When I started in football injury epidemiology I focused on muscle, ligament, and bone issues. I shied away from brain injuries.
There were two reasons for this. First, I thought enough smart people were already working on brain injuries that my time was better spent elsewhere. Second, as a new entrant to the field I didn’t want to touch such a heated area. But since my article with Dr. Kathleen Bachynski estimating the prevalence of chronic traumatic encephalopathy (CTE) in NFL retirees appeared in Neurology last November I’m off the bench and into the game.
Seeing the backlash to those working to measure and quantify the short- and long-term impacts of brain trauma in football has been enlightening. Some of the points football’s “defenders” make have merit – we don’t know about the prevalence of CTE in high school or college players, for example, nor do we have a good handle on how many ex-players will show actual symptoms of CTE and other brain diseases rather than just the brain damage associated with them (although we do know that ex-NFL players die of neurodegenerative diseases such as Lou Gehrig’s disease at 3-4 times the rate of the general population).
But as the push to ban tackle football for kids 14 and younger gains steam, there’s one talking point from football’s “defenders” that is so callous in its logic and fallacious in its statistics that I feel compelled to call it out directly here.