Out-Punting Our Coverage
March 19, 2013
Any traveler to the Atlantic coast of any Central American country will witness firsthand the arrogance of the human race.
Strewn along almost every shore is the waste of nations outliving their means. Plastic in all shapes and colors, from products of all types – bottles, toys, sandals, tools.
Island nations to the east, unable to cope with the volume of their waste, cast it off covertly under cover of night. Oceangoing vessels large and small heave it overboard.
My wife puts it this way: “We’ve gotten ahead of ourselves.” Humans have fantastic abilities to create, but we do so without conscience, without caring enough about consequences.
This clearly applies to the world’s waste problem – from cast-off containers to used cars to computers made obsolete in a matter of months. We keep producing more and more, without plans for the waste of producing new products or the waste created by making existing things obsolete.
In the Pacific Ocean, a mass of trash the size of Texas is circulating as if there were a drain. But there isn’t one. No easy answer to flush human waste – the excrement of our greed – to some other place where it will do no harm.
In Chinese cities today the air, water and land are toxic – much as it was in developing US cities around 1900 – as China takes its turn to poison its people in the name of progress.
That we can do something doesn’t mean we should do it. In sports terms, the human race has out-punted its coverage, and the consequences are far more dire than a punt return for a touchdown.
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.”