Soccer’s Shifting Sands

November 27, 2012

US Soccer has created “Development Academies” for high school age soccer players that prohibit those players from competing on their high school teams.  This has created a nationwide gnashing of teeth to which I contributed in this space on March 9, 2012 – “US Soccer Gets a Red Card.”

It now appears that the effects of US Soccer’s exclusionary policy have been felt in Michigan, as a new cast of characters played leading roles in the MHSAA’s recently completed Lower Peninsula Boys Soccer Tournament and the Michigan High School Soccer Coaches Association’s team rankings tilted from the southeast, home of the state’s two US Soccer Development Academy programs, and toward the west and north.

Divisions 1, 2 and 3 of the MHSAA boys tournament lacked a southeast team in the Finals; and the soccer coaches association did not rank a southeast team in the top two of Divisions 1 and 4, in the top four of Division 3, and in the top eight of Division 2.

Certainly, one year's results is not a trend; there could be other factors at play here.  And it’s also true that some folks are not alarmed, saying any student lost to the US Soccer Development Academy opens up a spot for another student to play for his high school team.

Perhaps that’s so.  Still, it is disconcerting that US Soccer now plans to descend to an even younger level of athlete for its boys development academy and to start a similar program for girls soccer.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”