Mandatory EKG Screening for Athletes

Discussion today in the public forum about this article:

Has been going around the internet.  I only have access to the abstract, however, so I can only base my discussion on what data I see there.  This is one of those articles that reviewed the rate of death in NCAA athletes for the last few years, and, essentially, they found that the incidence of sudden cardiac death was 2.28 event per 100,000 participant years.  The commentary in the media: if only we had better screening!
Well, they tried that in Israel.  Mandatory EKG screening was instituted in 1997 in an attempt to curtain SCD in athletes.  The death rate before screening was 2.54 events per 100,000 participant years.  Afterwards, 2.66 events per 100,000. 
So, yes, if only we had better screening – because EKG alone doesn’t cut it.  EKG + echocardiography?  EP study?  At some point, you have to take a rational look at the costs of something and realize it’s not taken out of an infinite pool of money – money that almost certainly could be put towards a much higher yield public health effort.  Reactionary calls for more screening at this time are simply increased costs without proven benefit.