In 2013, Mary Cain was the talk of the track and field world. The teenager with flowing hair and an irrepressible smile shattered high school records and became the youngest woman to qualify for a world championship 1,500m final. Surely Olympic glory and global athletics stardom would be next.
Instead, Cain’s performances dropped off. She had a solid year in 2014, winning the 3,000m world junior title, the Millrose Games mile and the U.S. 1,500m indoor title, and she took second in the U.S. 1,500m final. But in 2015, she was less competitive. Her struggles continued in 2016, and she finished 11th in her first attempt to make an Olympic team.
She enrolled in Fordham, near her Bronxville, N.Y., home, and took pre-med classes while dealing with a variety of injuries. In the last three years, her IAAF bio lists no results.
“Whatever happened to Mary Cain?” became a popular question among those who follow track and field, even casually.
On Thursday, in a devastating New York Times video, she answered. Her physical and mental health were destroyed — she claims, at the hands of Nike Oregon Project coach Alberto Salazar, who contacted the Cain family while she was in high school to say he wanted to coach the prodigy.
“I joined Nike because I wanted to be the best female athlete ever,” Cain said. “Instead, I was emotionally and physically abused by a system designed by Alberto and endorsed by Nike.”
Cain says she was told to lose weight — “thinner, and thinner, and thinner” — in order to get better, even to the point of taking birth control pills and diuretics. That staff, she points out, was all male.
The problem was well-hidden. A March 2015 magazine piece, also in The New York Times, suggested Salazar was treating Cain carefully. The goal was to avoid ailments such as the “female athlete triad,” also called RED-S (relative energy deficiency in sport) syndrome, in which an eating disorder and the lack of a menstrual period are related to a weaker bone structure.
“Not eating appropriately for the amount of energy an athlete expends is really the root of this syndrome,” University of Wisconsin orthopedic surgeon Andrea Spiker said in an RED-S fact sheet that says missing just three cycles is a warning sign.
Cain said she missed her period for three years. And broke five different bones.
The mental toll was worse. She had suicidal thoughts and began cutting herself. She said she brought the latter to Salazar’s attention in May 2015, a couple of months after the magazine piece painted a rosy picture but a few hours after Salazar yelled at her in front of many athletes and meet officials gathered in a tent during a thunderstorm. Her parents soon brought her home to New York.
“I wasn’t even trying to make the Olympics any more,” Cain said. “I was just trying to survive.”
But she hid the depths of her problems. As recently as last year, Cain talked with Runner’s World about building back up to run in the outdoor season and expressed no regrets about her career choices.
The author of the 2015 magazine piece, Elizabeth Weil, says today she wishes she had spotted some red flags.
“I’ve thought a lot about the 2015 Mary Cain story I wrote over the years,” Weil said on Twitter. "[Because] in hindsight I got it so wrong.”
Former Nike runner Shalane Flanagan, who last month described her training group as distinctly separate from Salazar’s, also wondered aloud if she should have noticed the problems, reaching out to Cain on Twitter.
“I had no idea it was this bad,” Flanagan wrote. “I’m so sorry @runmarycain that I never reached out to you when I saw you struggling. I made excuses to myself as to why I should mind my own business. We let you down. I will never turn my head again.”
Thank you @ShalaneFlanagan - I can’t express how much this meant to me. It was scary to feel so forgotten by a community I devoted my life to. But together we can change things. As athletes, it’s easy to hand our agency to others, but new coaches can change the system. https://t.co/IPIwEarVkp
— Mary Cain (@runmarycain) November 7, 2019
Coincidentally, soon after the 2015 magazine piece ran, Salazar’s program fell under heavy scrutiny. In June, the BBC and ProPublica reported that the Nike Oregon Project was under investigation by the U.S. Anti-Doping Agency. That investigation finally ended with a four-year ban for Salazar.
One of the former Oregon Project athletes who spoke out in the BBC/ProPublica piece, Kara Goucher, told NBC OlympicTalk she had hoped Cain would be treated better because of her age but that Cain simply wound up isolated.
“She was all alone,” Goucher said. “She had no one to support her.”
Officially, the Nike Oregon Project has been shut down, but several of the coaches and athletes are still working together. The athletes Salazar trained are a who’s who of distance running, including Galen Rupp, Jordan Hasay and Mo Farah. None of the athletes have been charged with doping, and U.S. Anti-Doping Agency chief Travis Tygart said this week he sees little reason for the World Anti-Doping Agency to investigate any further.
Now Cain wants to change the system.
“Young girls’ bodies are being ruined by an emotionally and physically abusive system,” Cain said.
Goucher agrees: “I think this is a broader problem of the way we treat women athletes as objects instead of humans.”
Cain gave a road map for reform: Change the culture at Nike, including a closer look at the coaches who worked with Salazar and continue to work with Nike athletes, and put more women in power.
And she says her running career isn’t over.
“Part of the reason I’m doing this now is I want to end this chapter, and I want to start a new one,” Cain said.
Left ambiguous is whether that statement applies only to herself or to her sport and sports in general.
This was a long time coming. For years, I felt broken and alone- I waited, yet no one reach out to help.
— Mary Cain (@runmarycain) November 7, 2019
Now I am ok. But the system isn’t. And I can’t stay silent.
This was hard to share, so thanks @lindsaycrouse & @nytimes for all your support. ❤️https://t.co/9jyreuYKJ0
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