resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
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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