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.
Cardiac Screening
October 31, 2014
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.”