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NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
March, 2009, Vol. 09, Issue 03
Health Care Reform and the Massage Profession
A Crisis Too Great to be Wasted
By Ralph Stephens, BS, LMT, NCTMB
The current economic downturn is a crisis "to great too be wasted," according to our new president's chief of staff, and we will soon see some form of socialized medicine. It is not a question of if, it is a question of what and when. The point of this dose of reality is this: How is the massage and bodywork profession positioned to maintain its viability when health care is nationalized?
Health and health care is not really a right, it is a responsibility. Sadly, people in general do not want to take that responsibility and further, they want someone else to pay for their own irresponsibility and misfortune. We are in a period of rewarding bad behavior and poor decisions.
When "the people" ask the government to take over their personal responsibilities, this transfers individual rights and freedoms to the government. (And politicians can hardly wait.) The government that controls the health of its people controls its people. Ultimately, the State wants to manage its "human resources" (that's you and me) to maximize productivity for the State. It will take awhile, incrementalism is essential, but eventually it leads to population control.
Allopaths Versus Massage Therapists
In a government run system in the United States, "traditional medicine" (allopathy) will rule. Retirement is very unproductive and bad for the environment. In between, the allopaths get to skim their profits. Where does a health-based paradigm fit in? Think about it if you dare. Only a significant shift in societal consciousness (awareness) will change this.
The pharmaceutical-medical lobbies have the most money and thus access to the best politicians money can buy. The alternative health movement's window of opportunity is rapidly being closed, much to the delight of the allopathic system. Alternative providers tend to promote health and allopaths abhor health.
If that statement shocks you, and it is suppose to, remove your emotion and objectively look at our current health care delivery system. There is no economic incentive to the system to get or keep people healthy. They only make money off of sickness and symptoms. There is relatively little money to be made curing conditions, and even less preventing them. There are huge amounts of money to be made treating never-ending symptoms. This is why effective cures, cancer cures for example, are suppressed or run out of the country. Follow the money trail. You have to see the overall structure and philosophy of the system. Once you can, it is crystal clear. Of course there are exceptions within the system.
There will be a potential opportunity to bring wellness based care to the forefront in a nationalized system and that could be huge for us. It could save money and prevent a great deal of suffering (like 250,000 people dying from the allopath's admitted mistakes each year). Sadly, the government is not interested in cost-effectiveness or optimizing your wellness. It rewards inefficiency and ineptness. Allopathic sickness care is the epitome of both.
Current Bill in the House of Representatives
How will massage and bodywork, as a profession, be affected by the implementation of socialized medicine? It could be as benign as being left alone. If the Clinton plan is revived, we could have to become employees of hospitals or physicians or face being felons. There is currently a universal health care bill in the House of Representatives, HR-676. In this bill there are provisions for alternative providers to participate in the plan as long as they are licensed. This means our colleagues in states that are not licensed or that have some lesser form of regulation than full state licensure could be put out of business. Also, one of the three ways HR-676 will be funded is with taxes on the self-employed. That's a lot of us.
The Secretary of Health and Human Services' first first assignment will be handling health care reform. Obama's top pick for Health Secretary, former Sen. Tom Daschle of South Dakota, abruptly withdrew his nomination after admitting his failure to pay about $140, 000 in back taxes. While Daschle is out, his nomination gives us some guess as to the types of policies we will see after an eventiual appointment. Daschle, who was voted out of office by his own constituents in November 2004, has said the Clinton plan failed because it had too many details. Instead he proposed to pass a skeletal bill and let bureaucrats make the administrative rules that will fill in the details of the plan.
[Editor's note: As of press time, the appointment of the Secretary of Health and Human Services has not been made.]
The Crisis is Too Great to be Wasted
Bureaucrats are not very supportive of us. If you doubt this, notice how the U.S. Food and Drug Administration treats herbs and supplements. Notice how the Department of Agriculture treats the organic food movement. There are plenty of precedents to make one quite concerned about how the bureaucracy might treat us and what amount of freedom they would give us to do therapy.
Who is going to watch out and stand up for us when this "health care reform" is created? Who is going to be the voice of alternative providers? Who will offer a serious wellness model beyond mandatory allopathic tests and vaccinations?
Where are our beloved membership organizations on this issue? Are they ready to represent you, to protect you, to insure you are at least allowed to continue to practice? Will they stand idly by and let us be put under the thumb of allopathic gatekeepers, making us unwanted slaves in the physical therapy departments? If you care about this, you might want to find out what their plans are, or if they are just counting on hope. Hope has never accomplished anything.
Take Action: What We Can Do?
It will be in the best interests of all of us to be in contact with our U.S. Representatives and Senators and let them know we deserve a place as the first door providers we are now, in any new system they may implement. We need to lobby strongly for our right to practice therapy both with and without gatekeeper supervision. Let me be clear on this. If you want to work for the government that should be your choice, but if you want to work for the patient, outside of the government system like most of us are now, you should have that right too.
If we are forced to become employees of hospitals or physicians or can only access patients through controlled referral, we will not last long. Remember, they ran manual therapy out of medicine here a long time ago. It is not profitable enough.
To survive as first door providers, we will have to lobby individually and through our associations. Are we up to the task? If all else fails, we may have to play dumb and say, "Hey, its just a massage."
Happy kite flying! See you in May with how we may get sucker-punched by research.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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