Hi Mr. Reardon,
I have a 14 year old grandson who pitches for a Pony league team.
Like you, I am very concerned about youth Tommy John injuries and therefore very much appreciate your reports on the subject.
In my opinion only being concerned adults is not adequate responsibility for our youths and we need to as you mentioned: "err on the side of caution" to protect future sports prospects.
Therefore, if I may suggest, all youth baseball teams should abide by what the National Little League does. That is to limit the number of pitches per game and set a minimum number of no pitch days between games. Over zealous coaches might not like such a ruling mostly because of the must win attitude in spite of the risks involved.
Admittedly it might be an impossible task to get all leagues to adopt such a rule.
Therefore in seeking a solution, may I propose that perhaps The State of Hawaii should pass a law that is identical to the Little League Rules regarding number of pitches per game and rest days between games for various ages.
All of this is a suggestion and I hope you would agree and push it to fruition.
Myself and many others I know read your articles religiously, so thank you for that and look forward to more of the best.