-shouted by a culture that does not have the whole child in mind. Our frame of reference is helping to raise a healthy human being, which is challenged by a culture that is more intent on raising revenue from the athletic dreams and fantasies of children and their parents.

Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.