Taking Stock: Constitutionality Matters

Last Friday, on the same day that Bob Baffert's New York Racing Association (NYRA) suspension hearing was ending in New York, the Texas attorney general filed a motion in a Texas federal court to join the National Horsemen's Benevolent and Protective Association (National HBPA), et al., in arguing that the Horseracing Integrity and Safety Act (HISA), enacted late last year, was unconstitutional.

Baffert had challenged his suspension, which was summarily instituted by NYRA without a hearing May 17 after the Baffert-trained Medina Spirit (Protonico) had tested positive for betamethasone in the Gl Kentucky Derby. Baffert had sought an injunction to stop the suspension so that he could race at NYRA tracks last summer. United States District Court Judge Carol Bagley Amon granted the injunction July 14. She wrote: “In sum, I find that Baffert has established a likelihood of proving that NYRA's suspension constituted state action, and that the process by which it suspended him violated the Due Process Clause of the Fourteenth Amendment of the United States Constitution.”

Judge Amon also wrote that “the public has no interest in having the 'integrity of the sport' enforced by unconstitutional means.”

That's a profound statement, but it may not mean much to those horse racing folks on social media who'd like to ban Baffert and others with medication positives through any means necessary, constitutional or not. As members of the peanut gallery, they have a right to that sort of chatter.

Journalists, however, are another matter and should be held to a higher standard. They should be impartial in reportage and knowledgeable about the issues in editorials. In their eagerness to support HISA, for instance, some who cover racing have shown little critical thinking about its constitutionality. In fact, my colleague Bill Finley wrote a pro-HISA Op/Ed piece in these pages that implied the National HBPA was challenging HISA in court simply to retain the status quo, rather than having valid concerns about HISA's constitutionality. He wrote: “It's hard to imagine that there is one horseman anywhere who cares one bit whether or not HISA is unconstitutional or not.” That's his opinion, but there are valid concerns about HISA nonetheless. And taken at face value, his comment could easily apply to those that backed the passage of HISA as well.

With an avalanche of “doping” publicity in the game over the past few years, many writers, like many fans on social media, were understandably smitten with the concept that HISA, with United States Anti-Doping Agency (USADA)'s Travis Tygart playing a major role, would form the centralized leadership the sport direly needs, particularly in the area of medication and anti-doping reform. But Tygart, who'd famously nailed Lance Armstrong, and USADA couldn't come to an agreement with HISA's governing board, and they appear to be out of the equation for the moment. That's led to many of these same journalists penning handwringing Chicken Little pieces.

Lost in these articles and editorials were the legitimate concerns–now being litigated–about HISA's constitutionality.

The sport does need to be enforced, but not, as Judge Amon said, “by unconstitutional means.” That should be a concern that any journalist can comprehend.

This is why it's important for those entities challenging HISA to have their days in the courts. It's to everyone's benefit to get judicial opinions on the matter as soon as possible one way or the other. Instead, prominent journalists and organizations have disparaged groups like the National HBPA that are challenging HISA, and in doing so, they seem to be supporting the one powerful segment of the racing industry, headed by The Jockey Club (TJC), which advocated heavily for HISA. The journalistic optics of this are awful.

By the way, TJC, in an amicus brief filed June 30, supported the unconstitutional NYRA ban on Baffert.

Some Issues

There are some, including constitutional scholars, who question if HISA potentially infringes on states' rights. Anyone who followed the Baffert hearing last week got a glimpse of the complex and intertwined relationships that exist between state regulatory agencies, racetracks, and participants, and it's these states' rights issues, for example, that put Texas into the fray and add heft to the National HBPA's suit.

Three years ago, in a column from Feb. 7, 2019 titled “Issues With the Integrity Act,” I presaged some of these constitutional concerns, citing the Supreme Court's landmark decision from May of 2018 that held the Professional and Amateur Sports Protection Act (PASPA) was unconstitutional. I wrote: “A central tenet to this decision was something called the 'anticommandeering principle' of the Tenth Amendment, which was previously established in the Supreme Court decisions of New York v. United States and Printz v. United States, both of which were invoked” in the case.

Racing at Sam Houston | Coady

The court explained “anticommandeering” in the PASPA decision: “…conspicuously absent from the list of powers given to Congress is the power to issue direct orders to the governments of the States. The anticommandeering doctrine simply represents the recognition of this limit on congressional authority.”

Last Friday, the attorney general of Texas specifically addressed this exact issue in his motion, which states, in part: “HISA unconstitutionally commandeers the legislative and executive branches of state government and puts Congress in control of state branches of government in violation of the Tenth Amendment.”

As to specifics, the motion noted these points in part (“Authority” here is the private nonprofit corporation–Horseracing Integrity and Safety Authority–established by HISA):

  • HISA requires Texas and the Texas Racing Commission (TRC) to cooperate and share information with the Authority; forces them to remit taxes and fees to fund the Authority or lose the ability to collect taxes and fees for their own anti-doping, medication-control, and racetrack-safety programs; and preempts some of Texas's laws and regulations.
  • If the State of Texas refuses to assess, collect, and remit fees to the Authority, HISA strips from Texas its right to “impose or collect from any person a fee or tax relating to anti-doping and medication control or racetrack safety matters for covered horseraces.”
  • HISA requires Texas “law enforcement authorities” to “cooperate and share information” with the Authority whenever a person's conduct may violate both a rule of the Authority and Texas law. HISA § 1211(b), 134 Stat. at 3275. HISA thus forces the State of Texas to spend time and resources to help the Authority carry out a federal regulatory program.
  • HISA preempts state laws and regulations on which Texans and the regulated industry have long relied to ensure the safety and integrity of horseracing.

These are valid concerns, and no amount of back and forth bickering between TJC lawyers, pro-HISA journalists, and other HISA supporters, versus those bringing the suits opposing HISA, will amount to anything but hot air until the courts decide.

So, why don't we sit back, chill, and let the judicial process take place?

Constitutionality, after all, matters.

Sid Fernando is president and CEO of Werk Thoroughbred Consultants, Inc., originator of the Werk Nick Rating and eNicks.

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Rattle N Roll, Make It Big Top Nominees To Tampa’s First Derby Prep

Rattle N Roll, who won the Grade 1 Claiborne Breeders' Futurity on Oct. 9 at Keeneland in his most recent start, and Make It Big, whose 3-for-3 record includes two stakes victories, head a list of 48 nominations for the 42nd renewal of the Grade 3, $250,000 Sam F. Davis Stakes for 3-year-olds on the Feb. 12 Festival Preview Day card at Tampa Bay Downs.

The Sam F. Davis Stakes, contested at a distance of a mile-and-a-sixteenth on the main dirt track, is a “Road to the Kentucky Derby” points race, with the top four finishers receiving points on a 10-4-2-1 scale toward qualifying for a spot in the Run for the Roses at Churchill Downs on May 7. The Sam F. Davis is also a precursor to the Grade 2, $400,000 Lambholm South Tampa Bay Derby on March 12, a “Road to the Kentucky Derby” points race awarding 50, 20, 10 and 5 points to the first four finishers.

Three other stakes are scheduled on the Festival Preview Day card. They include the $150,000, mile-and-40-yard Suncoast Stakes for 3-year-old fillies, which is a “Road to the Kentucky Oaks” points race; the $100,000, 6-furlong Pelican Stakes, for horses 4-years-old-and-upward; and the $50,000, 6-furlong Minaret Stakes, for fillies and mares 4-and-upward.

The list of Sam F. Davis nominations includes eight from the barn of Hall of Fame trainer Todd Pletcher, who has won the race a record six times, most recently with Destin in 2016. Heading the list of Pletcher-trained candidates is Mo Donegal, who won the Grade 2 Remsen Stakes on Dec. 4 at Aqueduct, and Emmanuel, who won Sunday's sixth race impressively at Tampa.

Rattle N Roll, a Kentucky-bred colt owned by the Mackin family's Lucky Seven Stable and trained by Ken McPeek, won the 1 1/16-mile Claiborne Breeders' Futurity by a widening 4 ¼ lengths under jockey Brian Hernandez, Jr. After targeting a start in the TVG Breeders' Cup Juvenile Presented by Thoroughbred Aftercare Alliance at Del Mar, McPeek changed course after the horse developed a minor foot issue.

Rattle N Roll returned to the workout tab earlier this month at Gulfstream Park and breezed three furlongs Saturday in 35.67 seconds.

Make It Big, owned by Red Oak Stable and trained by Saffie Joseph, Jr., won the Ocala Stud Juvenile Sprint Stakes on Oct. 30 at Gulfstream and the Remington Springboard Mile Stakes on Dec. 17 at Remington Park in his last two starts. Jose Ortiz was aboard for the most recent victory.

Here are the links to the nominations and their past performances for the Sam F. Davis Stakes:

https://www.equibase.com/premium/eqbHorsemenAreaDownloadAction.cfm?sn=SN-TAM-20220212-573142

https://www.equibase.com/premium/eqbHorsemenAreaDownloadAction.cfm?sn=SNPP-TAM-20220212-573142

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Survey: Two-Thirds Of Vets Concerned About Injecting Horses’ Joints Too Frequently

Joint inflammation and osteoarthritis (OA) are common in athletic horses, frequently resulting in lameness, poor performance, and economic losses. Veterinarians can provide symptomatic relief from joint discomfort caused by OA via intra-articular injections using a variety of medications. Examples include corticosteroids (e.g., triamcinolone acetate, methylprednisolone acetate), hyaluronic acid, polysulfated glycosaminoglyans, and various biologic therapies, such as stem cells, platelet-rich plasma (PRP), autologous conditioned serum (ACS, interleukin-1 receptor antagonist protein, IRAP), and autologous protein solution.

 

Which medication(s) veterinarians inject into which joint and how frequently that joint can be medicated are factors ultimately determined by the veterinarian using their own clinical experience. These choices therefore rely heavily on anecdotal evidence rather than scientific guidelines. In other words, there are no hard and fast rules regarding joint injections due to the lack of head-to-head comparisons of the various treatment options.

 

To gain a deeper understanding of how veterinarians are injecting joints, a survey sanctioned by the American Association of Equine Practitioners (AAEP) was conducted in 2019. Those data were subsequently analyzed by Dr. Gustavo Zanotto from the department of large animal clinical sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University. Dr. David Frisbie from the department of clinical sciences, Collage of Veterinary Medicine and Biological Sciences, Colorado State University was co-author of the study.

 

Zanotto recently presented data garnered from that 2019 survey at the 2021 AAEP Annual Convention held in Nashville, TN.

 

In total, 407 equine practitioners participated in the survey, the majority of which worked with racehorses (Thoroughbreds, Quarter Horses) and Warmbloods. Those veterinarians had extensive (>20 years) of clinical experience from which to draw their survey answers from.

 

Here are some of the most important take-away points garnered from the survey applicable to Thoroughbred racehorses.

 

Frequency of Injection

 

Approximately two-thirds of veterinarians were concerned about treating joints too frequently with corticosteroids for fear of causing harm, presumably to the articular cartilage.

 

“About 75% of responding veterinarians said that they believed joints can be damaged by treating too frequently. Most believe you can inject a joint once only every six months, whereas 30% of practitioners say you can do it every three months,” said Zanotto.

 

Despite these beliefs/recommendations suggested by practitioners on the survey, Zanotto says, “There is no strong scientific evidence regarding minimum frequency of joint injections.”

 

Steroid Selection

 

Triamcinolone and methylprednisolone are used most often in high- and low-motion joints by equine veterinarians, respectively. Nonetheless, almost three-quarters of practitioners still feel that triamcinolone is either somewhat likely or very likely to contribute to laminitis. As a result, survey respondents reported using limited amounts of triamcinolone, both in a single joint and as a total dose per horse. Based on the survey, most practitioners reported using 5-10 mg triamcinolone in a single joint and 20-40 mg of methylprednisolone. Most practitioners use less than 40 mg of triamcinolone per horse, and about 50% used no more than 18 mg triamcinolone per horse.

 

Based on scientific evidence, however, Zanotto said, “Triamcinolone does not appear to increase the risk of laminitis in healthy horses, and a safe total body dose has not yet been established.”

 

Antibiotic (Ab)use

 

In this survey, 55.6% of veterinarians admitted to always using an antibiotic such as amikacin when injecting medication into a joint. Perhaps more disquieting was the fact that the number of veterinarians using an antibiotic when medicating a joint actually increased from a similar survey in conducted back in 2009.

 

“This increased use of antibiotics is an alarming finding because there is evidence that amikacin is toxic to cartilage cells, as well as increased concern regarding antibiotic resistance,” explained Zanotto.

 

Reasons that veterinarians cited for using antibiotics intra-articularly were poor environmental conditions and “coincident corticosteroid injections.”

 

Such statements should give us pause for two main reasons. First, Zanotto pointed out that no evidence actually exists supporting the notion that joints medicated with corticosteroids are at an increased risk of infection.

 

Second, there is no evidence that the environmental conditions in which most equine practitioners inject joints contributes to joint infections. In fact, according to Dr. Lynn Pezzanite from Colorado State University, joint infections are exceedingly rare.

 

During her presentation at the 2021 AAEP Annual Convention, Pezzanite relayed data she retrospectively collected from joint injections performed between 2014 and 2018. In total, 3,866 synovial injections were performed on 1112 horses over 1623 sessions. Of those, 643 sessions were performed in the field.

 

Pezzanite's data revealed that the risk of sepsis (infection) was similar between joints injected in the field and hospital and between joints that had or had not been treated with an antibiotic. Overall, the frequency of sepsis was 1 in 967 injections, or about 0.1%.

 

Biologic Therapies Gaining a Foothold

 

Perhaps due to equine practitioners' ever-increasing familiarity with the various commercially available biologic therapies available as well as the perceived benefits of such therapies, their use is increasing. According to the survey, IRAP is the most popular biologic therapy, followed by PRP, autologous protein solution, stem cells, then bone marrow aspirate/concentrate. Cost is a major determinant of which biologic is ultimately used.

 

In sum, despite how frequently joint injections are being performed there is still a profound lack of evidence-based guidance regarding frequency of injection and recommended doses, particularly for corticosteroids. One of the more alarming findings, however, is the rampant and unnecessary overuse of antibiotics in routine joint injections for prophylactic purposes.

Dr. Stacey Oke is a seasoned freelance writer, veterinarian, and life-long horse lover. When not researching ways for horses to live longer, healthier lives as athletes and human companions, she practices small animal medicine in New York. A busy mom of three, Stacey also finds time for running, hiking, tap dancing, and dog agility training. 

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Letter To The Editor: An Aussie Perspective On Being An American Racing Fan

I was saddened to read the heartfelt Letter to the Editor: Why I Am Leaving The Sport I Loved for 50 Years that appeared on the Paulick Report website on Jan. 20. As an Australian turf fanatic and now small-time owner who has been living in New York for a decade, I have a perspective on this.

Like the author, I relate deeply to that experience of the first time at the track and getting “hooked.” As a sports fanatic kid growing up in Melbourne in the 1980s and 1990s, I was ambiently aware of racing, but it wasn't until I experienced the roar of the crowd at the 1999 Caulfield Guineas and an epic battle between the champion colts Redoute's Choice and Testa Rossa that I was transformed forever. Or as the author puts it, “spiritually fed.”

Sadly, nothing about the author's recent experiences and decision to get out of the game entirely surprised me.

A few observations:

Racetrack Experience – American racetracks, even the bigger ones, are generally decrepit. While there may be little motivation to invest given the sport is played for TV and online wagering, it's a stark contrast to the magnificence of a Flemington or Royal Randwick on a clear day. Not to mention the hundreds of picturesque racecourses that make up Provincial/Country fixtures. Where my father lives in Kyneton, about an hour's drive from Melbourne hosts a brilliant “Country Cup” day each year with entertainment and great food options. In other words, a way to get people who aren't necessarily racing fans to enjoy a day out and perhaps also place a few wagers.

Wagering Experience/Bet Types – The user interfaces for American parimutuel betting are, in my view, very poor and don't reflect what younger generations would regard as a good user experience. While wagering types are mostly common between North America and Australia, the existence of “Flexi” betting options whereby a bettor can invest wagers of their choosing in return for a calculated % of the dividend are far more enticing than the rigid unit options available here. Additionally, many young people don't grasp parimutuel totalizator concepts. The option for “Fixed Odds” betting in Australia attracts a different type of player.

Integrity & National Regulations – I am not suggesting that Australia doesn't have its own issues with integrity, animal welfare, and scandals. To suggest otherwise would be untrue. But as recent examples show, public outrage against exposed corruption and animal cruelty has led to swift and decisive action by regulators. The bad guys do get disqualified for extended periods. While there may be minor state differences, on the whole, there are national rules of racing for medication and horse ratings/classification systems that promote certainty for participants and the wagering public.

Mainstream Interest / Media Platforms – Finally, while racing remains niche in Australia, engagement in some form is much more common there, particularly amongst younger generations. While only a handful of my friends follow racing daily, a large cohort will get together with their mates for the occasional “weekend quaddie” (a Pick 4 equivalent) as a social activity at pubs and sports venues across the country. A lot of this has to do with the prevalence of excellent media and digital platforms like Racing.com.

— David Salter
Owner, fan, and horseplayer

Want to sound off about something you've seen in the Paulick Report? Send us a letter at info at paulickreport.com. Please include your contact info so our editorial staff can reach you if they have questions.

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