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Old-Stone Savages

January 21, 2009
Something there is that doesn't love a wall,
That sends the frozen-ground-swell under it,
And spills the upper boulders in the sun;
And makes gaps even two can pass abreast.
 
I was forced to memorize the whole of “Mending Wall” in high school, back when Doc Fitz interrupted his own discussion of the difference between participles, gerunds and gerundives to demand recitations from each and every of his students. There was Shakespeare, of course, with Antony’s Funeral Oration and the Seven Ages of Man speech from As You Like It. Matthew Arnold detailed Dover Beach and the human condition in strophe-antistrophe free-verse, which means only slightly more to me now than it did twelve years ago. Thomas Hardy expounded on a far less symbolic clash of Arnold’s “ignorant armies” by writing 20 lines about The Man He Killed,* while the talented member of the couple Shelley mocked the concept of immortality generally and the hubris of one Ozymandias, specifically. There were most certainly more, as every week saw a new poem, which poems only in retrospect reveal themselves as a pretty miserable whole, despondent about humanity. Exactly what a bunch of recently pubescent boys needed once a day, really.
“Mending Wall” is no different, as man’s need to seclude himself is challenged, mocked and, eventually, resigned to. The point of the poem, however, is not the point of this piece. Rather, the image of the wall, torn down by Nature, hunters or even elves (or not elves exactly) sticks in my mind, something so inevitably destroyed and even more inevitably and foolishly rebuilt, all to be destroyed again with no thought given at any step as to why. The image of a football player, cheered on to success through multiple knee surgeries and concussions, living an unnaturally short life before succumbing to pain, depression or both.
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            Football is a naturally violent sport at any level. It projects human bodies at full speed into each other, each snap and ensuing play a perfect model for a successful missile defense system. As the talent coalesces and the size of the players grows exponentially, the danger and violence increases in kind. Three hundred pound men smash into each other 50 times a game, at least 16 games a year. Quarterbacks are blindsided by defensive backs coming off the edge at full-speed, or are fallen upon by a literal ton of man flesh because of a botched snap. Wide receivers running 4.5 40s in pads and stretching an extra few inches for the ball lay prone to kidney shots from the muscled cats of prey that are modern-day safeties. Running backs reach their peak in their late 20s, leaving five or six years of dust, bruises and glorious moments of sunshine closed by an unseen linebacker behind them as they gimp off into the fading sun.
            Knee surgeries are a matter of course for linemen, as braces, pads and scars provide trophies of scrimmage line war. Mark Schlereth, manning the line for Washington and Denver over a 12 year career, has famously had 20 surgeries on his knees (including 15 on his left knee alone), and 29 surgical procedures altogether.** Linemen are not alone. Just this year, the NFL has seen the following players undergo some form of knee surgery: Tom Brady, Peyton Manning, Reggie Bush, Bob Sanders, Marlin Jackson, Shawne Merriman, Sean Jones, James Hardy and Willis McGahee. The pain doesn’t go away after the surgeries, and as the two best quarterbacks of our time can tell you, the surgery doesn’t always solve the problem the first time. Relapses, as well as infections, can occur and require additional surgery or a gritting of the teeth as you play through the pain.
            Still, knee surgeries are child’s play*** when compared to concussions. Countless studies have linked concussions to dementia, depression, cognitive impairment and early death. One particular study, in part commissioned by the player’s association, found the incidence of depression approximately 3 times higher in players who had experienced three or more concussions, and 150% as high in players with one or two concussions. Upwards of 20% of those in the group of most frequent sufferers were found to have depression.
            Even these numbers hide the individual disasters. A neuropathologist has suggested that the multiple concussions suffered during games by former Eagles’ safety Andre Waters eventually led to his suicide. A man whose hard-hitting and quick-thinking had allowed for an easy transition from playing field for Buddy Ryan to sideline for Morgan State (among others) had, at the time of his death, the brain of an 85 year-old man stricken with early Alzheimer’s. He was 44.
            Players with dementia must be cared for at all times: cleaned, fed, clothed and restrained. It’s an unenviable task for any loved one, but is especially hard for the wives and family of NFL players, due to their size, strength, and relative youth compared to more standard cases of dementia. These same qualities make it difficult to get the players into proper care facilities, which are not equipped to deal with these outliers.
            Of course, the NFL has decried all of these studies and the proposed linkages. The League formed the Orwellian “Mild Traumatic Brain Injury Committee,” whose dual purposes seem to be (a) misunderstanding what the words “mild,” “traumatic” and “brain injury” mean and how they might go together,**** and (b) finding reasons to debunk the studies. Their favorites so far seem to be partial Player’s Association funding of the studies (which seems like a fair complaint until you realize that the studies are peer-reviewed and published in the same journals where the NFL publishes its studies) and the format of the studies, which are mostly done by voluntary surveys. Forget that accepted studies linking smoking and lung cancer, as well as proper diet and health, were conducted in nearly identical matters, and focus on the fact that the NFL is claiming that players are overreporting concussions, depression and dementia with no clear motive for doing so.
            On the plus side, the NFL is on the case, and will be releasing their own study on concussions and their effects on retired players in 2010. I am waiting with baited breath, as I am sure the medical community is.
            There have been a few positive movements in this area, each of which sounds ridiculous on its face. The NFL has joined with the Player’s Association to form the 88 Plan, which provides up to 88,000 dollars to families of former players who are suffering with dementia (97 players have been accepted into the program at least reporting). The NFL has reiterated that this is a goodwill gesture, and does not imply that there exists a link between football and dementia. The NFL has also adopted a “whistle-blower” system for players to report their coaches if the coach overrides the concussed player’s wishes, or the advice of the medical personnel….but of course, concussions don’t have long-term effects according to the NFL.
            The whistle-blower system, by the way, was made necessary when Ted Johnson, former linebacker in the league, revealed that he had been forced to practice by Bill Belichick against the advice of team doctors. The practice was three days after Johnson had suffered a concussion. Since his retirement in 2005, Johnson has become addicted to amphetamines, and suffers from depression and Second Impact Syndrome. He has divorced from his wife after a domestic spat, and has begun to show early signs of Alzheimer’s. He is 36 years old.
            Laying blame is pointless and perhaps counter-productive at this stage. Everyone looks bad when guys only a decade out of the game are unable to function at anything approaching a normal level. Moreover, laying blame is a step one gets to well after there is a generally accepted problem. I don’t think we have yet reached that point, as horrible and well-publicized as some of these stories are. There are rumors out there that the average NFL lineman lives to be 55, but the average football fan sees that number and only associates it with Derrick Brooks, Junior Seau or Lance Briggs. Fans are either ignorant of the issues, or simply don’t care. I’d like to think it’s the former, but even then, I can’t help but think that the ignorance is anything but willful. Still, very, very confusing.
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Compare, if you will, how we treat a very similar sport. The athletes are identified from a young age, and singled out for special treatment among their peers. This includes a special diet, training, and a reward structure that so heavily favors them that even the failures among them live lives grossly disproportionate to the rest of the population. The very best are cheered by millions, and billions are wagered on their success every year. Retirement sees an enriching of the rich, as their preceding fame opens up endless opportunities for appearance fees and casual sex.  
Of course, in order to achieve this fantastic life, they are pumped full of drugs, driven to their very physical limit (and occasionally over it), and exploited time and again by rich owners who want money, fame and victory, likely in that order. The athletes just below the superstar level fall out of our memory, and into an early grave, as their previous sacrifices cannot be overcome by modern medicine or a well-stocked portfolio. The even more unfortunate fail to recognize even the immediate pleasures normally associated with the sport, as their health deteriorates before they can make their millions.
All very similar to football, yes? Except in this case, it’s horse racing, and the athletes are majestic beasts loping around a track.*****
We all hate horse racing now. The steroids, on-field collapses and the sheer meanness of the sport has turned America off, making the Sport of Kings more like the Sport of Degenerate Gamblers That Don’t Have Ready Access to a Real Casino. Attendance at race tracks has fallen steadily over the last decade, and memorable failures and injuries during the Triple Crown have drawn only unwanted attention to the goings-on behind the scenes. We hate horse racing because of what it does to the horses, how fixed and simultaneously arbitrary it is, and because of what it encourages in us as humans.
The NFL, on the other hand, set an attendance record for five consecutive years prior to this season. By all accounts, there are more diehard fans of NFL teams in America than any other sport, and television ratings for football games are better compared to procedural dramas or comedies than to other sports. If one considers the NFL a business (and one very much should), its one of the most successful businesses in the world. And yet it does to human beings what horse racing does to horses, is just as dominated by the business of gambling (injury reports, anyone?) and all the ills that go with it.
It’s hard to say why people seem to care more about horses than they do about football players. A strong American belief in free will, perhaps, allowing players to weigh their risks and rewards for themselves? Maybe there is an innate inability to associate the early deaths and dementia of retirees with current players, a luxury not afforded us when horses are shot and disposed of on the infield. Maybe it’s something as sinister as jealousy, or racism, or the human bloodlust that we don’t talk about in mixed company, or even admit to ourselves sitting alone in the dark. Maybe it’s some combination of all of these things, and more.
Personal experience may also play a part. Football is the one major sport where the pick-up equivalent is completely different than the real thing. Tons of people throw the pigskin around, or participate in flag football leagues. Very few get suited up to go full-bore tackle-happy. Pick-up soccer, baseball (and its softball sister) and basketball are all nearly identical to the real things, with only a decrease in abilities. Tackle football is an entirely different animal, with its one defining characteristic stripped for the masses. People playing flag football rarely injure themselves, and probably assume to some degree (even subconsciously) that real football can’t be all that more dangerous, no matter the facts or evidence.  
Whatever the reasons, people flock to a sport that is killing its participants at a depressingly young age. Football players don’t need our tears, anymore than Barbaro needs the thousands of letters he received but was never able to read.****** As Robert Frost said in a slightly different poem, “There are few sorrows, however poignant, in which a good income is of no avail.” You will find very few people willing to feel sorry for a millionaire, no matter how ill-equipped to survive his retirement, and perhaps rightly so.
What is it then, if anything, that football players need? What can we offer them, and what are we willing to offer them?
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            I have made my peace with football, both the viewing of it and the writing about it. In some fashion, these are intertwined. I have allowed myself a personal compromise, one with which I struggle every weekend for 25 weeks a year, forget about entirely, and then have thrust back in my face upon August’s return. The compromise is this: I can watch football, and celebrate the athletic achievements on the field without feeling terrible about the players or myself, so long as (a) I continue to keep abreast of the league’s health stats and studies, (b) those stats and studies move in a positive direction, (c) I refuse to delight in concussive assaults and shame those around me that do so as well, and (d) communicate in any way possible the violence of the sport and the plight of the players, educating them and allowing them to make their own choice.  
            Perhaps this is a cop-out, as the NFL cannot distinguish my inner anguish and low-level communication from the blind love of the game burning in a fan who also doesn’t buy NFL gear or tickets. It gets harder every year to justify the compromise, as vast progress in medical knowledge produces insignificant improvement in football’s health care system, and the proof that professional football kills grows exponentially. There will no doubt be a zero point, and I will find something better (and no doubt, more healthy) to do on Sunday afternoons. Perhaps I will go back and read all that poetry again, see if Ol’ Billy the Bard has anything to say on the subject of bread and circuses, and the unpleasant afterlife of the gladiators and lions.*******
            Until then, I can hope the situation will get better, that more people will become educated about the short- and long-term effects, and that, if nothing else, the truth gets out there. Lots of smart people can do lots of great things with something as simple as the truth. Until then, unfortunately, we’re just rebuilding broken walls, waiting for them to break again.
 
 
* And using the word “nipperkin,” to his great credit.
** He also famously wet his pants on the sideline because he didn’t want to take plays off to use the facilities. So there’s also that.
*** But more like the play of giraffe children, all stilted and awkward looking.
**** As examples of properly used combinations, I suggest: “Any brain injury should be considered traumatic, and not mild.” Or: “A traumatic brain injury cannot, by definition, be mild.” Or: “I must have had a traumatic brain injury when I named a committee the ‘Mild Traumatic Brain Injury Committee’, but it’s OK because this taco sauce is mild, just as I like it. ”  
***** I don’t very much care if you consider horses “athletes,” comparable to humans across sporting lines. There are reasons for and against, and the mainstream media types have seemingly settled on a “Yea on Neigh” stance. If you're to believe ESPN, Secretariat is the 35th greatest athlete of the 20th century, with Man O' War #84, and Citation at #97. Not to be outdone, Sports Illustrated named the largely unsuccessful stud as the greatest athlete to ever wear the number 2. Charley Trippi, Al MacInnis, Moses Malone and a certain Yankee SS were left in his dust on that account, but I hear that at least one of them has more luck with the fillies.
******Due not to the tears of joy and love in his eyes, as was rumored, but rather because he was a horse, a species long known for its shameful illiteracy…little known fact, but true.

******* Even back then, the Lions ALWAYS lost.

 
 

COMMENTS (20 Comments, most recent shown first)

Richie
I'll defend Gene Upshaw here. In one respect. He didn't keep his job through blackmail, deception or anything of the sort. He did what his dues-paying constituents wanted him to do. And so got repeatedly re-elected. They could've axed him anytime they felt so inclined. They didn't.

Union heads aren't hired to be visionaries, nor moral exemplars, nor even lead, per se. They're hired to look after the narrow interests of the current union members. And do so exactly as those members want those interests so looked after. They're not hired to babysit adults, regardless of how much anyone else thinks those particular adults need such babysitting.

My guess is the players now will want their union to focus on health/injury issues, given the greater visibility of such. (like in Sean's article) If they state so, the new leadership will then attend to it.
11:46 PM Jan 25th
 
schoolshrink
I think this is the best article I have read on Bill James Online. None of his commentary was a surprise to me, but without doubt we have developed a lazzi faire attitude toward major injuries, particularly concussions.

It is amazing to me that the NFL has honored Gene Upshaw all year, a man who played in the era of serious player injuries, and made millions while ignoring the impact of these injuries on players as the head of the NFLPA. I always got the sense with Upshaw that his union was just a vehicle to provide personal gain under the guise of advocacy for his players. It always seemed to me that he would say just enough to offer the appearance that the players were properly rewarded, but the disparity in salaries in the NFL is still pretty significant, with the very best, well known players receiving substantial incomes over journeymen players. The base salary is still substantial as compared to most positions of employment, but it pails in comparison to the total gross of the NFL and the amount of money collected by the owners. Gene Upshaw had nothing to do with the pay equality among teams in the NFL, that went back to Pete Roselle in the sixties. What he did do was lobby for the wealth of present-day players without concern, by his own admission, to those players that preceded them. In Upshaw's eyes, Joe DeLamileurre and Ted Johnson had their time, as did he when Upshaw played. But since he was the head of the Player's Union all those years, since the 1982 strike, Upshaw's only real focus was himself, from what I can tell. If that is not true, then why have so many players gone the wayside of Ted Johnson without getting the help they needed? The article above basically accuses the NFL of negligence of the matter of concussions, but the union did little to nothing, depending on the players involved, to advocate for the players impacted. Here's hoping new union leadership will act on behalf of the players in the next decade, as opposed to posing like leaders and conveniently collecting seven figure contracts along the way. After retiring, Upshaw knew he was not going to get a better gig in his career, and he understood that young players see themselves as immortal until they cannot play any more. It is too late when they have to deal with a life threatening injury, and it does not help when the league picks and chooses what injuries they want to address. A lot would improve if the union did a better job, and lets hope the next NFLPA bargaining agreement is developed by leaders who care more than just about here and now salaries. And hopefully the leadership will concern themselves about the players, in general, than did the despicable Gene Upshaw.
7:39 PM Jan 25th
 
evanecurb
I remember during the tobacco class action lawsuits in the 1990s, my initial reaction was that the risks of smoking are well known, so tobacco companies should not be held liable for selling a product that the smokers knew was a risk to them when they purchased it. Then some very incriminating information began to come out about some very bad behavior by the tobacco companies: (1) the tobacco companies knew about the linkage between smoking and cancer but continued to not only deny it but to actively disseminate propaganda (i.e. lies) under the guise of science that was intended to slow down the dissemination of the truth, (2) the tobacco companies knew about the addictive qualities of nicotine and actively worked to make their product addictive, and (3) encouraged underage smoking as a means of encouraging addiction. In the light of all of this, I changed my position and I no longer believe that the tobacco companies were treated unfairly.

It seems pretty clear that the NFL is dipping its toe in the water of active denial on this issue. I am not aware of any evidence yet that they are actively trying to discredit the research that shows links between on field injury and long term health consequences, and they will be wise to stay away from that course of action. The link between on field injuries and serious long term health consequences is pretty clear, and the league needs to stand on the side of truth. Their best course of action, in the interest of the long term financial health of the league, is to either remain neutral and allow the research to take its course, or better yet, acknowledge the linkage between the game and long term health consequences and proactively take action to do something about it.
12:01 PM Jan 25th
 
ventboys
You guys impress me, really. I should have been pretty much hammered for being so hard about my position (and I was too hard), but you took it to the logical next step.

I guess that my position is that if you get in the box, you submit that you are willing to take the risks associated with being in that box, and freely reap the rewards with no guilt. My own child is female, so she spends most of her life upside down as a gymnast instead of being speared in the knees by her friends as a football player. If I had a son with a skill set that fits a football player, I would let him play. At this level I would feel like I had some control, but that assumes that I could get his coach to cooperate.

I am not sure that this is possible, but that is an entirely different article, maybe a more important article, but not as interesting as this one. At the high school level in my time, the big thing wasn't head to head as much as it was going low and taking players out at the knees. Many of my schoolmates who played football have long term knee problems because of this, and the list of knee injury victims included my own father, who was a 4 sport small school star in the late 1930's. He had 5 sons, all over 6 feet tall and athletic. He would let us play any sport but football.
6:37 AM Jan 25th
 
jdrb
I think personal experience plays an even larger role than you think. I grew up in Tx (enough said perhaps concerning football insanity) and played in high school and college. So I rung bells and had them rung and seem to have survived with IQ intact. So did most of my contemporaries and if you go on any of say the Cowboy blogs the average poster rants about the softness of NFL players and how they dont play thru their injuries as they remember doing. But I do have some memory of what it was like to get hit by those who went on to the NFL and the average player is perhaps 50-75lbs heavier today and much faster and I cannot even imagine the violence of the collisions. But I dont think most have made that leap-- they remember getting tackled, seeing stars, feeling ok shortly after and dont realize the difference. I still love football but I'm delighted neither of my two young sons seem to want to play.
7:35 PM Jan 23rd
 
SeanKates
On a more serious note, there are many jobs that are dangerous, and many people that need the money that dangerous jobs provides. My wife's father comes from coal country, West Virginia, and his high school survival rate shows it. Still, those are (a) KNOWN risks, where companies that ran coal mines, wars, fire companies and packaging plants were legally punished when they hide the effects of their job on the workers, (b) essential positions, in that cross-country shipping, electricity and soldiering would be very much missed...guys who go across the middle to catch 8-yard ins would not be, and (c)compensated for the risk itself. There's worker's comp, death benefits paid to family, etc. In football, you get cut.

Fans/consumers/citizens do owe some responsibility for all of these things. We demand certain things from life, be they national shipping, national protection, or the National Football League. Without some demand on our part, they would not exist. There's a balance that says a few soldiers' lives are worth the freedoms of a nation, and that Richie's bad back is worth my ability to get The Wire shipped from California to me overnight. Currently we are fine with a couple of athletes dying 30 years early so we can be entertained for 7 hours on a Sunday. Some of these balances make sense, and some maybe don't. I only ask that we have some sort of informed decision as to why the balance is set the way it is.

To everyone, generally, thank you for the kind words as well as critiques.
4:33 PM Jan 23rd
 
SeanKates
Richie,

If I were around and writing way back then, trust that I would have trumpeted your cause. :)

4:25 PM Jan 23rd
 
Richie
I'll disagree with Vent in that I believe the premise of the article is what Evan says it is, and is valid. I don't think we fans/consumers do, but the NFL does have a responsiblity here.

But now that Vent's mentioned it, many occupations call upon you to trade/risk your health for money. Heck, I unloaded trucks for 3 years (part-time) for UPS. My back's mildly bothered me ever since, and always will. UPS set a procedure by which we could safely and healthily unload trucks, then demanded a rate of unloading which no way we could meet while also following that procedure. I recognized the risk, but needed the money.

My friend died of cancer at age 50. He and 5 other guys all worked in the same factory department when my friend was age 20. All 5 died of cancer before he did. His son now works there. He needs the money. His mom sure hopes they've eliminated whatever was there that was carcinogenic, but she has no way of knowing. All she can do is pray is she doesn't bury her son before he buries her.

I liked the article, Sean, even if I poked at this or that part of it. But now that Vent's brought this up, I now disagree with your parts on fan responsibility. I mean, when you got that package from UPS (way) back when, the one that helped hurt my back with that product in it that killed my buddy, we didn't get an article out of it.
12:04 PM Jan 23rd
 
evanecurb
Ventboys:

The point is not that it was shocking that football causes serious injuries or that the players are unwilling to take the risks. The point is that the NFL glosses over or denies the link between concussions and long term health consequences for players. That is wrong, and he is right to point it out.
9:47 AM Jan 23rd
 
ventboys
I hammered you for this article, but I want to also say that you are really good, you have some serious chops as a writer. I look forward to reading you more. I am sure that you will find a good niche (maybe several, you are really, really good), and be very successful. Write what you know, though. The best writer in the world can't overcome a flawed premise. This site is not populated by casual fans. If you make even a small error, one of us will drive a truck through it.
3:36 AM Jan 23rd
 
ventboys
Man, this one kinda bugs me. The article itself is well written, and the overall format looks like a very good term paper, so I hate to rain on it, but get real.

Are you shocked? Football is a game that causes injuries? I don't mean to make light of that, but common. Firemen get burned, soldiers get frigging SHOT, steelworkers work with no nets, cabbies and convenience store workers get beaten, stabbed and shot every day. I can go on for pages.

There is no level above pee wee that is safe for football players. There is also no level above pee wee that will find a football player that doesn't know the risks. They don't mind, they are ok with the risk, for the many rewards. I won't list them, a lot of them are vulger at the amateur level, but we all know them. At the pro level, the rewards are expodentially higher.

Football players are volunteers, or mercenaries, if you like that term. I am sure that Earl Campbell wishes that he could walk better. Ask him if he would give up all that football did for him to be able to walk normally. Even the worst cases, like Mike Webster, do you really think that he would have wanted to give it all up, to not play in the arena?

I won't assume, but you shouldn't either. We watch, and root. They are in the arena. To cry about the risks is not up to us. It's up to the ones that take the risks.
3:27 AM Jan 23rd
 
evanecurb
Sean has done very good work here, but I have read articles and seen TV reports about this issue for a long time, apparently with little effect. I remember reports about Jim Otto, Johhny Unitas, Willie Wood, and others who had debilitating injuries. Sometimes,something dramatically devastating will happen to a prominent player, which will force changes. This has been the pattern with auto racing. A star gets killed, and big changes are made, making the cars and tracks safer than before. Between tragedies, nothing much happens. On second thought, this has not been the pattern with the NFL. I can remember a handful of on-field, contact-induced paralysis events (the first I recall was Daryl Stingley, and it seems like one happens every five to ten years), but no effective measures have been taken to reduce that risk.
12:44 AM Jan 23rd
 
Richie
If non-concussed players are no different than the population as a whole, I'll accept that as a fully valid control group.

This isn't the only place I've read about concussions and their long-term effect. My optimistic perspective is that information on this is starting to spread, which spreading will continue to gradually pick up steam.

With every small article like this helping that process along, Sean.

:-)


3:38 PM Jan 22nd
 
SeanKates
^^ What he said.

But seriously, my point is that I don't "WANT" anything from the NFL, in the manner of expecting them to do something. They can't, more than they won't. The NFL, along with the Player's Association and players can do nothing other than what they are currently doing. They are players in a rather serious farce. Any one side would have to act completely against their self-interest to do something to fix this problem. Owners would lose vast amount of money, as well as sponsorship, fans, and soft capital. Players would have those losses passed on to them through decreased salaries, contraction, etc. The amount of "reward" out there for the players to "risk" their health on would shrink, and the game would become less desirable to players and fans alike.

I only ask that everyone makes some sort of informed decision about the NFL. It would be fantastic if we could do that with real data, released openly by the league, without spin. In the end, I think that's the most I could ask from the NFL, without asking them to be something that's not the NFL.

I fully understand self-servingness, and that's why I specifically say that laying blame is pointless. It's hard to blame someone or something for simply being who or what they are. Real change in this arena almost certainly has to be forced on BOTH the owners and the players, and that sort of change demands only information. The committee's name is a joke, for more than just the words. The committee is set up to refute that any BRAIN INJURY AT ALL has occurred or matters. There's being a slave to destiny, and there's being the slave who actively helps the slavedriver lead you to hell. The committee is the second.

As for the medical issue, I think it makes more sense to compare NFL players with concussions to NFL players without concussions. The only variable should be concussions. The numbers above seem not to lie...players who don't experience concussions are depressed at basically the same rate as normal people their age. Those with concussions are dramatically more likely to be depressed.
1:25 PM Jan 22nd
 
evanecurb
Richie:

I will tell you what I want from the NFL:

(1) for the benefit of former players, an endowment or insurance coverage that can be accessed by retired players to cover the majority of their expenses associated with their long term injuries, long term care, and rehabilitation.
(2) for incoming and current players, provide information and education about the debilitating effects that these injuries can have on their lives. This can easily be integrating into existing orientation programs.
(3) For fans: Acknowledge the truth. Football is violent. People get hurt very badly. Some effects of these injuries get worse over time and ruin lives.
(4) Make the game safer than it is today. As I said in two posts under the "reader posts" section of this site last fall, there are a number of things that can be done in this area: (a) Change the rules in order to reduce the number of total plays per game, the number of passing plays as a percentage of that total, and the number of kick return plays. (b) change the design of the helmet so that it has a softer shell on the outside and better padding on the inside. (c) continue making the playing surface softer. It's better now than it was in the late 70s when two thirds of the teams played on the old rock hard artificial turf; it can be even better. (d) Teach proper tackling techniques (lead with shoulder, wrap up, etc.) (e) severe penalties to players, coaches, and teams for cheap shots, to include suspensions and heavier fines. (f) require third party objective medical exams as clearance to play. Doctors to be selected by someone other than the teams. Rosters to be expanded to accommodate greater use of injury lists.
(6) Violations of the nature cited in your article such as Belichick's actions toward Johnson are to be punished by suspension, a hearing that could result in the coach's permanent expulsion from the league, heavy fines to the club, and criminal prosecution of the coach if laws have been violated.
(7) Everyone: owners, players, coaches, executives, pension recipients, pay 10% of earnings to fund the insurance / endowment, with funding to continue until it is actuarily self-sustaining. Donations could also be solicited from former owners, executives, and players who have become financially successful since being out of the league (Staubach, Elway, Madden, and others are very wealthy individuals now).
12:38 PM Jan 22nd
 
Richie
To play devil's advocate regarding depression, it can certainly have non-concussion causes. What's the rate for, say, ex-NBA and ex-MLB players? Assuming they're lower than for ex-NFL players, I'd be happy to finger concussions as the obvious suspect for such.

I'm not clear on what you want from the NFL. That they take 'Mild' out of their committee's name? That they devote more resources to the committee? That they publicize the committee and its work? That (in conjunction with the player's union) they devote more resources to long-term medical care for ex-players? That they prostrate themselves and confess to being self-serving human beings, unlike you and me?

If this reads negatively, I don't intend it as such. If you're goal is to publicize this issue in this forum, that's a worthy endeavor, and I believe you've done that.
11:51 AM Jan 22nd
 
demedici
Richie,

Right off the top, I'll point out that I AM trying to sell you, at least the notion that what happens to these players is important. What you choose to do with that knowledge is the part where my hands come off, and I let you Adam Smith your way through it.

As for the numbers, by a study that the NFL itself condones, the rate of depression among retired NFL players is at least equal to, if not slightly higher than, the general population of older individuals. This number is generally accepted at around 6-8% of the population. So concussions increase this a great deal, affecting a large number of people at a widely disproportionate rate.

I cannot find given dementia numbers for the general populace, and though I believe we would find that the numbers are significantly higher (and in what you would call a meaningful way), the important part of dementia in NFL players is the age at which they begin to experience it. Taking care of a former lineman who at age 50 still has much of his brute strength and none of his former capacity to control it or his emotions is a much bigger burden on both the medical system and the loved ones than is taking care of a more "average" dementia patient weakened by starting position as well as age.

As for the mild traumatic brain injury bit, we can go many ways on this. One is that most doctors (and I am not one; as my previous response suggests, I am a lawyer) would consider any injury to the brain "serious," regardless of how "mild." That is, there ARE varying levels of trauma you can do to your brain, but even the "mildest" is a serious injury.

I think it more appropriate to look at the committee's reason for being, though. They are clearly there to show that the NFL cares about injuries that may affect its players' mental abilities, correct? The term "mild traumatic brain injury committee" could have two meanings: (a) the committee only cares about traumatic brain injuries that are "mild" and (b) The committee believes that all traumatic brain injuries suffered during football are mild (or wants us to believe that through Orwellian double speech).

The first makes no sense. It's not like there is a "Serious Traumatic Brain Injury Committee" that supercedes the lower committee, that really tackles the tough cases. The Mild traumatic brain injury committee does ALL of the NFL's work on brain injuries, which suggests the second meaning above, either a medical fallacy or (more likely) an outright attempt to mislead based on name alone.

"Mild" is a word with many possible meanings. Here it is, in my opinion, misused purposefully and, if it weren't so serious an issue, hilariously.
8:55 AM Jan 22nd
 
demedici
Evan,

I tend to think that the NFL's focus is probably 98% PR, 2% potential lawsuits. I say this for a couple of reasons. First, PR is far more important, and bad PR is far more expensive in the long run than are lawsuits. Second, the NFL has pretty good lawyers (trust me on this one), and they know that there is almost zero chance that a player who has freely chosen to "assume the risk" of playing the game is going to get a collectable judgment against the league. The only situation they might possibly be worried about is something like the Johnson-Belichick situation, which could rise to the level of coercion where culpability might be found. More than anything, I think this is why the whistle-blower system is in place, as legal protection for the league.

I think that it would be disastrous for the NFL to accept or have generally known the effects of the game on its players. There is only so much that people can stand or turn a blind eye to before they turn away in disgust. At least I still hope that's the case (as it has been during many of our longer, and less successful foreign wars).
8:36 AM Jan 22nd
 
Richie
Numbers, not just percentage increases, would be helpful. If a player's chances of dementia go up from .1% to .25%, well yes that's worth looking into, but. If it goes up from 4% to 10%, from the standpoint of public health, that's now a lot bigger matter.

Your screed against 'mild' brain trauma only plays to the choir. When I walked myself into the kitchen cabinet then went reeling backward, I probably suffered mild brain trauma. Unless you're a (non-partisan) medical doctor, I'm not particularly interested in whether you think 'mild brain trauma' is an oxymoron.

I'm basically on your side on this. But you come across like you're trying to 'sell' me on your position.
11:59 PM Jan 21st
 
evanecurb
Sean:

First of all, this is excellent work. I have no argument with any of your comments regarding NFL players' injuries, their long term effects, and the general apathy among the fan base. This is an issue that has been present in the media in some form for at least thirty years, but has never taken hold with the general public. Curious. Your piece sparked several thoughts:
1. I am SO GLAD my son (now a college freshman) stopped playing football after his junior year in high school. I had mixed feelings at the time of his decision, but those feelings are no longer mixed.
2. I have a number of friends who had knee surgeries due to high school football, mostly while in their teens, but one of them had his knee 'scoped at age 38. The surgeon's first question: "Did you play football in high school? I see this all the time." I realize this is nothing compared with what goes on in the NFL, but think about the sheer number of high school and college players in this country and the cost of their injuries.
3. I wonder how much of the NFL's avoidance of the issue and denial of cause and effect is due to PR concerns, and how much is due to the threat of lawsuits. It seems to me that it would be much easier for plaintiffs to win judgements from the league if the NFL were to acknowledge the link. Perhaps PR angle is important enough to the league that they wouldn't acknowledge cause and effect in any event. Nevertheless, I don't think we should discount the impact that the threat of lawsuits is having on the league's stance.
11:43 PM Jan 21st
 
 
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