resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
January, 2001, Vol. 01, Issue 01
Work More for Less
By Ralph Stephens, BS, LMT, NCBTMB
Recently, a small group in the massage profession (less than 20% according to one questionnaire) has tried to promote the concept that we should rapidly do everything necessary to become accepted as providers by third-party payers.
Third-party payers are also known as either some form of insurance company or the government.Understand that neither of these organizations have any interest in providing benefits to consumers. Their interest is to take as much from consumers as possible and give as little as possible back. Think about this and remember it always.
There are many types of insurance. The most sinister is health or medical insurance, which will be more accurately referred to in this article as "sickness insurance." It is a part of the sickness industry that manages sickness and makes no significant income from healthy individuals. Sickness insurance is the banker (arguably the extortionist) for the allopathic medical system that treats symptoms, primarily with drugs and surgery: in other words, MDs, HMOs and hospitals. The sickness industry and its banker have no inherent desire for there to be healthy people, because it makes little money from them. They control people's sickness (managed care). They hate competition. They have sworn to eliminate all competing forms of health care. (That's us!) If they cannot eliminate the competition, they will attempt to suppress or control them. (That's us!) Do not fall for the reasonable sounding argument that sickness insurance wants to pay less claims and healthy people file less claims, therefore insurance wants healthy people.
The sickness insurance system was created by the medical industry to collect as much money as it can from as many people as possible, and funnel that money to the sickness industry. The insurance company gets to invest the premiums paid, to make as much money as possible for its owners or shareholders on the money while it holds it. When it doesn't have enough money to meet the appetite of the sickness industry and reward its owners, it raises premiums. Then the sickness industry raises its rates, which causes premiums to go up even more. Does this pattern sound familiar?
Other types of insurance in the health care arena, like workman's compensation and other personal injury or liability insurance, are somewhat different and are not part of the focus of this discussion.
It is quite amusing that many other health care professionals are trying to get out of the sickness insurance system and get back to working for the patient for fair and reasonable rates. Providers with other licenses (nurses, physical therapists, etc.) are changing professions and becoming massage therapists to get away from the control of insurance and Medicare/Medicaid restrictions. They are getting out of the sickness system so they can help more people. Why are massage therapists clamoring to get in? They want more money. They say it is to help more people, but it really is for the money. They will be very disappointed if they get their wish.
Chiropractors fought their way into the system through the legislatures and the courts. Has it brought them any better acceptance by the allopathic, medical-sickness industry? Very little, if any. DCs are ensnared in the sickness insurance system. It looked like they would make a lot of money from insurance, and initially, many did. However, now that the vast majority of DCs are dependent on third party payment and their patients addicted to it, the third parties are paying less and less. Recently, DCs are being charged fees to belong to provider networks. The numbers of visits per year or per occurrence are being limited. In California, American Specialty Health Plans (ASHP) has just "renegotiated" the fee for a chiropractic office visit. The fee has been lowered from $38 last year to $26 this year, a 30% decrease.1 This will probably trigger similar reductions by other plans and possibly Medicare and workers' compensation Want to work more and more for less and less? Want to make 30% less per year?
Do not be so idealistic as to believe that once a significant number of massage therapists are providers, networks won't treat them like they do the DCs. In fact, it has already started. Several networks are recruiting massage therapists. The contract requires the therapist to offer significant discounts to their published fees and not to charge over a specified amount. A clause in the small print says that the network can reduce the amount the therapist may charge whenever the network desires. The light at the end of the insurance tunnel appears to be a train.
The public has discovered massage. They are flocking to massage therapists and paying for services with their own money. Why interrupt this trend? Why get in the way of patients taking responsibility for their own health. The only thing that can stop the wave this profession is riding now is if its ego demands acceptance from the sickness system. That will never be accomplished. Why? Because massage is a health care system. We are an alternative. We are not complementary. Massage has the potential to become the premier wellness modality.
Health is not a right, it is an individual responsibility. We should support people in taking this responsibility, not help keep them in the sickness system. It is best to run away from sickness insurance and fight against government-controlled health care. Massage therapists should focus on better education and higher standards, not on appeasing or conforming to the sickness industry. We must strive to provide better health and wellness information and services to the public. We are a totally different paradigm. We are "health care"; they are "sickness care." The massage profession has emerged. It will continue to grow and blossom as long as it supports individuals taking responsibility for their own health. It will wilt and possibly die if it succumbs to the temptation of money from the sickness industry.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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