Our Narrative
November 21, 2011
Thomas Friedman – author of The World is Flat, From Beruit to Jerusalem and Hot, Flat and Crowded, among other major works – has a gift for converting complicated topics into moving narratives. So I took note, during President Obama’s second year in office when, in a New York Times column, Mr. Friedman took the President to task for a communication gap.
Friedman wrote that the President doesn’t have a communications problem per se (in fact, he’s been one of our nation’s more articulate chief executives), and he has a good grasp of facts on many subjects.
What he has, according to Friedman, is a narrative problem. “He has not tied all his programs into a single narrative that shows the links between his health care, banking, economic, energy, education and foreign policies.” Without this, wrote Friedman, people do not see these are all “building blocks of a great national project.”
Regardless of one’s opinion of Mr. Obama as President and Mr. Friedman as pundit, those responsible for school sports should pause over this observation or opinion; should stop to consider how all the projects and programs we contemplate either do or do not help us tell the story of educational athletics in Michigan.
The narrative for school sports can be compelling. When and where programs maximize participation and promote high standards of eligibility, conduct and care; when and where programs demonstrate quality coaching and officiating; and when and where it can be demonstrated that the programs are not merely compatible with the educational mission of the school but actually improve attendance, raise GPAs and increase graduation rates; then and there we have a coordinated and convincing narrative.
Projects and programs that produce and promote these results will be the kind of building blocks that tell our story and should generate popular support for many more years to come.
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.”