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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May 17, 2010
Massive Protest Against CA Law That Targets Massage Practitioners
By Ramon G. McLeod, Editor-in-Chief
More than 1,000 massage professionals have fired off protest letters against a proposed California anti-prostitution law that effectively returns the state to a widely criticized old system that puts primary authority for issuing practitioner work permits in the hands of local police departments.
The unprecedented outpouring was directed at state assemblymembers who are about to hold hearings on Assembly Bill 1822. The bill essentially neuters a two-year-old massage certification law that placed certification in the hands of a state board, the California Massage Therapy Council (CAMTC).
The bill goes goes before the state Assembly Appropriations Committee on Wednesday, May 19.
Many of these letters were sent to members of the Appropriations Committee from an email form on Massage Today. The form was posted Monday morning and almost instantly sparked a massive response.
(Ed. Note: Go here for more information and a complete history of Massage Today's coverage of this bill. )
Here is a sampling of letters from the community:
From Michael Roberson
Chairman and Committee Members
Please, OPPOSE AB1822. This bill would have us go back to a system that did not work. The exaggerated context of including human trafficking with massage therapy is just that, exaggerated. Nor does this bill do anything that will stop prostitution, nothing has to this point. Having a bill, a law, that is trying to regulate prostitution or human trafficking, has no part tying into the profession of massage therapy.
When SB731 was passed, it created the not-for-profit organization the California Massage Therapy Committee (CAMTC), which has demonstrated, even with the overwhelming influx of applications, to have all of them completed to date, answered, and justly determined if the applicant should be certified or not. The stringent background check, not only covers a national criminal background check, but also the applicant's education, and professional standing. These are items that the local police and law enforcement are not able to do. Please allow the CAMTC do the job it was created to do, and more importantly, doing very, very well.
From Anthony Arr
The CAMTC is already doing a great job and this would put things back to the way they were before the statewide system. In the old system it was much easier for prostitution to get through local security checks. The CAMTC has helped to curb this problem significantly. On top of that, we now have one set of standards to adhere to instead of ones for each city that we wish to work in. This makes things less complicated and more streamlined for the entire industry in California. Please vote NO on AB 1822.
From Melody Louann Hall
PLEASE vote NO on AB 1822. This bill would be very ineffective and very difficult and costly to implement, as well as making the process of getting licensed more arduous than ever. It is another inefficient bureaucratic effort to stop prostitution and human trafficking. Although I would love a solution to this problem, this is NOT a viable solution!
My wife and I are professional massage therapists with years of training and experience. If someone wants to find something other than professional massage they will despite any attempts to alter the current law. The current law is effective, efficient, cost and time effective - for both the state AND the therapists. The old law is not a solution. As stated in the evidence, the new law has prevented more unprofessional massage therapists from getting a license than the previous law. Perhaps changing the law puts more money into the cities, but at the expense of the professional massage therapist, an industry already with challenges financially, as many services industry of today are struggling with.
From Perry Harward
I would hate to work in county where this law would be in place. It would make it more difficult to work in California.
Currently, each school does a background check on each student applying to college. They also check a number of references. Each college looks over each student in each and every class and sees how well they do in an intense 6 months-to-a-year course of study. Usually that will be enough to weed out those that are in it for illegal purposes. To get a state license I have to pass a standardized test, which is not easy I might add. Then the state board has a separate background check with professional references. Then you pay your fees and wait for the license. If there is any misconduct, massage clients know they can contact the state board.
IF this law passes, it will mean that a massage therapist that has 2 part time jobs will have to go to 2 different police districts to get the appropriate permits to work. It is almost as if a legitimate massage therapist is treated like a guilty criminal even before they get their job. No other job has this kind of scrutiny.
Please vote no on AB 1822. Let police handle the prostitution, but don't treat legitimate massage therapists as criminals.
From Steven Bunis
Please vote NO on AB 1822.
It will also be a severe burden on those therapists who live and work near multiple municipalities. In my case I would have to buy three different permits to work in my area (North County - San Diego). This is an unnecessary (and large) financial burden as well as an unnecessary duplication of work by the respective police departments.
From Patrick Wilson
Please vote NO on AB 1822. It is unnecessary and will do nothing to stop prostitution and human trafficking that is not already being accomplished by the CAMTC. This will however force me to get 5 different city licenses at an average of $150/ city so that I can practice massage in my local area.
From Terry J Solomon
We have worked for years to get state licensing and get away from the inconsistent regulations imposed by the cities. If you work in several cities this can cost thousands of dollars. We finally get a licensing that is fair and then you want to take it away. Therapists will go back underground, take their payments in cash, and there will be no tax revenue to the state.
From Susan B Blumin, LMT, BCSI, NCTMB
Please allow CA massage therapists to be tested, screened and certified by their state peer board, vote NO on AB1822. It is not necessary and will not stop prostitution or human trafficking. Police departments don't have a clue as to whether a massage therapist is qualified or not, legitimate or not.
Those that practice prostitution will continue to do so. CA needs to follow in the footsteps of the states that have been successful in certifying and licensing their massage therapists. Please take a step forward, not backwards.
From Kathryn Stewart
Regulation by local law enforcement instead of a centralized location allows prostitutes and fraudulent therapist to pack up and move to another jurisdiction if they get in trouble.
This is a GIANT step backward from the regulation that was developed in California a year ago.
From Greg Doss, LMT
Please vote NO on AB 1822. As a licensed massage therapist for ten years, having lived and worked in several states including California, I have experienced many different types of licensing policies, from local to state and national certification.
Local enforcement does absolutely nothing to prevent prostitution and trafficking. If anything, it allows criminals to find areas of lax enforcement to continue their activities. The CAMTC can prove their background checks are better at weeding out undesirable elements. California needs a state certification just like so many other states. Please vote NO on AB 1822. Thank you,
From Pamela Grant-Klarer
Please, NO on AB 1822. The damage to the reputations of thousands of qualified, trained massage therapists caused by the demeaning requirement of registering next to sex offenders and adult entertainers (in paperwork which I've had to cross out what my "stage name" is) is not only embarrassing but inappropriate, dilutes the profession and should be stopped. NO NO NO on AB 1822.
From Patricia Wingo
I vehemently oppose and vote "NO" on "AB 1822" as passing it will set the massage therapy profession back many years and cost massage therapists way too much money per city they work in per year as well as involving the police dept.
Honorable massage therapists are protected and regulated against the unscrupulous activities of the prostitution world via certification by the NCBTMB and the California Massage Therapy Council (CAMTC) as well as the American Massage Therapy Association (AMTA). The CAMTC's job is to do everything possible to stop prostitution and human trafficking. We do not need AB 1822. VOTE "NO" ON "AB 1822).
From Ken Engebretson
Please vote NO on AB 1822!!!! As a nationally certified massage therapist, licensed to practice in Virginia, I am convinced that California will be able to see that AB 1822 is going to hurt the profession and not help those victimized by the criminal element that was fostered in great part by California's local licensing requirement.
From Beth Granado
Please vote "No" on AB 1822. Requiring that individual cities &/or counties manage the eligibility of a massage therapist to practice in their area allows for inconsistencies in quality across city/county boarders. It potentially prohibits employment for therapists due to licensing borders, costs, procedures and waiting periods.
Utilizing an industry-specific governing board brings credibility to the profession. Said board has working knowledge of specific ethical & practical requirements and issues, and therefore enables consistently competent, ethical and knowledgeable therapists to be productive business partners with the communities in which they work. This board also minimizes the cost the individual municipalities would incur to employ oversight of therapists at their own expense.
From Cassandra Anderson
Please vote NO on AB 1822. The CAMTC is conducting more thorough background checks and rejecting applications that were previously approved by the city/county agencies.
The CAMTC was formed to protect legitimate massage professionals from those who try to use the industry for ulterior motives and, I believe, has effectively reduced human trafficking and prostitution. By having the state regulations, licensing is consistent throughout the state with strict requirements, whereas some cities may have very low or no standards to obtain a massage therapist license as long as a fee is paid.
From Katrina Troolines
I urge you to vote NO on AB 1822. Not only is this a duplication of the services that CAMTC already provides California's citizens, and hence a waste of our taxes and human resources, but this bill also rolls back the treatment of these health care professionals to a state of presumed guilt of lawlessness.
A vote for AB 1822 is a step backwards and would demonstrate one's inability and/or willingness to evolve with their own constituent's wishes. Massage and bodywork therapies are one of the largest growth health care services recommended by doctors and sought by California's citizens.
From Sharon Baker
Please vote no on AB 1822. Statewide certification allows many more checks and balances to provide safety for clients and for legitimate massage practitioners. It is very effective in the states that do this, and CA is just starting to implement it - give it a chance! Considering returning to the archaic method of treating an entire legitimate profession as suspects in the sex trade makes CA appear incredibly ignorant of the normalcy and respectability of massage therapy practices all over the world.
From Dylan Mariah, RN, LMHC
I am a registered nurse, licensed mental health counselor who used to be a licensed professional massage therapist and I am appalled by what I have read of this new proposed legislation.
It will not enhance any public protections, will not enhance the quality of therapeutic massage available and will not stop prostitution. Further, there is absolutely no benefit to making a misleading link between licensed professional therapeutic massage and prostitution.
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