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.
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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?
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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?
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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.
Look Out Below!
March 27, 2018
Here are the kinds of statements that should send chills down the spines of thoughtful leaders of school-based basketball:
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From Maverick Carter, business manager for LeBron James and CEO of Springhill Entertainment: “... the system is broken at the base, the foundation of it, which is youth basketball ... And if youth basketball is broken, then that’s part of his (NBA Commissioner Adam Silver’s) job, too, because those kids are quickly in his league.”
“... the NCAA has these stupid-ass rules that are so archaic, so you have to fix that whole thing and figure out a way to do it. I own a piece of Liverpool football club, in European soccer, because clubs have a system all the way down to youth.” -
From Michelle Roberts, NBA Players Association executive director: “... we need to go younger, and we’re now plotting ways to do that.”
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From Draymond Green, formerly of Michigan State and now of the NBA’s Golden State Warriors: “You talk to the European guys who I’ve played with, and they’ve been making money since they were 15 years old ...”
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From Michael Singer of the Commercial Appeal, Memphis, TN: “... the NBA is indeed exploring avenues to connect with elite high school players and improve the developmental system ... Part of the NBA’s plan could hinge on working with elite prospects throughout high school, whether at tournaments or at summer camps.”
So, at minimum, this is what school-based sports can expect as a result of NBA and NCAA efforts to fix what’s broken in college basketball:
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Additional pressures on students to specialize in basketball year-round from a very early age.
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Further distraction from the masses of players toward elite players.
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An attack on amateur standing rules in school-based basketball.