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Published on: May 5, 2015
Insights
The current National Football League (NFL) medical system creates conflicts of interest for team doctors, potentially harming player health. Reforming this system is crucial to prioritize player well-being over team priorities.
Area of Science:
- Sports Medicine
- Medical Ethics
- Professional Sports Management
Background:
- The National Football League (NFL) medical system faces criticism regarding conflicts of interest for club doctors.
- A recent case highlighted issues with player medical care, even with multiple observers present.
- Personal experience from 1989-1999 suggests inherent conflicts in the current system.
Purpose of the Study:
- To analyze the systemic issues in NFL medical care.
- To propose solutions for mitigating conflicts of interest for NFL club doctors.
- To enhance player trust in the medical care provided within the league.
Main Methods:
- Review of existing literature and proposals on NFL medical care.
- Analysis of the current financial and structural relationships between NFL teams and club doctors.
- Case study examination of player injury incidents within the NFL.
Main Results:
- The core problem lies in the system's structure, not the individual competence of doctors.
- The current structure, where teams employ club doctors, inherently creates a conflict of interest.
- Complete elimination of conflict of interest may be impossible, but it can be limited.
Conclusions:
- The current NFL system makes it difficult to prioritize player health and well-being above team objectives.
- Systemic reforms are necessary to address the conflict of interest faced by club doctors.
- Limiting conflicts of interest is essential to protect players and foster trust.
Abstract:
Glenn Cohen, Holly Fernandez Lynch, and Christopher Deubert are right in their article "A Proposal to Address NFL Club Doctors' Conflicts of Interest and to Promote Player Trust" that the problem with the medical care rendered to National Football League players is not that the doctors are bad, but that the system in which they provide care is structured badly. We saw some of the problems this system causes last season in what happened to Case Kenum, a quarterback for the Los Angeles Rams who, despite having a possible concussion from a game injury, was allowed to continue to play, with a concussion spotter in the booth and coaches, teammates, seven game officials, and two full training staffs present. From my experience playing in the league from 1989 to 1999, I do not believe that you can eliminate the conflict of interest completely, but I think it can be limited to the point that it does not harm the player. As the structure is now, with the team paying the club doctor, it is impossible to put the players' health and well-being before the team's on-field priorities.
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