resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
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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