resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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