resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
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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