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All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
May, 2001, Vol. 01, Issue 05
Debunking Insurance Myths
By Ralph Stephens, BS, LMT, NCTMB
As the debate surrounding third-party (insurance) payment for massage heats up, there are some myths that need debunking. The first is that if massage is accepted by insurance companies, the credibility of the profession will be enhanced.The parallel myth to this is that individual therapists will somehow be accepted as more professional and more creditable, because they will have the "stamp of approval" of some insurance provider(s). Those who think this way are looking backward. Before insurance will accept massage as a service worth paying for, credibility must already be established. The fact that millions of people are seeking massage therapy proves the credibility of our profession. The fact that the vast majority of these people are willing to pay for massage out of their own pockets shows not only the credibility of the profession and the practitioners, but also the effectiveness of the techniques. People will do about anything if someone else will pay for it, whether it works or not. However, they will not pay for it themselves unless they receive a noticeable benefit. Credibility and professionalism have already been established. Insurance will not enhance either of the two. If insurance does to massage what it has done to other professions, it will decrease massage's credibility and professionalism, and lead to the billing schemes other professions have been forced to develop to survive.
No organization or institution outside of our profession can give us credibility or professionalism. Both must be earned. If the goal is to foster these traits, we must look within and increase the quality our education and our entry-level standards. This will improve the level of service being provided, which will in turn raise demand even further.
Another myth is that we must knuckle under to insurance companies and reduce our rates; that we must give them discounts off our regular fees. This is complete foolishness. Again, insurance companies are not coming to us because they believe in what we do or because they want to be "hip." They are coming to us because their policyholders are demanding it. We control a seller's market. Yes, they dictate terms to all other providers. That is because all other providers have sold out to them and have become dependent on insurance money. The insurance company can do anything to these providers. That is why insurance payments to chiropractors are constantly being reduced. Insurance companies know that there is a 74% demand for alternative care by the public. They need us. We do not need them. To reduce our rates is admitting that we are currently overcharging and that our services are not actually worth our posted fees. One therapist, who is physically limited to about 4 1/2 hours of massage per day, figured that by reducing her rates as demanded by a provider network, her income would drop to the point that she could no longer sustain herself as a therapist.
Why can't the membership and certification organizations of our profession realize that we hold all the cards? They should be protecting their members from the predatory practices of insurance companies by defending our fees. They should be demanding that insurance companies accept us on our terms, without allopathic gatekeepers. Instead, they seem to be bowing down to insurance companies, begging them to take advantage of and enslave our members. Are the associations getting kickbacks from the insurance companies to sell their members down the river? Every wellness-based form of health care has been sold out from the inside by misleadership. Will we be the next victims?
It should be the choice of the individual therapist whether or not to work with insurance companies. There should be nothing preventing therapists from running their business the way they want. However, there should be nothing that requires a therapist to accept insurance and be controlled by the insurance company the way other health professions are. The problem is, there may be enough therapists desperate enough to get insurance dollars that the rest of the us will have to submit to being ruled by allopathic insurance mandates. This is not a scare tactic or false speculation. It is the truth. Want proof? Look at chiropractors: They were originally outside the system - all their patients paid for services. Now, allopathic gatekeeper physicians control what DCs can see and do, and for how long they can do it. DCs are relatively helpless now, as it has become difficult to have a successful practice without accepting insurance. We are at the beginning of this cycle. Will we learn from the past, or will shortsightedness and greed enslave us as it has all other providers?
It is not hard to find a massage therapist anymore. However, it is difficult to find a really good massage therapist. Most of the good ones are really busy, and few are interested in adding another layer of hassle and paperwork to their practice. Therefore, few of them accept insurance assignment. They might give the patient a form and let the patient file (the best procedure if you want to get paid for your services while you can still remember providing them), but few do the filing and receive payment directly from the insurance company. The lesson here, for those of you hoping that insurance will increase your income or your patient load, is to study, train, practice and do what it takes to become really good. Become the best that you can be. Do not settle for mediocrity or for the bare minimum. Become a wellness-oriented holistic health provider and work for your patients, not for insurance companies. Provide wellness care, not sickness care. Practice what you preach: be an example to your patients, a resource for them. Then you will join those who do not need (and seldom want) to deal with insurance.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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