Mission Control

May 5, 2015

As we survey all that might be done in the future to improve the health and safety of student-athletes, it is good discipline to look to the past and recall when hype or hysteria caused well-intentioned people, and some not-so-well-intentioned people, to campaign for solutions to problems that either did not exist or could not be effectively addressed through mandates on school sports.

Over the years, school sports has been asked to address much more than what occurs on the practice or playing field. We’ve been asked to address drunk and then distracted driving; bulimia and bullying; texting and sexting; hazing and homelessness; seat belt use and steroids, which provides a perfect example of the limitations of fixing societal problems through mandates on school sports programs.

After more than a decade of voluntary educational efforts and just about the time when steroid use in schools began to trend downward, state legislatures caught wind of the “problem” and perhaps of potential political gain.

The University of Michigan Institute for Social Research reports that steroid use has been declining since 2005, which was just before the first state – New Jersey – enacted a law requiring schools to test high school athletes. Undaunted, the Texas legislature followed suit three years later. Undeterred, the Florida legislature followed the next year, and then Illinois lawmakers acted.

Florida discontinued its mandated drug testing program after just one year, and Texas is about to end its program, after spending nearly $10 million. Florida conducted 600 tests. Texas ran more than 60,000. Florida had one positive test. Texas reported less than one percent positive tests.

Because leaders of school sports have the statistics to link sports participation with improved attendance, achievement and attitude at school, we make our programs vulnerable to assault by passionate people who want our good programs to fix their bad problems. We have to be careful to avoid a situation where, in trying to address so many of society’s problems, we actually solve none; and worse, become distracted from our core chore of conducting safe, fair and sportsmanlike programs that make schools a happier, healthier place for student academic achievement.

School Sports’ Influence

June 20, 2017

As I sat a year ago in an audience consisting of my colleagues from across the U.S., I shared the general frustration – or perhaps it was exhaustion – when a veteran member of our national sports medicine advisory committee discussed the role of high school sports leaders in addressing what he said posed the greatest threat to students.

That threat was nothing we had been working on so very hard for so very long. It wasn’t heads, heat or hearts. Not extreme weight loss in wrestling or, increasingly, in other sports. Not communicable diseases, especially in wrestling. It wasn’t specialization. Not performance enhancing drugs.

He reported that the greatest threat is accidents. Away from the practice and competition venues, and especially traffic accidents. He wondered what our role should be.

He acknowledged much we’ve done regarding so many issues in the past, and all the newer issues – such as opioid addiction, depression and suicide – that are pressing for our attention; but he said it was the same issue today that it has been for decades that most threatens students. Accidents. Especially automobile accidents.

He admitted that the time and place of this threat was not under the control of athletic coaches and administrators. But his point was that the time and place is still under the influence of coaches and administrators.

Say all you want that school sports is irrelevant in this age of video games and ubiquitous non-school sports. This physician knows the score. He knows that school sports still matters mightily to kids, and that those in charge of local school sports programs still yield great power over young people.

Pick a problem – almost any problem – and people want school sports to address it. From bullying to bulimia, from obesity to overuse injuries. It is unfair to ask us to do all this, especially when funding for school sports is considered a frill in so many places.

But it’s a heck of an honor to work in an area where people think we’re the solution, or at least a deterrent. So we keep trying.