resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
August, 2010, Vol. 10, Issue 08
The Fight for California
By Ramon G. McLeod, Editor-in-Chief
It looked like a done deal. An anti-prostitution law was moving quickly in the California legislature that would have dramatically changed the rules for massage therapists. Assembly Bill 1822 was clearly an assault on the profession, yet very little attention was being paid to it, which is exactly what its proponents expected.
Back in April, passage seemed assured. Who was going to speak out against something targeting human trafficking and prostitution? It was a slam dunk. An easy win.
But those who wanted this bill, which would have required massage therapists to seek in-person police investigation for work permits, hadn't counted on the mild-mannered Ahmos Netanel, executive director of the California Massage Therapy Council (CAMTC), or Mike Schroeder, one-time chairman of the California Republican Party and owner of American Massage Council, an insurance business for massage therapists.
Nor did they count on a massive outpouring of opposition from an awakened community that turned what could have been a disaster for massage therapy into what appears to be a come-from-behind victory for practitioners in the nation's most populous state.
Just under a year ago, California therapists worked under a hodgepodge system that required therapists to be approved by local police departments before they were given a permit to work in a specific community. This meant that if they had clients in different jurisdictions, they had to obtain approvals from each locality individually.
After years of lobby by the community, and most particularly, the California Chapter of the American Massage Therapy Association, Senate Bill 731 was enacted to rationalize the system. A statewide certification board was created, the CAMTC, which was charged with the task of verifying criminal and educational backgrounds before a permit to work was issued. With this certificate, a therapist can legally work anywhere in the state. Local police approval was no longer necessary as all applicants were to be screened based on criminal records provided by the state Department of Justice.
Seemingly out of nowhere, in early 2010, the California Police Chiefs Association (CPCA), led by the group's president, San Mateo Police Chief Susan Mannheimer, began to forcefully lobby for massive "reform" to SB 731.
At the core of what would become AB 1822 was a return to local police vetting of applicants. The CAMTC would continue to exist, but it would essentially become a rubberstamp for the applications approved by local authorities. The real authority would be re-invested in local police departments. The chiefs association went to Assemblyman Sandre Swanson (D-Alameda) to get him to sponsor the bill. As part of their pitch to him, the chief's association argued that the CAMTC didn't have the resources to handle thousands of applicants for state certificates. Furthermore, the association cited a "random/regional sample" of CAMTC applicants in San Mateo city and regions around the city conducted by the chief's association had found that 89 percent of these applicants were prostitutes or had questionable backgrounds. The implication was clear: massive numbers of prostitutes were filing applications to the CAMTC, an organization incapable of handling the work.
In a letter to Swanson, Manheimer wrote: "The specter of the CAMTC, with their limited resources, successfully screening out illegal operators and Human Trafficking victims is completely unrealistic. Additionally, CAMTC is not suited or situated to investigate, deny, suspend, or revoke those who are operating outside the law."
That set off the firestorm.
The Flame Thrower
While Mike Schroeder has a long history in both state and national politics, including a well-earned reputation for feistiness, in recent years he's been very much under the radar as a political force in massage.
"Typically, I don't function on a political level as it relates to the practice of massage," he said. "My role has been to construct a low-cost malpractice insurance program for massage therapists nationally."
Chairman of the California Republican Party in the late 90s, and vice-chairman of the national party during that same period, Schroeder said he has a 24-year history with the profession and was enraged by both the content and the implications of AB 1822.
"When Swanson and the police chiefs suggested that 89 percent were prostitutes, well that was simply a blatant lie," he said.
He said, the police chiefs association, and in particular the group's president, San Mateo Police Chief Susan Mannheimer, were "hoping they'd get away with this ... with leaving the impression that most massage therapists are prostitutes.
"They didn't think they were going to get called on it," he said. "They (the police chiefs association) wanted their turf back, simple as that ... But they've had 50 years to cleanup human trafficking and haven't been able to do so.
"The (current) system now is far more effective in stopping actual prostitutes. They can't 'shop' for jurisdictions with lax permitting and claim to be certified," he said. "And it prevents legitimate massage therapists from being treated like prostitutes and going from city to city to prove that they aren't ... we weren't going to go back to that."
The Quiet One
Those who know Ahmos Netanel use words like "thorough", "gracious" and "professional", but rarely does one hear him called "bulldog".
But during the battle over AB 1822, Netanel came forward with devastating documentation and used careful lobbying to help turn the political tide against the proposed law.
Netanel and Schroeder both realized that the critical element that had conviced Swanson to bring out the bill was the strong support of the California Police Chiefs Association and that groups' survey claim that 89 percent of CAMTC applicants were prostitutes or of unknown backgrounds.
But no where did the police group offer up any evidence that CAMTC had allowed any criminals to actually get through their screening process, which after all, is what matters.
And that's what Netanel seized upon. And then he turned the tables on the CPCA. Netanel produced Council data showing that it was police departments allowing criminals to pass background checks, not the Council.
"The CAMTC has never approved anyone who was not already approved through the DOJ (Department of Justice)," said Netanel. Then he produced a devastating bit of evidence: "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."
In late April, as publicity over the proposed law began emerging, the scattered opposition to it began to coalesce. The American Massage Therapy Association, California Chapter, came out in formal opposition to the bill. The ACLU followed suit: "While we support effective efforts to curb human trafficking and child prostitution, we do not believe that requiring massage therapists to complete background checks by local law enforcement - rather than a statewide organization - will combat trafficking. Instead, bad actors seeking to avoid detection will operate further underground to avoid subjecting themselves or the girls and women they are trafficking to increased scrutiny by local law enforcement."
But the key to what would lead to a major gutting of the most onerous provisions of the bill was a massive letter writing campaign. Urged by Massage Today, the heart of the campaign was an email form addressed to all the members of a key committee about to hear the bill. Within 48 hours of the form's posting committee members received more than 2,000 emails in opposition to members of the key committee that was about to hear the bill.
Swanson backed off his support of the original language in the bill and by the time a vote was taken by the Assembly Appropriations Committee in late May, the bill had been massively amended. The bill's language regarding local certification of individual massage therapists was removed. It also calls for the addition of two law enforcement members to the CAMTC including a Police Chiefs Association position and a Sheriffs Association position, and includes an added section to strengthen enforcement against illegal operators of massage businesses.
The CAMTC is looking for additional improvements, but Netanel said, "we are pleased with the direction it has taken." Schroeder, reflecting back on the course the bill has taken said he "felt pretty strongly that the profession would rise up. I was convinced that the minute we spoke out it would react exactly as it did. "I hope now that there will be a little more reluctance to attack this profession," he said. "They thought we would be a total pushover and couldn't exercise any power ... they were wrong about that."
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