Our Environment at Risk

October 18, 2011

My wife and I are passionate travelers.  We plan our own trips and we read about the history, music, art, government and food of the places we plan to visit.  I struggle to learn a few phrases to get by in other languages.

No matter how cramped airplanes have become and no matter how compromised we feel as we shed our belongings and submit to the frisking and fondling of airport security, we remain enthusiastic planners and pilgrims.  And the more exotic the destination, the more excited we are.

As we have traveled, it has been impossible to escape the realization that civilizations rise and fall; and it’s impossible to avoid the conclusion that one of the most compelling reasons why civilizations fail is that they ruin their environments.

Some civilizations have done this to themselves, poisoned their own environs; while other civilizations saw their environments contaminated by foreign influences.  Some were invaded by brute force; others peacefully introduced new customs or germs that weakened the people or their flora or fauna.

It is one or more of these influences that caused the Mayans, who built structures that still stun 21st century engineers, to be reduced from many millions to a few remnants.

The historical principle that civilizations collapse when their environments are contaminated is worth considering for our little niche in modern society:  the enterprise of school sports.

We cannot expect school sports to survive – these programs can only collapse – if we ruin the environment in which school sports breathes and lives.

This is an environment of comprehensive, community-based schools. 

But schools are losing both these characteristics – both their comprehensiveness and their community base.

That we have a few schools of narrow focus is reasonable; that we have a few schools of specialized populations is tolerable; that we have a few schools without strong neighborhood connection is acceptable. 

However, it does our neighborhoods no good, our communities no good, our state no good, nor our nation any good – in fact, in total, it does our nation much harm – as more and more schools trend further and further in these directions.

To abandon the school with comprehensive programs serving the invested neighborhood around it does us harm:  nation, state, community and child.

It is almost irrelevant that this is bad for high school athletics.  It’s bad for America.
 

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.