resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
July, 2003, Vol. 03, Issue 07
By Ralph Stephens, BS, LMT, NCBTMB
One problem with "sickness-care," as practiced today by the allopathic community, is the overall focus on the good of the professions, rather than the good of the patient. The public has embraced alternative providers for their health and wellness, as opposed to sickness-care.Alternative providers focus on the good of the patient in one-on-one relationships, but that seems to be changing.
Success brings with it greed and power struggles. The alternative professions are losing their patient focus and becoming more self-indulgent. The allopathic system loves this, as it slowly brings its competition under their control. One obvious sign of this degeneration is the lust for access to and acceptance by the allopathic insurance industry. For money and perceived status, alternative practitioners are willing to give up their independence as first-door providers, as well as their patients' rights and privacy, which, incidentally, will be much harder to get back than it was to give up.
"Turf wars," or battles for exclusive scope-of-practice regulations, are classic examples of self-focused, professional greed. Why should it matter if a patient finds relief from a trigger-point-induced headache from a PT, DC, LMT, MD, or an XYZ? Shouldn't the point be that the patient found relief? Should it matter who deactivated the trigger point? Wouldn't it be better for the public if more practitioners could deactivate trigger points or practice any technique of manual therapy? Of course it would; unfortunately, these days, it seems we dare not have the wrong people doing too much good.
Because the licensing scam invented by the allopathic physicians gives them unrestricted scopes of practice (they got there first), other providers have had to join the licensing game to legally define a scope of practice they can work in. Without being legally defined and allowed, any health provider other than an MD is technically "practicing medicine without a license" and in danger of prosecution at the whim of the medical board. Each profession attempts to carve out its niche - hopefully, as large a niche as possible - allowing it to do as much good for the public as possible. However, it must be realized that the professions are going to have overlapping or shared techniques that they all can and, arguably, must do. Touching the patient is one of these. When licensing efforts are used to restrict the use of common hands-on techniques like joint mobilization, range of motion and various alignment techniques that have been utilized by hands-on (manual) therapists for centuries, it is not for the good of the public: It is done out of greed.
Currently, DCs are trying to pass legislation aimed at PTs that will severely restrict the massage therapist's scope of practice. I detailed part of this unethical power grab by DCs in the October 2002 issue (www.massagetoday.com/archives/2002/10/13.html). I commend Cliff Korn for his excellent editorial on this subject in the May 2003 issue (www.massagetoday.com/archives/2003/05/10.html).
It is time for the health-care system to focus on the good of the patient, not the good of the professions. Patients deserve better than to be "practiced on" as their health is managed into the grave. The focus on the good of the industry at the expense of the patient is the reason so many people are seeking alternative providers. They are searching for health care and for caring. They want an alternative to the allopathic system. It is disgusting to see alternative providers carrying on like a bunch of allopaths, fighting over who can push on tissue in a certain way. The irony of chiropractors trying to "pull the ladder" up behind themselves would be laughable if they weren't so serious about it. Here is a profession that ripped off most of its foundational techniques from other professions and is now demanding they be the only ones allowed to use them! This is a classic example of how the health-insurance industry corrupts a health-care profession.
The arguments between PTs and DCs are not really over the welfare of the patient, although that is always the excuse used in public; rather, the arguments are over who gets to bill what to insurance. In the process, the massage therapist's scope of practice may well be curtailed to pushing oil around - lightly. Massage therapists need to become involved in this dispute, both as individuals and through our associations, to prevent this power grab by the chiropractors from becoming law anywhere. DCs plan to go state-by-state with it, so watch for it coming to your legislature soon. Shame on the DCs who support this. Bad DC - no donut!
I promised I would not mention Texas in this column again until I had positive progress to report. It didn't take long. A dedicated group of professional massage therapists assembled at a beautiful retreat center an hour north of Houston on May 16-17, 2003. The results of this meeting will, I believe, bring significant, positive changes to the massage profession in Texas. It may even set an example for other states to follow. The AMTA Texas Chapter has a new Board of Directors and new committee chairs planning meetings, surveys and events. This revitalized professional organization is going to be well worth getting involved in if you practice in Texas, if not as a member, then as a guest: The new leadership will welcome you. When the seeds planted at the May meeting bear fruit, the image of massage, the safety of the public and the safety of massage therapists will significantly improve. Watch this column for more positive news from Texas.
Hope you are having a great summer. Best wishes for a safe and happy Fourth of July!
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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