I'm going to pose a theory here that perhaps the reason why American women aren't performing 3-3s, 3 axels and quads like the rest of the world is because our health care system is so expensive that it costs a lot of money to fix these broken bodies. I understand that top athletes can receive care at the Olympic center, and many skaters may have parents who have great health insurance, but a lot of middle class athletes may not have access to such great health care.
A lot of American coaches do not want to break their athletes' bodies. I was only a recreational skater when I took lessons and it was a long time ago, but my coach had worked with good skaters, and generally there was a high focus on safety. Breaking a leg was a big deal and considered a serious injury, at least in his eyes. Kind of eye opening that we are seeing all these injuries these Russian girls are experiencing, and one hand scrutinizing their training regimes and diets, yet when American girls are doing conservative programs with 3-2s and no triple axels, they are being criticized for not taking risk. Mariah not putting in a 3-3 is more due to nerves than her not having one. In fact, she should be commended for being 25 years old and actually being competitive and remaining healthy. Brady was working to upgrade her tech and get a triple axel and unfortunately she is injured. And Brady has been doing 3-3s for years. Karen also does a 3-3. If Alysa had competed, she would have had a triple axel attempt and a 3-3. Amber also probably would have attempted bigger content. This was a strange nationals and the remaining people were nervous and more conservative.
There a few US men who have quads. Both Nathan and Vincent come from families who have the means to provide good health care to their kids. Vincent was the only skater whom I have heard actually comment on how he couldn't train in Canada because he would have to fly to the US for medical treatment.
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Herald: How did the *********-19 ********* impact your training regimen?
Zhou: When lockdown happened, I flew to the United States to gain access to health insurance. I got stuck in Colorado Springs. It was difficult to do any on-ice training but I made sure to stay fit. One of my coaches found a little barn with a sheet of ice and someone who was willing to let me stay and practice on it. I could barely do anything but it was better than nothing. I got lucky because I was able to return the ice sooner than most people.