America the Sick and Anxious

And so too are our kids

BILL ASTORE

NOV 25, 2025

“America’s children are unwell.” From the New York Times this morning:

Nearly one in four 17-year-old boys in the United States has attention deficit hyperactivity disorder. In the early 1980s, a diagnosis of autism was delivered to one child in 2,500. That figure is now one in 31. Almost 32 percent of adolescents have at some point been given a diagnosis of anxiety. More than one in 10 have experienced a major depressive disorder, my colleague Jia Lynn Yang reports.

And the number of mental health conditions is expanding. A child might be tagged with oppositional defiance disorder or pathological avoidance disorder. “The track has become narrower and narrower, so a greater range of people don’t fit that track anymore,” an academic who studies children and education told Jia Lynn. “And the result is, we want to call it a disorder.”

Why did this happen? A lot of reasons. Kids spend hours on screens, cutting into their sleep, exercise and socializing — activities that can ward off anxiety and depression. Mental health screenings have improved.

And then there’s school itself: a cause of stress for many children and the very place that sends them toward a diagnosis.

I can’t read the main article since it’s behind a paywall. The gist of the article is that American schooling is hyper competitive, constricting, perhaps too demanding, and therefore a big part of the problem.

Maybe. Schools are also chronically underfunded. Teaching remains an underpaid profession. Classrooms can be overcrowded. Standards vary widely. And parents are stressed as they try to get their kids into the “right” schools. It’s not hard to see how that educational ecosystem might amplify distress.

But the explosion in ADHD diagnoses, autism, and anxiety is surely also driven by Big Pharma.* “We’ve got a drug for that” should be the motto of these companies. Americans are bombarded every day with drug ads promising to change our lives. I’m not a parent myself, but if my kid had trouble focusing or otherwise had behavioral issues, I’d explore medication as an option. I’m guessing it’s easier to get a prescription for Adderall or Ritalin than for kids to get wise treatment and sustained counseling from a psychiatrist or other mental health specialist.

Not just “mother’s little helper”

Some parents may even feel that particular diagnoses confer a kind of status— confirmation that their child is not merely struggling but exceptional in some “high-functioning” or creatively gifted way. That, too, reflects broader cultural forces.(“Annie is autistic and really too intelligent/creative/artistic/sensitive for this world.”)

But beyond parental dysfunction, omnipresent screens, school pressures, and pharmaceutical marketing, there’s a deeper question: Are our kids simply mirroring the broader dysfunction of American society? We live in a culture marked by relentless competition, materialism, polarization, and chronic stress. There’s little about our adult world that could be described as calm or balanced. If our society itself is unwell, why would we expect our kids to feel—or behave—otherwise?

I know it’s not easy, but surely kids need to unplug more (especially from social media, with all its pressures). They need to get outside more. They need to play more—they need more unstructured time. They probably need less stimulation—and arguably more time to be, in a word, bored. To find their own way to play, their own hobbies and interests to pursue, their own path in life.

A dysfunctional society produces dysfunctional kids. If that’s true, how do we make a society that better serves everyone? If American society and culture is uniquely disorienting and destabilizing, can’t we change that? Can’t we make a better saner world for our kids?

Grim factoid: In 2008, Americans consumed 80% of the world’s opioid supply. Though that percentage has dropped to roughly 40% today, what is it about American life that is so painful? Why are we so addicted to (legal and illegal) drugs? And now our kids too?

Readers, what do you make of all this?

*By no means am I dismissing mental illness; my brother Stevie had his first schizophrenic episode when he was sixteen in 1973 and never fully recovered from it. I have friends with a daughter with severe Asperger’s syndrome. My concern here is the vast increase in ADHD, autism, and similar diagnoses and the potential reasons for this.

Major Sporting Events and Air Shows: Too Corporatized, Too Controlling, Too Much

The New Yankee Stadium: The House that Corporations Built
The New Yankee Stadium: The House that Corporations Built

W.J. Astore

Back in 2010, I wrote the following article on American sports for Huffington Post.  With the end of “March Madness” and the beginning of baseball season, the time seems right to revive it.  I love watching my hometown teams and experiencing the vicarious thrill of victory (as well as the agony of defeat), and I’ll never give up sports and the fun of being a fan.  But professional sports in America sure make me want to stop watching at times, as you’ll read below:

Been to a major American sporting event lately? If not, consider yourself fortunate. The NFL and NASCAR are already over-the-top when it comes to manufactured noise, exaggerated pyrotechnics, and wall-to-wall corporate advertisements. Even my beloved sport of baseball has fallen victim to sensory saturation and techniques of crowd control that would make a dictator proud. The grace and spontaneity of America’s pastime is increasingly lost in Jumbotrons, overly loud and canned music, and choreographed cheering.

With all the Jumbotrons and other video screens everywhere, people are no longer focused on the game as it takes place on the field, and perhaps turning to their neighbor for an explanation if they miss a play or nuance. Instead, people look to the screens to follow the game. Indeed, sight lines at some seats at Yankee Stadium are so poor that the only way you can watch the action on the field is on video screens posted at strategic locations.

Speaking of Yankee Stadium, last month a friend of mine went to a game there and found the experience “shocking.” In his words:

“The new stadium is flooded with noise from constant speakers as well as screens everywhere. It was so loud that there was really not much independent reaction from the crowd. I got a feeling like I was in a scene from Triumph of the Will. The noise would come out of the speakers and people would chant. When it stopped so did the people. The entire experience left me dying to get out of there!”

Mediocre seats are $110 each, and an $11 beer only compounds the pain. Attending a Yankees game “used to be something of a social leveler, where people of all classes would come and meet to support the team… Although the place was packed for a Red Sox game, it was a largely white crowd, looking nothing like the mix of people who actually inhabit New York,” my friend concluded.

I share my friend’s concerns. I hate being coerced by screens and speakers telling me when to cheer and what to say. Even at my local Single-A baseball games, the post-game fireworks are set to music, usually of a patriotic tenor. I’ve got nothing against music, but why can’t I just enjoy the fireworks? I don’t need “Proud to be an American” blaring to make me proud to be an American.

But it seems like many fans are happy being told when to cheer, what to say, even what to feel. Or they’ve simply become accustomed to being controlled, which has the added benefit to owners of suppressing any inconvenient spontaneity.

More and more, our senses are saturated so we cannot pause to converse or even to think. If the game grows tiresome, people turn to cell phones, palm pilots, and other personal technologies for stimulation. And the phenomenon is hardly limited to sporting events. Today’s version of “Sesame Street” is an exercise in frenetic action and hyperkinetic stimulation; one wonders whether it’s designed for ADHD kids, or to create ADHD kids.

More and more, we’re surrounded by and immersed in near-total sensory saturation; the stifling effect such an environment has on individual spontaneity and thought can’t be disregarded (nor can it be accidental).

And it appears in the most unlikely of places. I used to watch air shows at the U.S. Air Force Academy. Few things are more viscerally thrilling (or chilling) than a formation of F-16s screaming overhead. But that effect apparently wasn’t enough. The powers-that-be “augmented” the air show with loud rock music (call it the “Top Gun” effect) along with an especially annoying (and superfluous) narrator. There was even a proposal to add huge video screens and even bigger speakers to the performance until it got shot down due to charges of contractual cronyism.

In a way, it’s sad to compare today’s thunderingly loud yet sterile air shows to their Depression-era counterparts. The latter, as another friend reminded me, had in his words:

“No concrete runways, no visitor stands, just grass in a field on the edge of town. I loved planes so much that as an eleven year old I would take the two streetcars … then walk a mile to the airport. There was always one or two old biplanes and the small crowd would wait expectantly for the pilots and the daredevils to appear. What excitement just to see those little planes taxing across the grass and getting into position to take off. Gunning their little engines and racing along into the wind. Loops, upside down and then the big thrill, the ‘wing walkers.’ Try that on a jet.”

Bigger, faster, louder doesn’t always mean “better.” Whether it’s an air show or ball game today, we seem saturated by noise, video images, and other sensory distractions, often advertised as “necessary” to broaden the appeal to non-fans or casual spectators who simply want to feel that they’ve witnessed a spectacle, whatever its meaning.

It’s hard to develop an inner life when you’re constantly plugged-in and distracted. It’s also hard to take independent political stances when you’re constantly bombarded by infotainment, not just in the mainstream media but in the sports world as well. I don’t care about off-field shenanigans or contract disputes or manufactured grudges between teams, nor do I want to watch pre-game and post-game shows that last longer than the games: I just want to watch the game and marvel at the accomplishments of world-class athletes while cheering for my home team.

Sports have always been a form of entertainment, of course, but today’s events are being packaged as life-consuming pursuits, e.g. fantasy football leagues. And if we’re spending most of our free time picking and tracking “our” players and teams, it leaves us a lot less time to criticize our leaders and political elites for their exploitation of the public treasury – and betrayal of the public trust. I wonder, at times, if we’re heading in the direction of “Rollerball” (the original movie version with James Caan), in which a few corporations dominate the world and keep the little people (you and me) distracted with ultra-violent sports and hedonistic consumption, so much so that people can’t recognize their own powerlessness and the empty misery of their lives.

Until our sporting events and air shows return to a time when players and fans and enthusiasts collectively showed up simply for the love of the game and the purity of it all (and I can hear my brother mischievously singing, “Until the twelfth of never”), count me out. I can be more spontaneous in my living room with friends — and the beer sure is cheaper.

Update (4/1/2015):  Chicago’s Wrigley Field is a vintage ballpark with a lot of character.  So how do you ruin some of that?  By installing a massive Jumbotron.

Now this makes me proud to be an American
Now this makes me proud to be an American

They still haven’t finished the bleachers, but they have the humongous TV glaring and dominating the skyline in left field.  Error, Cubs.