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    N.F.L. to Drop Race-Based Measures in Concussion Settlement

    Black players’ dementia claims were being measured differently from white players’. The change could prompt a reassessment of hundreds of previously denied cases.The N.F.L. said it would scrap the use of a disputed race-based method of evaluating dementia claims made by former players in the league’s concussion settlement and pledged to evaluate for evidence of bias the hundreds of claims that had already been filed.The announcement came several months after the federal judge overseeing the roughly $1 billion settlement ordered the league and lawyers representing the 20,000 former players who are covered by the agreement to review the use of separate standards for evaluating dementia in white and Black players.In August, two retired Black players, Kevin Henry and Najeh Davenport, filed a civil rights suit and a suit against the seven-year-old settlement that accused the league of “explicitly and deliberately” discriminating against Black players by using separate race-based benchmarks to determine their eligibility for dementia-based payouts, which can be worth hundreds of thousands of dollars.The judge dismissed their suits, but the cases brought light to the evaluations and prompted members of Congress to request data from the N.F.L. to determine whether Black players were being discriminated against. They also prompted an ABC News report and led more than a dozen wives of Black retired N.F.L. players to send the judge in the case a petition with nearly 50,000 signatures calling for an end to race-norming.As it has in previous responses, the N.F.L. denied that the use of the race-based norms was discriminatory. But in a statement Wednesday, the league said it was committed to eliminating the use of those norms and finding race-neutral alternatives with the help of specialists in neuropsychology. While those new measures have not been identified, the decision to review old dementia claims under new assessment tools could mean that potentially hundreds more players will receive payments from the settlement.“Everyone agrees race-based norms should be replaced, but no off-the-shelf alternative exists, and that’s why these experts are working to solve this decades-old issue,” the league said. “The replacement norms will be applied prospectively and retrospectively for those players who otherwise would have qualified for an award but for the application of race-based norms.”While some former players have blamed the N.F.L., some have also taken aim at Christopher Seeger, the lead lawyer for more than 20,000 former players, who the players say knew about the abuse of race-based benchmarks as early as 2018 and did not address the issue. Lawyers for Henry and Davenport, the two former players who accused the league of discrimination, asked the court to replace Seeger in March.The former N.F.L. players Ken Jenkins, right, and Clarence Vaughn III, center right, and their wives, Amy Lewis, center, and Brooke Vaughn, left, carried petitions demanding an end to the use of race-based benchmarks in the N.F.L. concussion settlement to the federal courthouse in Philadelphia in May.Matt Rourke/Associated PressIn a statement also released on Wednesday, Seeger apologized for not having recognized the problems caused by the use of separate benchmarks for Black and white players.“I am sorry for the pain this episode has caused Black former players and their families,” Seeger said. “Ultimately, this settlement only works if former players believe in it, and my goal is to regain their trust and ensure the N.F.L. is fully held to account.”That trust may take time to rebuild. Lacey Leonard, whose husband, Louis, 36, played for six teams over five seasons, said Seeger’s apology was not enough. Leonard received a settlement after filing a dementia claim because he has a host of cognitive issues, including memory loss, anger and depression. When the claims auditor found no problems with Leonard’s claim, the N.F.L. appealed the settlement, and his claim was reversed.“Honestly, it was a half apology,” Lacey Leonard said in a phone interview. “I think the N.F.L. owes more to disabled players. It’s disheartening that in 2021 that we are still fighting systemic racism.”The N.F.L. did not say how long it would take for the league, Seeger and the panel of experts to create a new system to evaluate dementia claims. More than $800 million in claims has already been approved by the settlement administrator for a range of neurological and cognitive diseases. That number could increase significantly if many dementia claims that were initially rejected are reversed and approved.It is unclear how many Black players may have been misdiagnosed or had diagnoses that were overturned. More than 7,000 former players took free neuropsychological and neurological exams offered in the settlement. Some of them were told they did not have dementia and might be unaware of how their exams were scored.Cyril Smith, a lawyer for Henry and Davenport, asserted that white players’ dementia claims were being approved at two to three times the rate of those of Black players. But Smith was unable to substantiate his claim because, he said, Seeger and the N.F.L. had not shared any data on the approval rates for dementia claims by white and Black players.Seeger said that data would be released when new tests for dementia claims and an investigation looking at whether players were discriminated against had been submitted to the court. More

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    Black N.F.L. Players Want New Advocate in Concussion Settlement

    Players said the lawyer for the N.F.L. retiree class knew that race-based criteria were used to deny Black players’ dementia claims. A review of eight such rejections seems to support their argument.Two retired N.F.L. players who have filed dementia-related claims in the N.F.L. concussion settlement, and have accused the league of discriminating against Black players, want their own representative to attend a mediation aimed at addressing the use of race-based benchmarks to determine eligibility for payouts.Kevin Henry and Najeh Davenport argued in a lawsuit that the separate scoring curves — one for Black athletes, another for white players — used by neuropsychologists to evaluate dementia-related claims “explicitly and deliberately” discriminated against hundreds if not thousands of Black players. But last week, Judge Anita B. Brody of the Eastern District of Pennsylvania dismissed their lawsuit and ordered a mediator to address her concerns about the practice.The players are seeking a new representative because they said Christopher Seeger, the lawyer for more than 20,000 former players in the class action settlement, knew about the abuse of race-based benchmarks as early as 2018 and did not address the issue.“It is not realistic to expect that concerns about race-norming will be addressed effectively by parties who do not view the current use of race-norming as a problem,” Henry and Davenport’s lawyer wrote in their request.The players say that Black former players may have had their claims denied because the benchmarks used to assess rates of cognitive decline deliberately make it harder for them to receive payouts worth hundreds of thousands of dollars, an accusation Seeger denied in a phone interview on Tuesday with The New York Times.Seeger said he was aware of a handful of objections to race-norming in the past few years. He said he intervened in at least one case and that the player received a $1.5 million payout as a result. However, “there has not been a systemic attempt to mistreat Black players in the settlement,” he said.To remove any ambiguity, though, Seeger said he would fight to have race-norming entirely stripped from the settlement.“I need the players to believe in me, I need them to believe in the settlement and I need them to believe they are treated fairly,” he said.Suspicions remain. As the representative for all 20,000 players in the settlement, Seeger signed off on the use of race-based benchmarks in 2014, when the settlement was being approved. The N.F.L. and Seeger note that the use of race norms is not mandatory, though Seeger acknowledged that some doctors charged with evaluating players may be under the misguided perception that it is.Kevin Henry, a longtime defensive end for the Pittsburgh Steelers, is one of two Black players who have petitioned for a new representative for retired players in the N.F.L.’s landmark concussions settlement.Matthew Odom for The New York TimesThe New York Times reviewed the confidential records of eight Black former players whose claims of dementia were denied. In the cases, which date to 2018, diagnoses made without regard to race showed significant enough decline in function for the players to be eligible for payouts.But a second doctor tossed out those diagnoses because the initial doctors had not used the race norms developed by Dr. Robert Heaton that have been standard in settlement claims.“The NFL guidelines are very specific in requiring the use of the Heaton norms for several tests,” an appeals doctor wrote in denying a dementia diagnosis for a player whose career spanned the 1990s and 2000s. To illustrate the point, the doctor listed the player’s test scores after race-based benchmarks were applied to show there was no “evidence of significant cognitive decline.”Lawyers who represent dozens of Black former players said that Black players with similar test scores as white players have been disqualified after racial benchmarks were used, a violation of their civil rights.“Unlike many civil rights cases, the use of Heaton’s race-based norms is discriminatory on its face,” Justin Wyatt, a lawyer for more than 100 players, wrote in a confidential filing in 2019 after one of his clients had his dementia diagnosis overturned. “By definition, Heaton’s race based norms have the effect of treating blacks differently than whites.”It is unclear how many Black players may have been misdiagnosed or had their diagnoses overturned. Cyril Smith, a lawyer for Henry and Davenport, claimed that white players are getting their dementia claims approved at two to three times the rate of Black players.But Smith was unable to substantiate his claim because, he said, Seeger and the N.F.L. have not shared any data on the approval rates of dementia claims by white and Black players.Seeger said this week that he will release that data once his investigation into the use of racial benchmarks in the settlement is completed in the coming weeks and that any claim that was “improperly affected by race-norming” will be reviewed.Smith and Wyatt said the only way to ensure that Black players’ claims have not been mishandled is to have every one of their neuropsychological exams rescored without the use of racial benchmarks. More than 7,000 former players took free neuropsychological and neurological exams offered in the settlement. Some of them were told they did not have dementia and may be unaware of how their exams were scored.It is unclear whether the N.F.L. will approve having every player’s exams rescored because the payouts that could result would be worth potentially hundreds of thousands of dollars each. More than $800 million in claims have already been approved for a range of neurological and cognitive diseases, and Seeger expects that amount to top $1 billion.The N.F.L. said in a statement that there is “no merit to the claim of discrimination,” citing the use of demographic adjustments as common practice in such examinations. It contended that the number of players potentially affected by the use of race-based benchmarks is a fraction of what has been alleged because, among other reasons, “many claims were denied for reasons that have nothing to do with the norms and any rescoring would have no impact on those denials.”The league added: “The N.F.L. nevertheless is committed to helping find alternative testing techniques that will lead to diagnostic accuracy without relying on race-based norms.”To assess cases of dementia, doctors must estimate what a person’s cognitive skills were years ago and compare them to the patient’s current condition. In theory, race-norms are designed to help doctors approximate the cognitive skills of Black and white people in the past.But using race to estimate one’s cognition is fraught because it does not account for factors like a person’s health, education or economic background. Many people — such as those who come from biracial families — do not fit neatly into a single racial category. N.F.L. players are also a unique group because almost all have attended at least three years of university. Comparing players to larger pools of white and Black Americans could be misleading, experts said.“Among the scientific community, it is now widely recognized that race/ethnicity represents a crude proxy for lifelong social experiences, and biologically based racial differences in I.Q. have been debunked,” Dr. Katherine Possin, of the Memory and Aging Center at the University of California San Francisco, wrote in the journal JAMA Neurology in December. “Even with the best norms, the diagnosis of cognitive disorders should not be decided based on a plug-and-play formula of cognitive test scores.”The debate over the use of race norms is not unique to the N.F.L. settlement. In the past, their use has led, intentionally or not, Black patients being denied treatment for many medical conditions, Darshali Vyas, Leo Eisenstein and David Jones wrote in the New England Journal of Medicine in August.The doctors said that problems with race-norming also exist in the criminal justice system, where it is used to help determine police intervention in communities and prison sentences. Some members of Congress want to eliminate algorithms that discriminate against women and people of color by deciding everything from the type of advertisements people see online to how their applications for jobs, credit cards and other products are treated.“Prior forms of racial discrimination based on human biases are now being embedded into algorithms that appear to be race-neutral but aren’t because they are based on data and racial profiling that went on in the past,” said Dorothy Roberts, a professor of Africana Studies, law and sociology at the University of Pennsylvania who studies the use algorithms. “Technology can be used to promote equality or perpetuate inequality. It depends on who’s in control of it and what data they are putting into the algorithms.” More

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    NFL's Concussion Settlement Will Look at Racial Bias in Payouts

    AdvertisementContinue reading the main storySupported byContinue reading the main storyN.F.L. Asked to Address Race-Based Evaluations in Concussion SettlementMediation in the case could force a reopening of hundreds of denied dementia claims from Black players if race-based evaluation benchmarks are thrown out.Najeh Davenport is one of two retired N.F.L. players who brought suits alleging that the race-based benchmarks for evaluating dementia claims in the league’s concussions settlement were discriminatory.Credit…Jeffery Salter for The New York TimesMarch 9, 2021Updated 8:08 p.m. ETThe judge overseeing the landmark N.F.L. concussion settlement ordered a mediator to look into concerns about the league’s use of separate scoring curves — one for Black athletes, another for white players — used by doctors to evaluate dementia-related claims that retired players say “explicitly and deliberately” discriminated against hundreds if not thousands of Black players.The mediation between the N.F.L. and the lawyers representing the 20,000 or so retired players covered in the settlement comes after two retired Black players, Kevin Henry and Najeh Davenport, filed a civil rights suit and a suit against the settlement in August that called for an end to the practice of race-normed benchmarks to assess their claims of dementia and Alzheimer’s disease. Both cases were dismissed but lawyers for the two players are planning to appeal.Their allegation of systematic discrimination shined a harsh light on the settlement reached in 2015. The payouts from the settlement have since been plagued by delays, predatory lenders, accusations of fraud and a lack of transparency. Criticisms of the race-based evaluation policies come at a critical time for the N.F.L., as it seeks to address racial inequity and social concerns raised by Black players, who make up about 70 percent of active players on the league’s rosters.After the suits were filed, four members of Congress requested data from the N.F.L. to determine if Black players were being discriminated against. (The N.F.L. declined to share.) Last month, an ABC News report included correspondence between doctors hired to evaluate retired players in which the neuropsychologists raised concerns that race-norming discriminated against Black players. This month, more than a dozen wives of Black retired N.F.L. players sent the judge a petition with nearly 50,000 signatures calling for an end to race-norming.For now, the mediation keeps their complaints alive.The judge overseeing the settlement, Anita B. Brody of the U.S. District Court for the Eastern District of Pennsylvania, dismissed the lawsuits because they were an “improper collateral attack” on the settlement. Brody expressed concern about the race-based benchmarks the league’s doctors use, but provided no specifics to guide the mediator, who must “address the concerns relating to the race-norming issue.”A magistrate judge will serve as mediator between the N.F.L. and Christopher Seeger, the lead lawyer for the plaintiffs who represents the entire class of 20,000 or so retired players. There is no timeline for the sides to reach any agreement.Lawyers for Henry and Davenport, as well as the wives of former players, expressed doubt that Seeger will fairly represent Black players’ interests in the mediation. The N.F.L. and Seeger, they said, introduced the use of race-norming into the settlement agreement in 2017 and have no incentive to admit now that it is flawed.“We are deeply concerned that the Court’s proposed solution is to order the very parties who created this discriminatory system to negotiate a fix,” said Cyril Smith, a lawyer for Henry and Davenport. “The class of Black former players whom we represent must have a seat at the table and a transparent process, so that we are not back in the same place four years from now dealing with another fatally flawed settlement.”Christopher Seeger, left, is the lead attorney for about 20,000 former N.F.L. players who reached a settlement with the league over concussions. Some players are now questioning whether he can advocate on behalf of Black players.Credit…Matt Rourke/Associated PressAmy Lewis, whose husband, Ken Jenkins, played in the N.F.L., was equally skeptical. Leaving the N.F.L. and Seeger to work out an agreement is “giving the fox another chance to guard the hen house,” she said in a letter to Judge Brody sent on behalf of more than a dozen other wives of N.F.L. players. “How can any of us have any faith that the violating parties are not going to, once again, bury this and deny civil rights to our husbands?”Lewis said the group would ask the Department of Justice and Congress to launch an investigation into “civil rights violations and possible collusion” between the N.F.L. and Seeger.In a statement, Seeger said he has “not seen any evidence of racial bias in the settlement program,” but “continues to review claims to determine if any claim was inappropriately denied as a result of application of these adjustments.”But he said that race-based demographic adjustments should be scrapped and players who had their claims denied because of race-norming should have their tests scored again without the race-based adjustments if there was evidence of discrimination.“This means eliminated and gone from the settlement,” Seeger said in a statement. Some lawyers remain skeptical that Seeger, who previously denied the existence of any discrimination, will push the N.F.L. hard enough to re-evaluate the scores of the thousands of Black players who have been tested and may not even know why they were excluded, a process that could lead to hundreds of players eventually qualifying for payments each potentially worth hundreds of thousands of dollars.“It’s not hard to do, but it could be expensive for the N.F.L.,” said Justin Wyatt, who represents more than 100 retired players in the settlement. “We need to search for where people have been discriminated against, and that means rescoring every African-American player. It’s incumbent on us to make sure this process is discrimination-free.”Senator Ron Wyden of Oregon, who with Senator Cory Booker of New Jersey and two members of the House asked the N.F.L. for data on race-norming, said, “The league has failed to produce a shred of scientific evidence supporting the absurd claim that using this race-based formula somehow helps Black former players, instead of unfairly preventing them from getting benefits.”He added: “The N.F.L. is out of excuses — it needs to drop this racist formula immediately.”Thus far, the N.F.L. has paid more than $765 million to 1,189 players with dementia, Alzheimer’s disease and other cognitive and neurological diseases. However, far more players have had their claims denied, audited or withdrawn, including about 70 percent of the claims for dementia.In a statement, the N.F.L. said it was pleased with the judge’s decision to dismiss the cases and looked forward to working with the mediator, Magistrate Judge David R. Strawbridge, “to address the Court’s concerns.”AdvertisementContinue reading the main story More

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    Irv Cross, First Black Network TV Sports Analyst, Dies at 81

    AdvertisementContinue reading the main storySupported byContinue reading the main storyIrv Cross, First Black Network TV Sports Analyst, Dies at 81After playing defensive back in the N.F.L., he made history when he joined CBS Sports’ pregame show, “The NFL Today.”Irv Cross in 1985. He had a 15-year run as an analyst on “The NFL Today.”Credit…George Rose/Getty ImagesMarch 1, 2021Updated 7:48 p.m. ETIrv Cross, a Pro Bowl defensive back with two N.F.L. teams who later made history as the first Black full-time television analyst for a network television sports show, died on Sunday in a hospice in North Oaks, Minn. He was 81.The cause was ischemic cardiomyopathy, a heart disease, said his wife, Liz Cross. He also had dementia, which he believed had been caused by concussions he endured in his playing days. He had arranged to donate his brain to the Boston University Chronic Traumatic Encephalopathy Center.By 1975, after nine seasons with the Philadelphia Eagles and the Los Angeles Rams and four years as a game analyst for CBS Sports, the network hired Mr. Cross to join the cast of its pregame show, “The NFL Today,” beginning a 15-year run as a high-profile commentator. He, Brent Musburger and Phyllis George — and, starting a year later, the betting maven Jimmy Snyder, who was known as the Greek — previewed and analyzed the day’s coming games and gave half-time scores.The cast was unlike others in N.F.L. television programming, with Mr. Cross in a job that no other Black sports journalist had held before, and Ms. George, a former Miss America, becoming one of the first female sportscasters. With entertaining banter and byplay, the combination of personalities proved extremely popular.“Irv was a very smart, hardworking, hugely kind person who always had a warmth about him,” Ted Shaker, the former executive producer of CBS Sports, said in a phone interview. “He had built up his credibility as a player and game analyst, and he was our anchor at ‘The NFL Today.’” He added, “Like Phyllis, Irv was a true pioneer.” (Ms. George died in May at 70.)In 1988, CBS fired Mr. Snyder over widely publicized comments he had made in an interview about the physical differences between Black and white athletes. His comments, Mr. Cross said at the time, “don’t reflect the Jimmy the Greek I know, and I’ve known him for almost 13 years.” (Mr. Snyder died in 1996.)After CBS fired Mr. Musburger in a contract dispute in 1990, the network overhauled “The NFL Today,” ending Mr. Cross’s long run on the program. He returned to being a game analyst at CBS for two years, but after his contract was not renewed he did not work in network television again.“I didn’t have an agent, and I didn’t search for a TV position as aggressively as I should have,” he told Sports Illustrated in 1996.“I just quietly faded away.”His broadcasting work was honored in 2009 when he received the Pete Rozelle Radio-Television Award from the Pro Football Hall of Fame in Canton, Ohio.Mr. Cross in 1976 with his “NFL Today” colleagues Brent Musburger and Phyllis George.Credit…CBS ArchivesIrvin Acie Cross was born on July 27, 1939, in Hammond, Ind., the eighth of 15 children. His father, Acie, was a steelworker; his mother, Ellee (Williams) Cross, was a homemaker.Mr. Cross said his father, a heavy drinker, had beaten his mother. “It tears me up,” he told The Chicago Tribune in 2018. “It was frightening. You could tell it was coming. We tried stopping him a few times. We’d jump on his back. It’s absolutely raw for me.”Ellee Cross died in childbirth when Irv was 10, leaving him to wonder whether the beatings had worsened his mother’s health problems.After excelling at football at Hammond High School — which earned him a place in its hall of fame — Mr. Cross was a wide receiver and a defensive back at Northwestern University under Coach Ara Parseghian. As a junior, he caught a 78-yard touchdown pass during a 30-24 Northwestern victory over Notre Dame.“We didn’t have much depth, but Parseghian was great at moving guys around and getting the most of them,” Mr. Cross told a Northwestern online publication in 2018. “His teams beat Notre Dame three straight times from 1958 to 1961.” Mr. Parseghian left Northwestern after the 1963 season to begin a storied run as coach of Notre Dame.As a senior, Mr. Cross was named Northwestern’s male athlete of the year.The Eagles chose him in the seventh round of the 1961 N.F.L. draft. He intercepted a career-high five passes in 1962 and played in the Pro Bowl in 1964 and 1965. The Hall of Fame running back Jim Brown once said, “No one in the league tackles harder than Cross.”After five seasons with the Eagles, Mr. Cross was traded to the Los Angeles Rams in 1965 and played there for three years. He returned to the Eagles in 1969 as a player and a defensive backs coach. After retiring as a player at the end of the season, he continued to coach for one more year.Mr. Cross when he played for the Philadelphia Eagles in the early 1960s. He was a two-time Pro Bowl defensive back before becoming a sportscaster.Credit…Philadelphia EaglesMr. Cross began planning for a television career while he was with the Eagles, working as a radio sports commentator and a weekend TV sports anchor in Philadelphia during the off-season. Though tempted by the Dallas Cowboys’ offer of a front office job in 1971, he chose to work for CBS Sports instead.Joining “The NFL Today” came with a certain amount of pressure. He recalled in the Northwestern interview that in 1975 “the TV landscape was much different, much whiter.”“I never focused on that,” Mr. Cross said, “but I was keenly aware that if I failed it might be a long time before another Black person got a similar opportunity.”When the cast of the show was changed in 1990, Greg Gumbel, who is Black, was hired to work alongside the former Pittsburgh Steelers quarterback Terry Bradshaw.After Mr. Cross left CBS he changed course, working as the athletic director at Idaho State University in Pocatello from 1996 to ’98 and at Macalester College in St. Paul, Minn., from 1999 to 2005.In addition to his wife, Liz (Tucker) Cross, he is survived by his daughters, Susan, Lisa and Sandra Cross; his son, Matthew; a grandson; his sisters, Joan Motley, Jackie McEntyre Julia Hopson, Pat Grant and Gwen Robinson; and his brothers, Raymond, Teal and Sam. His first marriage ended in divorce. He lived in Roseville, Minn., outside the Twin Cities.When Mr. Cross played, concussions were usually not taken seriously. He sustained several in his rookie season, enough for his teammates to nickname him Paper Head. One of the concussions knocked him unconscious and sent him to the hospital.To protect himself, Mr. Cross had a helmet made with extra padding.“I just tried to keep my head out of the way while making tackles,” he told The Philadelphia Inquirer in 2018. “But that’s just the way it was. Most of the time, they gave you some smelling salts and you went back in. We didn’t know.”AdvertisementContinue reading the main story More

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    When the Removal of 2 N.F.L. Stars From Playoff Games Is Progress

    AdvertisementContinue reading the main storySupported byContinue reading the main storyOn Pro FootballWhen the Removal of 2 N.F.L. Stars From Playoff Games Is ProgressLamar Jackson and Patrick Mahomes did not return to games over the weekend after exhibiting concussion symptoms, satisfying critics who have long accused the league of turning a blind eye to brain injuries.A trainer checked on Ravens quarterback Lamar Jackson after he was injured on Saturday against the Bills.Credit…Adrian Kraus/Associated PressJan. 18, 2021Updated 8:30 p.m. ETIn a season dominated by the N.F.L.’s efforts to play a full schedule during a pandemic, many other health issues have been overshadowed, particularly concussions, an issue that has dogged the league in years past.The topic returned to the forefront over the weekend when two of the league’s best players — the winners of the last two Most Valuable Player Awards, no less — were knocked out of their divisional round playoff games with symptoms consistent with concussions. The N.F.L. received kudos for following its own player safety rules, which were developed after years of criticism that not enough was being done to prevent head hits.Yet as is so often the case, hits to the head that were not penalized garnered just as much as attention. They suggest the league is far from eliminating the helmet-to-helmet hits that have led to so many head injuries.Most spectators, though, are more likely to remember the instances when star players leave games and don’t return, mostly because of their impact on the team’s chances of winning and because they are the reason fans watch the games in the first place.The first star player knocked out of a game came on Saturday in Buffalo when Baltimore Ravens quarterback Lamar Jackson slammed his head on the turf after he was thrown to the ground by two Bills defenders. Jackson grabbed his helmet and lay on his back as trainers rushed out to examine him. He was taken to the locker room for examination and did not return.On Sunday, Kansas City Chiefs quarterback Patrick Mahomes had his neck twisted by a Cleveland Browns defender as he was dragged to the ground. Mahomes wobbled as he stood up, and two teammates had to hold him upright until trainers could walk him off the field. Mahomes, too, was taken to the locker room and ruled out of the game. The Chiefs have confirmed that Mahomes is in the concussion protocol, but have yet to say he actually had a concussion.While fans of the Ravens and the Chiefs would vigorously disagree, others — especially the critics of the league who have long accused it of turning a blind eye to head injuries — might consider the removal of Jackson and Mahomes welcome sights.“The handling of Lamar Jackson’s and Patrick Mahomes’s concussions shows progress,” Chris Nowinski, chief executive of the Concussion Legacy Foundation, wrote on Twitter. “15 years ago: They may not miss a play. 10 years ago: Smelling salts on the bench & return. 5 years ago: 4th quarter comeback. Today: 2 top QB’s treated responsibly.”Indeed, the N.F.L. has focused more on head hits in recent years. The league has strengthened rules against hitting quarterbacks and players who lower their helmets to initiate contact. There were 125 roughing-the-passer penalties called this season, a 40 percent jump compared to 2016, according to the N.F.L. Penalties website, which tracks infractions. This season, there were 37 fouls called for illegal use of the helmet, one more than in 2019, the N.F.L. said.There were 224 reported concussions last season, a decline of 4.7 percent compared to 2018. The league has not yet reported complete concussion figures for this season, but they are likely to decline again because there were no preseason games and many teams canceled some practices to try to limit the spread of the coronavirus.Chiefs quarterback Patrick Mahomes was helped off the field after being taken down in the second half on Sunday against the Cleveland Browns.Credit…Charlie Riedel/Associated PressMany concussions, though, go unreported, either because doctors and neurologists at the game failed to spot them or because the players masked their symptoms.Then there are the cases in which players smack helmets, no penalty flag is thrown, and no doctors intervene. That’s what happened late in the first half of the Chiefs-Browns matchup. Cleveland quarterback Baker Mayfield threw a long pass to receiver Rashard Higgins, who ran a few strides and dived for the pylon on the goal line. Just as his outstretched arms and the ball were about to reach the goal line, Chiefs safety Daniel Sorenson launched himself at Higgins.Replays showed Sorenson lowered his helmet and crashed it into Higgins’s head. Higgins fumbled the ball out of bounds in the end zone, a touchback, ending the Browns’ chance for a touchdown and giving possession to the Chiefs at their 20-yard line.Sorenson was not penalized for leading with his helmet, and the Browns were unable to challenge the play because helmet-to-helmet hits are not reviewable. But the noncall, and others like it, did not escape notice by football insiders.“The number of ‘player safety’ penalties not being called by @NFL officials this entire weekend is concerning & unsettling,” Scott Pioli, a former director of player personnel for the New England Patriots and an analyst for CBS and NFL Network, wrote on Twitter. “A LOT of leading with head penalties not being called on defenders AND ballcarriers all weekend. Why have we abandoned the rules for the playoffs?”With the Chiefs advancing to the A.F.C. championship game, Mahomes’s recovery will remain a topic of interest. After Sunday’s game, Coach Andy Reid said his quarterback “got hit in the back of the head and kinda knocked the wind out of him and everything else with it.” But he added that Mahomes was “doing great” and passed some tests, without specifying what they were.According to N.F.L. guidelines, Mahomes must rest until his symptoms are gone and his performance on neurological exams is normal. He can then gradually increase the amount of exercise and stretching. Assuming he has no setbacks, Mahomes can then resume some activities, including strength training. That would lead to noncontact football activities like throwing and running. If all those hurdles are passed, he could be cleared by an independent neurologist to participate in the next practice or game.Players, though, can pass these tests and not report lingering symptoms, like memory loss or headaches. “It’s tough as a player to know what to report,” Nowinski said.In the past five seasons, the median number of days it took a quarterback to return from a concussion was seven. With that in mind, Mahomes could be back on the field when the Chiefs play the Bills on Sunday.AdvertisementContinue reading the main story More