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A Proposal to Address NFL Club Doctors’ Conflicts of Interest and to Promote Player Trust

Bibliographic Data

ID20337158
AuthorsI Glenn Cohen (0000-0002-0223-3305), Holly Fernandez Lynch (0000-0001-7813-9879), Christopher R Deubert
Year2016
Volume46
IssueS2
PagesS2-S24
Publication date2016-11-01
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.651
PMID27870082
OpenAlexW2555948286
LanguageEN
Citations received8
References cited15

How can we ensure that players in the National Football League receive excellent health care they can trust from providers who are as free from conflicts of interest as realistically possible? NFL players typically receive care from the club's own medical staff. Club doctors are clearly important stakeholders in player health. They diagnose and treat players for a variety of ailments, physical and mental, while making recommendations to the player concerning those ailments. At the same time, club doctors have obligations to the club, namely to inform and advise clubs about the health status of players. While players and clubs share an interest in player health—both of them want players to be healthy so they can play at peak performance—there are several areas where their interests can diverge, and the divergence presents legal and ethical challenges. The current structure forces club doctors to have obligations to two parties—the club and the player—and to make difficult judgments about when one party's interests must yield to another's. None of the three parties involved should prefer this conflicted approach. We propose to resolve the problem of dual loyalty by largely severing the club doctor's ties with the club and refashioning that role into one of singular loyalty to the player‐patient. The main idea is to separate the roles of serving the player and serving the club and replace them with two distinct sets of medical professionals: the Players' Medical Staff (with exclusive loyalty to the player) and the Club Evaluation Doctor (with exclusive loyalty to the club). We begin by explaining the broad ethical principles that guide us and that help shape our recommendation. We then provide a description of the role of the club doctor in the current system. After explaining the concern about the current NFL player health care structure, we provide a recommendation for improving this structure. We then discuss how the club medical staff fits into the broader microenvironment affecting player health

Club · Health care · League · Loyalty · Political science · Public relations · Cardiovascular Effects of Exercise · Doping in Sports · Law · Medicine · Pharmaceutical industry and healthcare · Psychology

  • NFL Physicians

    Open Access•The National Football League Physicians Society•The Hastings Center Report•2016

  • Health Care for NFL Players

    Open Access•Laurent Duvernay‐Tardif, Laurent Duvernay-Tardif•The Hastings Center Report•2016

  • A Response to Commentaries

    Open Access•I Glenn Cohen, Holly Fernandez Lynch et al.•The Hastings Center Report•2016

  • Players’ Doctors

    Open Access•Arthur L Caplan, Brendan Parent et al.•The Hastings Center Report•2016

  • Being Right Isn't Always Enough

    Open Access•Ross E McKinney, Ross McKinney•The Hastings Center Report•2016

  • Lessons for the NFL from Workers’ Compensation

    Open Access•Richard Diana•The Hastings Center Report•2016

  • Preventing Conflicts of Interest of NFL Team Physicians

    Open Access•Mark A Rothstein•The Hastings Center Report•2016

  • The Dual Role of NFL Team Doctors

    Open Access•Marvin Washington•The Hastings Center Report•2016

  • Research on Medical Practices and the Patient-Physician Relationship

    Open Access•Stephanie A Kraft, Kathryn M Porter et al.•The AMA Journal of Ethic•2015

  • Workers’ Liberty, Workers’ Welfare

    Ronald Bayer•American Journal of Public Health•2003

  • Chevron v Echazabal

    Norman Daniels•American Journal of Public Health•2003

  • Company Doctor

    William J Sonnenstuhl, Elaine Draper•Industrial and Labor Relations…•2004

Citations per year0.8
Citation span2016 - 2016 (1)
Highly citedNo

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