resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
June, 2002, Vol. 02, Issue 06
White House CAM Commission Delivers Final Report
By Editorial Staff
After two years of various meetings, hearings and site visits, and after listening to written and oral testimony from more than 1,000 members of the health care community and the general public, the White House Commission on Complementary and Alternative Medicine Policy has issued its final report to the Department of Health and Human Services.The inch-thick document, which the Commission's chair calls "a ground plan ... for ways to integrate complementary and alternative medicine approaches to health care into the system,"1 lists more than 100 recommendations and courses of action, many of which emphasize information and education as the keys to making intelligent, objective decisions about health care. It also suggests that the federal government will play an increasing role in the evaluation and implementation of certain forms of complementary and alternative medicine.
The Commission's recommendations are divided into six categories, covering nearly every aspect of complementary and alternative medicine. Among the more noteworthy suggestions:
Several recommendations were aimed specifically at the quality of dietary supplements:
Education and Training
Access and Delivery
Coverage and Reimbursement
Wellness and Health Promotion
"There's a lot that needs to be digested ... before taking the next step."
Although the Commission's recommendations are non-binding, and are intended to serve merely as a framework for future government studies, they have stirred controversy among both critics and advocates of complementary and alternative medicine. Some of this controversy may be attributed to the non-specific nature of the report, which lumps both proven and unproven forms of CAM into one category. For instance, while the group recommends that insurers and managed care organizations "should offer purchasers the option of health benefit plans that incorporate coverage of safe and effective CAM interventions," the report fails to mention which forms of CAM they consider safe and effective. In fact, in the report's introduction, the Commission's members admit that "most CAM interventions have not yet been scientifically studied and found to be safe and effective."
Furthermore, not every member of the Commission agreed with the final report's conclusions. In a separate statement, two panelists criticized the report for being overly generic and vague.
"While many of the Commission's recommendations will help maximize the benefits of proven safe and effective approaches, practices and products, they do not appropriately acknowledge the limitations of unproven and unvalidated CAM interventions or adequately address the minimization of risk," they wrote.
The Commission acknowledged the other panelists' criticism in its introduction. "The report does its best to distinguish in its recommendations between those proven safe and effective ... and those that are not. But the Commission recognizes that this distinction may not always be clear," they wrote.
It is also unclear as to how much credence will be given to the Commission's work by the Bush administration, given that the organization providing the report was created by former President Clinton. In an interview with Reuters Health, Bill Hall, a spokesperson for Health and Human Services, said, "There's a lot that needs to be digested first before taking the next step of saying where we're going to go."2 Hall added that the department would consider the Commission's recommendations, but that it was "premature" to say what might happen in the future.
Others have voiced their support for the group's efforts, including Senator Tom Harkin (D-Iowa), a long-time proponent of alternative therapies.
"I'm hopeful the commission's recommendations will help move toward the day that Americans can get the best of both traditional medicine and complementary medicine," Harkin told the Washington Post. "Public policy has not kept up with consumers or the science in this area. People are spending record sums out of their own pockets for complementary health care, and they have a right to expect good and reliable information and continued access."3
Exactly what impact the final report of the White House CAM Policy Commission will have on complementary and alternative medicine in the United States remains to be seen. Nevertheless, in many ways, the "final" report represents an important first step that has been taken in the recognition of complementary and alternative medicine. With its mantras of education, information and research as the keys to making informed, intelligent decisions about health care, the Commission's report sets the foundation upon which further actions by the federal government and private health care organizations can be built, and is sure to spark debate among practitioners across the full spectrum of the health care profession for years to come.
Editor's note: A complete copy of the White House CAM Commission's final report is available for viewing and printing via the Internet. Interested parties can access the report at http://whccamp.hhs.gov.
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