Logo

The Investment

February 3, 2015

Last month, Steve Christilaw who writes for the Spokane (WA) Spokesman-Review, ended an opinion piece with these statements:
“. . . a strong, vibrant society invests in its future by investing in young people. What our youth can learn from playing sports are life lessons we, as a society, place at a high value.

“How we pay for it all – education, the arts and athletics – has become a political football . . . and it deserves to be treated as the serious and significant investment that it truly is.”
Previous to that conclusion, Christilaw opined from his experience that the values of participation in school-sponsored sports are different than what young people gain in non-school club teams where the focus is more often on one’s self than cooperating with a team and representing a school or entire community.
There are those, of course, who see athletics as a distraction from the educational mission of academic institutions. I don’t doubt that can be the case in some places on some occasions; and I know from experience that leadership must be vigilant to keep a lid on the program and resist those who wish to take school sports to extremes.
But athletic programs which are true to the mission of supporting the educational mission of schools are far more the rule than the exception, most often operating at small fractions of the school budget, and most often involving large majorities of the student body.
A “serious and significant investment” indeed.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”