Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

It is time for us to succeed by being the best that we can be

Jeffrey Hall Dobken, MD, MPH
Physician
March 1, 2013
Share
Tweet
Share

LanceArmstrongOprahinterview

According to George Orwell, “serious sport has nothing to do with fair play. It is bound up with hatred, with jealousy, with boastfulness, with disregard for all rules, and with sadistic pleasure in witnessing violence: in other words it is war minus the shooting.”

Ok … sounds pretty much like the Super Bowl, but the Tour de France? Lance Armstrong? Ergogenic aids? Cancer survival? Brand and image issues? Mark McGwire, Sammy Sosa, the Rocket Man, Andy Pettitte? Oprah? Really?

It seems somehow reasonable to use the issue of sports morality as a metaphor of our sociocultural climate and direction … you know: cheating and getting caught, personal hubris and arrogance, public attitudes and mores, rhetorical dissonance, Republican versus Democrat … a sports allegory lending insight perhaps into these troubled times and how sports figures, like politicians, are an extension of reality.

That actually may reflect what we’ve become, what we seemingly want to be, and what we accept and admire as “the new norm.”

What has happened to us, to our society, to these times, to our idealism, and to our respect for a code of conduct? What has become of our rules, our integrity, and our personal dignity that we have to bend all the rules, move the goal posts, win at any price, disavow any personal responsibility, and claim a “rights” argument in order to “win”? At whose expense and at what price?

Lily Tomlin got this one right. “The trouble with the rat race,” she asserted, “is that even if you win, you’re still a rat.”

It was once the notion that participation in sports and moral development were intimately related. It was called “sportsmanship.” Plato felt that only an athlete could blend mind and body into a perfect functional unity.

In the American Annals of Education and Instruction of 1833, it was advanced that the character of one’s students could best be assessed and studied on the playground. In this context, the teacher might be able to mold their characters effectively. The value of defeat — the ability to handle failure — was considered critical for encouraging the drive toward success. Indeed, without failure, success was meaningless.

So what is the message of the scoreless baseball games now an intimate part of the progressive middle school curricula? That no one should “feel-like-a-loser”? How do we teach our children the lessons of frustration?

Hard work as its own reward and faith in the system seem to be pretty muddled messages these days. At least according to Armstrong’s example. But then again he has had some pretty powerful antecedents.

The effects of steroids on the athletic performance of a gifted athlete operating at a high level of training have never been “officially” measured or sanctioned. Steroid use however has been rampant and widespread in both amateur and professional venues. And the veneer of fairness went away long before Arnold was governator, Clinton or Nixon were presidents, Spitzer or (Tonya) Harding were TV personalities, or John Edwards was “Father of the Year.”

Mauro diPasquale, MD, a Canadian sports medicine physician who has written extensively on androgenic ergogenics and performance enhancement has stated that the advantages gained by very gifted athletes would probably have emerged without the drugs, but at a training load and effort that would indeed be superhuman.

But it was Armstrong the athlete who defeated a field of similarly endowed (and probably doped) athletes.

ADVERTISEMENT

The tragic consensus and the cynical media message is that steroids did advance the brand and the success of Lance Armstrong, but that it just wasn’t very smart of him to get caught — and that most of his fellow competitors had probably used ergogenics as well.

The dollar figure for “lost endorsements” is $30 million — that’s just endorsements. And the messaging, the 139 million hits on Google, the Twitter messaging, the attention on Oprah … well, all this publicity could not readily qualify as subtle. Perhaps, along with the rest of what passes for pop culture, all these “outrages” have actually become the desired outcome. These results are not vague, quiet, subtle, unexpected, or hidden.

So what should be the message?

We have grown up with Popeye’s spinach and Dumbo’s feather, hopeful that success can be achieved by technology, by trick, by lottery, by luck, or by magic. Forget about hard work, we teach our children, look for the shortcut.

We have somehow inherited a bizarre and uncomfortable legacy in the process, revising the definition of success. It was the whispered mantra of the ’90s. Greed is good, big is better, there is no such thing as bad publicity, and self-interest trumps all other values. We all seem to act to one degree or another without the slightest objection or comment about these new Ten Commandments.

Because, perhaps, that is what we have come to believe in this postmodern age when we have removed God from the classroom and our personal lives. We no longer need rules, miracles, or divine intervention to explain our Universe and lives.

Why bother with the difficult when the emotional larder is filled, when success by any means is the rule, when ends justify means? And why sacrifice anything, if there is no motivation, no need, and little profit? What does it mean to assume personal responsibility? To regard respect for truth as an inviolable axiom?

Self-respect must be sacrificed in this mix. And Lance Armstrong has shown the way. And our media will place his achievements on a visible, noisy, and well-lit central stage for the entire world to see and worship. And they will, at least those who continue to be mesmerized by this theater.

We have abandoned our guidelines, our honesty, and our goals because of moral expediency and unmerciful self-interest. We spin. We have welcomed winners, rejected losers, and broken for the commercials without regard to or thought of consequence for so long now that it is automatic … and we have taught our children to do likewise.

It may be too late and too far into this journey of hypocrisy to see what is happening or to restore a reasonable moral compass. But in case no one noticed, there are those in the world who would want to see this level of Romanesque drama as our swan song: that we may never be able to discuss our differences nor again act in a deliberate and honest manner with one another to solve problems of mutual concern. Perpetually cheating, like our sports heroes.

It is time for us to wake up and succeed by being the best that we can be. No excuses. No cheating.

If this world is an arena for soul making, it is time for us capitalists to show that we can pursue that goal with the same tenacity that we pursue all those things that just rust.

And we must teach that message to our children. Perhaps that change in attitude can recapture some of the more intangible and ethereal rewards of living in a free society.

Jeffrey Hall Dobken is Assistant Clinical Professor of Pediatric Immunology and Allergy, and certified bioethicist, Weill Cornell School of Medicine.

Prev

Accepting the inevitable: The last days with my Dad

February 28, 2013 Kevin 14
…
Next

I tried to find peace in the loneliness that comes after a death

March 1, 2013 Kevin 3
…

Post navigation

< Previous Post
Accepting the inevitable: The last days with my Dad
Next Post >
I tried to find peace in the loneliness that comes after a death

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

More by Jeffrey Hall Dobken, MD, MPH

  • COVID-19 coronavirus needs apolitical truth-telling

    Jeffrey Hall Dobken, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    Implementing the Affordable Care Act will increase physician tension

    Jeffrey Hall Dobken, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    What does the NYC Marathon have to do with health reform?

    Jeffrey Hall Dobken, MD, MPH

More in Physician

  • Why wanting more from your medical career is a sign of strength

    Maureen Gibbons, MD
  • How a rainy walk helped an oncologist rediscover joy and bravery

    Dr. Damane Zehra
  • How inspiration and family stories shape our most meaningful moments

    Arthur Lazarus, MD, MBA
  • A day in the life of a WHO public health professional in Meghalaya, India

    Dr. Poulami Mazumder
  • Why women doctors are still mistaken for nurses

    Emma Fenske, DO
  • Adriana Smith’s story: a medical tragedy under heartbeat laws

    Nicole M. King, MD
  • Most Popular

  • Past Week

    • Why removing fluoride from water is a public health disaster

      Steven J. Katz, DDS | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • Mastering medical presentations: Elevating your impact

      Harvey Castro, MD, MBA | Physician
    • Nurses aren’t eating their young — we’re starving the profession

      Adam J. Wickett, BSN, RN | Conditions
    • Why what doctors say matters more than you think [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden incentives driving frivolous malpractice lawsuits

      Howard Smith, MD | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • Nurses aren’t eating their young — we’re starving the profession

      Adam J. Wickett, BSN, RN | Conditions
    • Why wanting more from your medical career is a sign of strength

      Maureen Gibbons, MD | Physician
    • U.S. health care leadership must prepare for policy-driven change

      Lee Scheinbart, MD | Policy
    • Why the pre-med path is pushing future doctors to the brink

      Jordan Williamson, MEd | Education
    • Why the fear of being forgotten is stronger than the fear of death [PODCAST]

      The Podcast by KevinMD | Podcast
    • How a rainy walk helped an oncologist rediscover joy and bravery

      Dr. Damane Zehra | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 7 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why removing fluoride from water is a public health disaster

      Steven J. Katz, DDS | Conditions
    • When did we start treating our lives like trauma?

      Maureen Gibbons, MD | Physician
    • Mastering medical presentations: Elevating your impact

      Harvey Castro, MD, MBA | Physician
    • Nurses aren’t eating their young — we’re starving the profession

      Adam J. Wickett, BSN, RN | Conditions
    • Why what doctors say matters more than you think [PODCAST]

      The Podcast by KevinMD | Podcast
    • The hidden incentives driving frivolous malpractice lawsuits

      Howard Smith, MD | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • The silent toll of ICE raids on U.S. patient care

      Carlin Lockwood | Policy
    • Addressing the physician shortage: How AI can help, not replace

      Amelia Mercado | Tech
    • Why medical students are trading empathy for publications

      Vijay Rajput, MD | Education
    • Bureaucracy over care: How the U.S. health care system lost its way

      Kayvan Haddadan, MD | Physician
  • Recent Posts

    • Nurses aren’t eating their young — we’re starving the profession

      Adam J. Wickett, BSN, RN | Conditions
    • Why wanting more from your medical career is a sign of strength

      Maureen Gibbons, MD | Physician
    • U.S. health care leadership must prepare for policy-driven change

      Lee Scheinbart, MD | Policy
    • Why the pre-med path is pushing future doctors to the brink

      Jordan Williamson, MEd | Education
    • Why the fear of being forgotten is stronger than the fear of death [PODCAST]

      The Podcast by KevinMD | Podcast
    • How a rainy walk helped an oncologist rediscover joy and bravery

      Dr. Damane Zehra | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

It is time for us to succeed by being the best that we can be
7 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...