None of This is New
October 31, 2011
Those commenting on national affairs keep saying that our political processes are too polarized to get anything done; but political parties were every bit as divided in the 18th, 19th and 20th centuries as they are today, and public debate was even more strident than the lack of civility we see today.
The grilling of Supreme Court nominees, Wall Street bankers and British Petroleum executives can seem sensational, but this has been nothing like the early 1950s when Senator McCarthy of Wisconsin conducted hearings into Communist sympathies of employees in government and Hollywood.
It is almost laughable to assert that modern political debate is disintegrating. Heck, in 1804 our nation’s vice president, while in office, challenged a critic to a duel. And shot him dead! Now that’s discord!
My point is that the political process didn’t break recently. If it’s broken, it’s always been broken, always contentious and acrimonious – from the drafting of the Declaration of Independence and Constitution, to the War Between the States, until today: corrupt politicians, polarized political parties, bitter debates, contentious elections.
None of this is new, except for the increased media coverage. None of this alone is to blame for today’s inability to solve problems. And all of this together is not to blame for today’s problems.
Perhaps closer to the heart of the problems today in Michigan and our nation is a lack of heart in “we the people.” A lack of passion, principle and – most of all – common vision and purpose.
Maybe we’ve just had it so good for so long that we’ve forgotten to dream for better days and fight for a better future.
Maybe these tough times will refresh our dreams and reignite the fight.
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.”