mascho said:
CTE was found in the brain of a deceased 18 year old high school football player.
http://www.bu.edu/cste/case-studies/18-year-old/
It was also found in Mike Borich, who never played a down in the NFL.
http://www.bu.edu/cste/case-studies/mike-borich/
Honestly, I think we're just at the tip of the iceberg when it comes to finding CTE in former players who never played a down in the NFL, or even in college.
I won't pretend to know the future direction of football, but I think it's worth noting that the message of CTE gets somewhat misconstrued when people write and quote studies like this.
Many of these studies are looking for evidence of tau proteins in the brain as a marker for CTE. But tau is just about the most non-specific marker for "something abnormal" in the brain you can have. Just about any degenerative, inflammatory, or infectious process in the brain could lead to the deposition of this protein. Saying an 18 year old has CTE is sort of disingenuous. All it shows is that an 18 year old has some abnormal protein in his brain that could have gotten there from a large variety of sources. Maybe it was due to trauma, may it was due to some childhood illness, maybe he did a bunch of coke and had some sub-clinical ischemic event, maybe he was going to develop Alzheimers at age 55 and this was the first sub-clincial manifestation. I could go on and on.
Tau protein does not equal CTE. It's like looking outside in the morning and seeing a wet driveway and assuming a hurricane just came through. Sure, it's possible. But you have a ways to go before saying you have definitive proof.
We are still far from understanding everything about the disease, and its downstream consequences. I'm sure there are some, as boxing can tell us. The syndrome dementia pugilistica has been well known for years, and is essentially CTE. Of course, many of the symptoms overlap with those of other middle aged and older people without any history of head trauma (depression, headaches, memory deficits, etc.) The message getting out attempts to be much more certain than the science is at this point.
The future probably lies in better imaging techniques to identify abnormalities in living people. Post-mortum studies are helpful, but ideally you want to figure out what's going on in someone who isn't dead yet. And brain biopsies aren't exactly benign procedures.
There are some current imaging techniques that help you see some abnormalities than can be post-traumatic, though its far from perfect. Ideally, everyone would get some sort of "baseline" high level imaging, and then get yearly follow ups after contact (or after each possible concussion) to see if there are any changes. Of course, this is not really cost effective at non-professional levels.
Even if we get to the point that we can be more certain about CTE, and who actually has it, I don't think that means football will go away. Fewer people might be willing to play, but I'm sure plenty of people will choose to. People make a living in the military, with the risk of head trauma from blast injuries, etc. Plenty of adults are going to be willing to take this risk for the chance of making it to the NFL (or simply because they like playing football with their buddies). Just because something carries risk doesn't mean it should be outlawed or that plenty of people won't still do it.