resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
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.
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.
December, 2009, Vol. 9, Issue 12
Year-End Observations of Our Profession
By Ralph Stephens, BS, LMT, NCBTMB
Kudos to Dr. Janet Kahn, PhD, and the Integrated Healthcare Policy Consortium (IHPC) for their successful efforts to ensure that alternative practitioners have a place in the new national health care legislation.They managed to get an amendment into the Senate health care take-over bill that adds the language "licensed complementary and alternative medicine providers and integrated health care practitioners" to the definition of the health care workforce. This is huge.
At least someone is working for us in this stampede toward socialized medicine, which may be a done deal by the time this article reaches the printing press. I hope not. I hope it is completely defeated and the country can start over on a simple, understandable plan that will improve people's health care instead of increasing politician's power over us.
The work of IHPC is ground-breaking and they deserve our support. They are the only organization of which I am aware that is actively engaged in the debate in Washington, D.C. Hopefully their amendment will survive the process as the various bills move through the legislative process. I am confident they will stay on it. Sadly, in several states where massage therapists are not licensed, we are going to be excluded. Registration, certification and other bogus forms of regulation enacted in some states will not count. The shoddy, patchwork quilt of massage laws passed by our major associations will be put to the test if (when) the draconian health care regulation bills in Congress are enacted.
Fortunately, there is one group that has the potential to salvage the mess made primarily by AMTA, and by ABMP to a lesser degree. By "mess," I mean the state massage laws that have been passed with no uniformity, model, or intent of protecting and expanding our scope of practice and facilitating portability. After all, these are the main purposes of professional regulation. For the most part, good meaning people who have no understanding of professional regulation have written our laws. This has created portability nightmares for therapists and in several states sold out and given up our historic scope of practice. Our regulation "system" is so discordant that it is mostly a burden on therapists. And our associations are so proud of their "work" that there is little hope of them working to change anything for the better.
However, the Federation of State Massage Therapy Boards (FSMTB) has the opportunity and the potential ability to create model practice act legislation and have it enacted uniformly in every state. There are a lot of pieces in the puzzle that must come together, but FSMTB is the only hope I see for uniform regulation and thus easy portability.
This organization is already moving ahead with an ambitious plan to bring about reciprocity for therapists moving from one state to another ("portability"). Other standardization language will also be developed. FSMTB has the potential to raise the standards for our profession, something our associations and massage schools have no financial incentive to do. FSMTB deserves our support; they need volunteers who care about our profession for committees.
Less Than Good Stuff
The National Certification Board for Therapeutic Massage and Bodywork (NCB), which has continually refused to accept its real purpose of being a certification agency, has now decided to become an insurance vendor and a pseudo-professional association. This will be interesting. I wonder if it will use the same tactics to keep its insurance customers that it uses on its primary certification exam customers: the state regulatory boards, which is lawyers and intimidation? Threatening clients has never been an effective marketing tool for customer retention, except maybe for the Mafia. NCB has sealed its fate and will not be around much longer. Its poor service, legal actions and legislative tactics have created incredible ill will against it in the regulatory arena. You can never win a war against the bureaucracy. Maybe a battle or two, but eventually the bureaucracy will have its way. NCB's days as a licensing exam are over once the lawsuit agreements expire. The ongoing transition of our profession to a trade will minimize the demand for a certification credential. NCB was initially a good idea. Too bad it didn't live up to the high expectations. Oh by the way, I actually hope I am wrong about this observation. It would be such a waste of time, money and energy if NCB was lost. Time will tell.
Speaking of insurance vendors, there are two principles being demonstrated in the massage world at this time. The first is that obscene profits bring ruinous competition. AMTA once had a monopoly on the professional massage practitioner insurance package. Then along came ABMP. Now there are many vendors, the newest being NCB. Most are competing on price. The icing is melting off the insurance cake and the big two are losing business and thus, profit.
The second principle being demonstrated is the Third Law of Thermodynamics. This law of physics says that a system tends toward entropy (chaos) as its energy becomes disorganized over time. However, the practical application of the law also provides that local order can be produced while increasing overall entropy. This is what is happening. Smaller groups are bringing a more localized order to the massage community. However this is at the expense of increased chaos (less order) in the overall group. This may be a good thing internally, but who is going to represent the entire massage community externally in issues like state legislation and the new national health care system, whatever that turns out to be? This increase in overall entropy will probably not help us as a profession unless it somehow evolves to separate the profession from the trade in a way that elevates the profession. At this time, it is probably helping the good to get better. We need the good to get larger, to be an ever-increasing percentage of the whole. At this time, that is not evident. But hey, there is always hope for change we can believe in.
Merry and Bright Stuff
It is hard to believe that the holiday season is already upon us again. Hope you sell lots of gift certificates! However you celebrate it, remember there is a bigger reason for all these special and sacred days than just shopping. May all the various holidays bring you joy and peace. Here's to a better year in 2010! I wish a healthy and very Happy Holidaze to all. See you back here in January.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.