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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.

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.