We explored the ongoing national debate surrounding brain-related injuries in tackle football, particularly in light of emerging research on concussions and chronic traumatic encephalopathy (CTE) in NFL players. We further addressed the need for change in the dialogue, improved informed consent practices and transparency, and emphasized shared decision-making process between parents, players, and coaches were explored, and novel solutions were proposed in order to preserve the game while safeguarding youth players.

We began by highlighting the widespread discussion on brain-related injuries in football, fueled by research findings, news articles, and various popular films. We also noted the financial and legal implications faced by the NFL, as well as the concerns of the millions of children and parents involved in youth football. We found significant lack of transparency and comprehensiveness in parent-coach conferences and the informed consent process, and proposed numerous solutions in order to transform this process from a “legalistic” one into more nuanced communication with shared decision-making. We also highlighted the role of children in decision-making, highlighting the need to consider their input and the challenges related to capacity and coercion. Finally, we proposed measures using emerging technology and research to make the play safer while preserving the game loved.