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Tough Love

October 9, 2015

A young Korean woman has lived with my wife and me for two years and will for two years longer. Grace is a graduate of the international school in China where our son and his wife were her teachers; and since living with us, she has graduated from Lansing Community College and moved on to Michigan State University.

Having this student in our home and a son and daughter-in-law as educators in China, living with my wife who once was in charge of refugee resettlement for a large agency in mid-Michigan, and my serving for seven years as president of the board of the Refugee Development Center in Lansing, makes me understanding of and sympathetic to international students.

However, I expect that is not the reputation I enjoy among those who work for student exchange organizations and even among some in our schools who work with the increasing number of international students who are enrolling in Michigan’s secondary schools. They probably view me as an advocate for more restrictive transfer rules for international students, especially regarding F-1 visa students and nonpublic schools.

Guilty as charged. Indeed, I do advocate for higher standards for exchange programs, more vigorous oversight of student placements and more equal application of rules, regardless of the type of visa the student has or the type of school in which that student enrolls.

It is because I see great value in our interaction with people from other nations that I want to assure international student exchanges remain popular in our schools. Nothing jeopardizes the future of international student exchange more than sloppy or shady placements of international students, including last-minute dumping of students by agencies, athletic-related direct placements by agents, and school districts loading up on international students as backfill for declining local enrollments.

As some youth escape brutal hardship in war-torn or impoverished countries and more well-off foreign students stampede to the U.S. to attend U.S. secondary schools, colleges and universities, it will require high doses of tough love. If problems related to athletics increase, so will the chances that all international students will lose all opportunities to participate in varsity level sports in this state.

Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.