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State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
March, 2003, Vol. 03, Issue 03
Colorado Coalition Formed to Fight Proposed Auto Insurance Bill
Current Language Excludes Massage as Personal Injury Protection Benefit
By Editorial Staff
An insurance bill introduced in the Colorado legislature1 has the state's massage therapy community up in arms, and for good reason: the bill excludes massage as a benefit of motor-vehicle-injury insurance coverage.
The bill, HB 1225, was introduced after Colorado Gov.Bill Owens decided sweeping changes were needed in the state's no-fault auto insurance system.22,3
The current insurance law, on the books in Colorado since 1974, includes a benefit for "medically reasonable" massage for auto accident-related injuries, but Gov. Owens has said he won't extend the law, which expires July 1. His decision may have been spurred by a 20-percent increase in Colorado premiums in the past year, compared with a 9-percent increase nationwide.
As currently written, HB 1225 would establish three types of policy coverage - basic, managed care and direct - but appears to make no mention of massage therapy as a covered personal injury protection (PIP) benefit. Specifically, the bill language allows an insurer to limit coverage "... to only licensed, registered, or certified health care providers." As Colorado currently lacks statewide massage or bodywork licensure, registration or certification, this stipulation means that auto-accident patients must pay out of pocket for massage and bodywork services - a requirement that would undoubtedly limit patient access to the benefits of massage therapy severely. The bill also notes that a "primary care physician may refer only to nurse practitioner, physical therapist or occupational therapist according to treatment protocols given"; again, there is no mention of referral to massage therapists or bodyworkers.
Following Gov. Owens' decision and the introduction of HB 1225, the Colorado Coalition of Massage Therapists and Bodyworkers (CCMTB) was formed. The coalition's stated mission is "To be a responsible voice for the massage therapy profession, and to educated a united community to protect Colorado citizens' informed choice about therapeutic treatments." Colorado massage therapists, bodyworkers, schools and organizations have been invited to become members of the coalition, which currently lists the American Manual Medicine Association (AMMA); American Massage Therapy Association (AMTA); Associated Bodywork and Massage Professionals (ABMP); Colorado Massage Network (CMN); other massage therapy and bodywork professionals; patients; and other interested persons as members.4
The CCMTB is in the process of drafting an amendment to HB 1225, which will stipulate that medical massage be made available for all levels of care, and as a matter of choice for all Colorado consumers. The coalition also coordinated Massage Therapy Awareness Day at the state capitol on Jan. 20. The event, which received substantial local media coverage, was intended to raise public and legislative awareness of the benefits of massage therapy, and voice opposition to the proposed bill as written.5,6
The coalition's efforts at Massage Therapy Awareness Day, and in the weeks preceding the event, appeared to pay off, at least in the short-term: On Feb. 11, the House Business Affairs and Labor Committee held a hearing in the Supreme Court chambers of the state capitol to discuss issues relating to HB 1225.6,7 Kathryn Stewart, a member of the CCMTB, presented testimony clarifying the coalition's opposition to the bill.
Excerpts from Ms. Stewart's testimony follow:
Following the Feb. 11 committee hearing, the bill was "tabled," suggesting it would not proceed to a vote, pending consideration of potential bill text changes. However, on Feb. 13, after the bill was amended to include chiropractic treatment, the committee passed HB 1225 by an 8-5 vote. 7 As we go to press, the bill has moved to the House floor, still lacking specific reference to or inclusion of massage or bodywork as a covered benefit.
Massage Today will report on the progress of HB 1225, and the coalition's efforts to change the bill's proposed language, as more details become available. For more information, visit the CCMTB Web site: www.ccmtb.org.
* Photos courtesy of Joshua Lawton
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