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Challenging Change

January 2, 2014

Everywhere we turn, we hear or read that things ought to change because, well . . . “The times are changing.”

How we raise children, how we educate students, how we work and worship . . . everything is subject to change, we’re told, because “times change.”

I suppose if we had evidence that the changes made in previous decades, because “It’s the 80s” or “It’s the New Millennium,” had really improved our world, I might be more taken with change for change’s sake today. But I see little evidence of stronger families, better schools, more fulfilling work or more faithful congregations today than in previous decades. Rather, I see a world in worse shape in many ways, even in the only part of that world where I have any expertise: sports.

One of the problems of youth sports today is the over-programming of our kids. A superficial comparison with youth sports of 2014 vs. 1964 reveals that today we have many more well-organized leagues in many more sports for many more kids than 50 years ago. They have better facilities, equipment and uniforms. They have coaches and officials and even boards of directors to hear the complaints and protests.

By contrast, in the 1960s there were just a few organized leagues in a few sports for a few kids; but even those kids spent most of their playing time in pickup games where they chose up sides, set the ground rules, and made the calls themselves. They settled arguments on the spot. They had to bring their own equipment, and take care of it. And if the ball went out of play, they had to hunt for it until they found it; because a lost ball meant not only that the game was over, it might also have meant the entire season was over.

When did kids learn more from youth sports: in the 1960s world of pickup games they managed for themselves, or in the more recent world of adult-directed travel teams and tournaments and trophies? Just because “times are changing,” should we program out all that was good about youth sports 50 years ago?

Of course not. Which is why those in our schools who want more and more contests for younger and younger grade levels must be cautious. It is possible to get too much of a good thing, and to get a good thing too soon.

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.