Independence Day
July 9, 2014
The No. 1 focus of my volunteer time and charitable giving is the Refugee Development Center which exists to support in our community those who have been displaced from their native countries by bigotry, hatred and violence.
Two years ago, RDC started a soccer team – called “Newcomers” – for the elementary school aged children of one of the neighborhoods in which our refugees have settled. As I’ve written here before, it took most of a full season for this team to score its first goal, longer for it to earn a tie and still longer to win a game.
After the earliest few practices it was apparent that none on the team had much playing experience. Many of the players had only recently escaped persecution where playing games would have had no place. It was also apparent at the outset that the players had little experience with the dynamics of teamwork, and language differences added to the difficulties.
After several lopsided losses, some of the Newcomers complained that “they needed some Americans on the team.” But our patient coaches had just the right response. They said, “You are Americans.”
Indeed; these Newcomers are as American as I am. Ours is, in fact, a nation of newcomers which, in spite of some serious slights and several significant sins, has welcomed all the world’s people.
As my wife and I travel to other countries, we hear their citizens talk with admiration about the opportunity and stability of “America,” which they seem to prefer to call us rather than the “United States.”
The 20-year-old student from South Korea/Philippines/China whom we are hosting in our home for two years is amazed at the diversity of skin color and dress she sees in our town. She is amazed that she could attend a church of a different denomination in our community almost every week of the year; and she is equally amazed at the openness of government and media and the tolerance America has for different opinions on any topic.
The America that I celebrate on this Independence Day is the one that strives to be independent of tyranny, bigotry, intolerance and hatred and, because it sees its connection to humanity everywhere, remains a nation whose arms are open wide to the world.
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.”