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While the positives of sports and sports participation are many, it is clear that the system in which they take place is undergoing a significant evolution, specifically in the United States. As indicated in empirical and popular literature over the past century, sports occur in the context of large, complex organizations and processes that have constantly evolved into what Thoma and Chalip called, two decades ago, “this new world of international sport” (2003, 1). Today, this new world of sports involves globalization, television and other rights, licensing, sponsorships, and an increased flow of traditional and nontraditional content, such as e-sports, with all of this and more leading to unprecedented changes in sports and sports development as we know it. However, there are numerous problems, many of which this book defines and offers potential solutions for. Several issues are pushing us to the point of seriously discussing how we evolve American sports development. Several current problems and challenges in the American sports system are discussed in forthcoming chapters along with proposed solutions. There are obviously many issues that can be addressed, but for the purposes of this book, the problems addressed are primarily focused on economic issues, public health problems, education, and access to sports and recreation. Specific problems discussed include elite and competitive athletics within the educational space, a growing athletes’ rights movement that is even focusing on labor relations at the intercollegiate sports level, changes to the status and competitive level of primary and secondary school sports, legal challenges, legislative and other potential government intervention, public health issues, greater access to sports and recreational activities, and where to put “other” less commercially viable sports that are losing teams and opportunities as more money and resources are directed toward football and basketball.