Skepticism
October 4, 2011
One of the greatest catalysts of the environmental movement in Michigan was the rise of the middle class working family as our state industrialized in the early 1900s. Forty-hour-a-week workers with good pay and benefits sought out clean rivers, streams, lakes and parks for recreation and relaxation during their weekends and vacations. Many industries that created the jobs soon realized they had to provide their employees a clean environment as well.
Now as we struggle through a prolonged period of economic malaise in America, economists and politicians focus on what is needed to stimulate growth in the U.S. and world economies. They appear to worship at the altar of economic expansion, few seeming to question if our planet can sustain the growth rates they pursue. What price to our environment does a robust economy extract?
Of course, it is easier for a person with a job, insured benefits and a retirement program to question the obsession with economic growth; but a job without clean air to breathe and water to drink will not be satisfying for long. So a healthy dose of skepticism about economic growth is needed.
As I read the scathing indictment of corruption in college sports in the October issue of The Atlantic Magazine, I kept thinking that a healthier dose of skepticism about ever-increasing hype might have avoided the crass commercialism and exploitation of what once was but may no longer be justifiably connected to institutions of higher learning.
And of course, a healthy dose of skepticism must be maintained by those in charge of school sports as we trend during difficult economic times in directions more commercial than our founding principles may have envisioned.
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.”