No Super-Sizing Needed
March 23, 2013
Airline travel today presents a confusing array of frequent flyer and credit card loyalty programs: Premier Access; Silver, Gold or Platinum Elite; etc. They allow a traveler to check bags without cost, visit airline club rooms free of charge, and board planes ahead of the rest of the herd.
The problem is that the airlines have established so many levels of elitism that the result is a confusing, meaningless mess. Which reminds me of other efforts to distinguish good, better and best, especially in youth sports.
In basketball, ice hockey, soccer, volleyball and other youth sports there are now so many programs that promote themselves as more elite than others, and so many tournaments that advertise themselves to be above others in terms of status or the presence of college recruiters, that the efforts to distinguish themselves are not at all meaningful, and almost laughable if they were not fooling and fleecing so many children and parents.
In contrast, school sports is not engaged in the never-ending addiction to add layers of competitions and levels of championships. We are just fine with league, district, regional and statewide tournaments and trophies. We do not need national-scope tournaments and all-star events.
In school sports, the titles don’t need super-sizing, and the trophies don’t need to be taller than the participants.
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.”