Additional scholarships would give MSU gymnastics a competitive advantage, but it seems to me sexual abuse is a competitive disadvantage. More scholarships or some other remunerative thing to make up for past abuses would seem appropriate. My guess is it happened a lot more than 150 times amongst all women and girls he "treated." I would guess there are some too embarrassed to come forward to discuss this type of physical abuse.
Although the literature recognizes what he was doing, as a legitimate procedure, I would not be surprised to find other literature challenging the legitimacy of this procedure, or discouraging its use except in intractable situations.
Oh absolutely.
As to the first, there's no doubt. While he treated people through his capacities as MSU and USA doctor, I actually read very few of the victims who spoke were MSU students/athletes or USA gymnasts. A lot saw him through MSU medical, but not through the university. So who would they have reported to? I'm sure many, many, many, many more of them stayed silent.
As for the procedure itself. The judge mentioned she was anticipating a medical defense was forthcoming and he pled instead. I'm assuming that's because after the images on the computer, the fact that he did it alone, and without gloves, made it impossible to argue that it was medical. Plus you throw in how many cases there were. No way. As you said, I can't imagine anyone advocating it as a first choice. But I do anticipate it being brought up as a defense for MSU, and that's where we will determine what they knew and how valid it was. If only a half dozen of the 14 reports made it above the assistant coach or trainer or whoever was initially told. 6 cases in 20 years, seems far more believable. And who exactly are they going to turn to with MORE expertise than the USA doctor. Again, this isn't me, this is me speculating as to their defense. The real issues come from 2014 on, when they opened their investigation, and didn't have good collaboration between departments, and then didn't have anyone enforcing that he always had to be doing this with someone else in the room. 2014 on, I don't see what they could plausibly argue. It's 1997-2014 that I presume we'll see this defense.
I also wonder how much is going to come back on disgraced former Ingham County prosecutor Stuart Dunnings, who was in office from 1997 until 2016 until arrested for solicitation. Even prior to his arrest he had a very weird reputation. There were rumors about him for years, but the locals loved him because he was very harsh on MSU. MSU fans liked to say it was because he was a third generation UM alum, I think it was just more because as a whole East Lansing/Lansing area residents and MSU students do not get along, and he knew his voting base. But here IIRC he said in two different instances when MSU police brought him Nassar related cases, that there wasn't enough to pursue it further. If you are looking for a story to keep this going, I imagine the jailed former prosecutor who ignored MSU police will probably get hit at some point.