resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
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.
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.
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.
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.
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.
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?
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.
July, 2010, Vol. 10, Issue 07
CA Law Defanged
By Christie Bondurant
They expected "a walk in the park." Instead, the proponents of a California anti-prostitution law that targeted massage therapists found themselves trying to retreat out of a political minefield wondering how it all went so wrong.
As of press time, Assembly Bill 1822 is still under review by the state legislature. But, thanks to massive protest by the massage community and missteps by its backers, the bill has been radically altered and essentially defanged of the original structure that subjected massage therapists to unnecessary scrutiny by local law enforcement.
Introduced in February 2010, the original version of AB 1822 restored the authority of local police departments to issue work permits for massage therapists. That authority had been wrestled from the cops under a 2008 law that placed this power into the hands of the state massage organization, the California Massage Therapy Council (CAMTC).
The CAMTC was formed specifically to end a situation where massage therapists would undergo police checks in every jurisdiction they had clients. Under current law, a statewide certificate is issued by the CAMTC after it conducts criminal background checks and verifies the qualifications of those seeking permission to work legally. Once certified, a therapist no longer has to go from jurisdiction to jurisdiction seeking permission to work.
While opposition was apparent at the bill's introduction, the political firestorm that ensued began after a critical piece of data surfaced.
In a Feb. 21, 2010 letter to the bill's author, Assembly Member Sandre Swanson (D-Alameda), California Police Chiefs Association (CPCA) President Susan Manheimer wrote: "We recently did a random/regional sample of CAMTC applicants and found that 57% were known prostitutes, 32% were of unknown legitimacy and required further inquiry, and only 11% were legitimate operators."
The CPCA data never addressed the question of whether the massage council has actually certified unqualified people. Even so, the police group said that it was "completely unrealistic" to think that CAMTC could properly handle a massive volume of applications and instead called for local police screening.
Thus far, the only public statement alleging that CAMTC has let undesirables obtain authorization to work has come from a lobbyist for the Police Chiefs Association, John Lovell, who told Massage Today that there have been "several hundred certificants with past convictions."
This contention was strongly denied by CAMTC executive director, Ahmos Netanel, who said that Council data shows that police departments are the ones who have allowed criminals to pass background checks, not the Council.
Under the current state law (Senate Bill 731), criminal history checks are conducted at both the state and federal levels prior to the Council issuing certification, Netanel said.
"The CAMTC has never approved anyone who was not already approved through the DOJ (Department of Justice)," said Netanel.
Netanel also stated in a document calling for opposition to the bill: "CAMTC has rejected 3,424 applicants, who had passed background checks by local law enforcement, but when checked through CAMTC's process did not pass muster. In fact, so far 346 of those already approved locally were found to have criminal backgrounds and denied the statewide certification."
Mike Schroeder, a CAMTC board member who has been a major force in opposing the bill added: "It is patently obvious that there is no data, no research or anything resembling either.
"The CPCA continues to hide behind a facade; they obviously never expected anyone to challenge their blatant slander of the massage therapy profession."
Proponents Back Down & Scurry
As the details of AB 1822 became known, massive opposition began to build from the massage community through e-mails, letters, and published articles. Behind the scenes, Netanel and Schroeder lobbied key state legislators to change the bill. Eventually, both the public protests and private lobbying caused lawmakers to stop in their tracks and seek solutions from their opponents. As one opponent of the bill told Massage Today, "they expected a walk in the park, it turned out quite differently."
For a sense of the type of united front that came from the massage community, Massage Today posted a "Vote NO on AB 1822" e-mail form addressed to a state assembly committee voting on the bill along with the bill's author. Within days of posting the e-mail form, more than 1,500 e-mails were sent, catching the attention of the committee members and proponents of the bill.
Assemblyman Swanson and Chief Manheimer sat down with opponents of the bill including the CAMTC and the American Massage Therapy Association California chapter to begin discussions of amendments. After these discussions, the proponents backed down on its most controversial aspect: local police certification for work permits.
Amanda Whitehead of AMTA-CA thanked the massage community for their overwhelming support in influencing proponents of the bill. "Please know that your letters, e-mails, Internet postings and publicity have both influenced lawmakers and inspired those of us whose job it is to deal directly with the legislature," said Whitehead.
After the massage community's backlash and the bill's apparent unraveling, proponents quickly began to scurry out of the spotlight. And the once crucial element of the bill's urgency, the survey data, became the red-headed stepchild that no one wanted to claim, including the author of the bill, Assemblyman Swanson. In fact, various sources have reported that Swanson is deeply embarrassed by the bill along with the data that caused the uproar.
In an interview with Massage Today, he apologized to the massage profession for Manheimer's data.
"I apologize frankly for any misunderstanding," said Swanson. "I have received some personal e-mails from massage therapists who I've answered personally, clarifying any misunderstanding that this was an assault on the profession."
He also stated that he would question the data: "I would question it (the data) ... In terms of the legitimate massage therapists that I'm familiar with, they have pride in their profession. They have years of training and they ought to be respected."
And in response to our questions regarding the data, Manheimer claimed that a lobbyist was responsible for the calculations: "The CAMTC sent to one of our police agencies the list of applicants from the zip codes within that agency's jurisdiction and just outside the agency's jurisdiction. After reviewing the names, our lobbyist found that 57% were known prostitutes, 32% did not have enough information to make a determination, and 11% were known massage practitioners."
No additional detail was provided, including whether or not those applicants were ultimately certified by CAMTC to get work authorization.
Further, Manheimer's statement that the organization's lobbyist, John Lovell, compiled the data somewhat contradicts what Lovell said in an interview with Massage Today. While Manheimer states that Lovell calculated the percentages, Lovell stated that he believed the police chiefs association calculated the percentages.
In the April interview, Lovell said that he was uncertain but he "imagined" that the police group simply compiled the data into three piles: known prostitutes, unknown legitimacy and legitimate operators.
While the bill's language regarding local certification of individual massage therapists was removed, some are still concerned about the remaining language.
"CAMTC is adamantly opposed to AB 1822," Netanel said in an interview with Massage Today. "However, we are pleased with the direction it has taken."
The bill keeps language that adds two law enforcement members to the CAMTC including a Police Chiefs Association position and a Sheriffs Association position.
Another amendment includes an added section to strengthen enforcement against illegal operators of massage businesses. Section 4612.5 of the Business and Professions Code reads: "Notwithstanding any other provision of this chapter, any city, county, or city and county may require any person who administers massage for compensation, or who owns a massage establishment or business, to also hold a business license or a massage establishment permit or both."
As of press time, the bill is still under review by the legislature. Massage Today will continue to follow this story with up-to-date information regarding the bill's standing.
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