Nick Cafardo's Globe article today on Dice-K and Bobby Valentine's comments have changed my perspective on Dice-K.
Valentine, who managed in Japan for 6 years, says the emphasis there is on conditioning and throwing a lot of pitches--while the emphasis here is on pitch counts (fewer pitches) and less conditioning. Because of this philosophy, Dice-K was forced by the Red Sox to change his regimen, which limited his conditioning and may have contributed to his physical breakdown.
I tend to agree, since I think pitch counts are probably more harmful than helpful. If you condition any athlete (including racehorses) to do only so much, that's all they will be able to do.
Basically, that's the problem with pitch counts. You limit what your starting pitchers can do, which transfers the burden to the bullpen. And the bullpen gets overused, especially when you use up a fresh arm every inning. Asking a guy to heat up 3 days out of 4 to pitch one inning is a ticket to needing another pitcher in 2-3 months.
This is what Tito does, but also what a great many managers in baseball do. They are just following orders from the front office.
From what I've heard, there is a lot more disagreement on this matter just below the surface than meets the eye. The old system made a lot more sense to me. It's the conditioning that counts--not the pitch counts.
Here's another thing for you younger guys: you think the doctors know everything? Wait 'till you grow older, and get something common the doctors don't know anything about. It happens all the time. You just don't read about it in the papers.