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Shouldn't the Pentagon Know More About Chiropractic Care? Office Flow: Have You Reviewed the Patient Experience Lately? Let's Stop Confusing the Public About Chiropractic; Cutting Down the Cherry Tree.
Anti-Aging: Educating Your Patients About The Skin
We know that cosmetic acupuncture works but what then? Education is a key part to the practice of Chinese medicine and when you practice cosmetic acupuncture, facial rejuvenation, etc., it is time talk about skin with your patients.
Are You Driving Patients Toward Dependence on Big Pharma?
Over the years I have had the opportunity to talk to doctors of chiropractic about health promotion, wellness and preventive care in chiropractic practice.
Colorado to Have the First Acupuncture Medical Reserve Corps in the U.S.
In the summer of 2012, Colorado was on fire. Literally. Many acupuncturists from around the state, especially those who had received disaster response training through AWB, wanted to help those affected by the fires as well as the first responders and tireless state and local officials, with the healing and stress-relief of acupuncture.
The Right Idea at the Right Time
On Feb. 28, 2014, Virginia Governor Terry McAuliffe appointed David Brown, DC, as new director of the Virginia Department of Health Professions.
Evaluating Prenatal and Pediatric Automobile Injuries
Often in a family practice, one of your patients or an entire family is in an automobile accident and you are sought out to provide care for their soft-tissue injuries.
Your Chance to Go Back to High School
As the father of a student who recently entered high-school sports (soccer), I have come to recognize an untapped opportunity for the chiropractic profession.
Alternatives to the Rainy Day Fund: Better Things to Do With Your Money
Google "rainy day fund" and you'll find the predominant and traditional advice given today is that you need to have three months of living expenses saved for an emergency. Some even recommend six months or more.
News in Brief
In Remembrance: A Moment of Silence for Dr. Dick Versendaal; NYCC Named Chiropractic College of the Year by ACA; National University Partners With Indiana VA Facility.
Chiropractic Management of Sports-Related Tendinopathy
Tendinopathy is increasing in prevalence and accounts for a substantial percentage of sports injuries. Despite the magnitude of the disorder, research on chiropractic treatment is limited.
Making Sense of Chronic Inflammation
Inflammation is big business, evidenced by not only the laundry lists of medications patients bring me aimed at managing inflammation, but also the never-ending stream of advertisements for anti-inflammatory supplements that constantly find their way to my desk.
No Whining on the Yacht
This admonition – no whining on the yacht – may sound familiar to you. Many claim its origination.
Shoulder Strategies: Reduce Pain, Improve Function With Proper Taping
Shoulder pain / dysfunction is a common problem for chiropractic patients. Clinicians who utilize elastic therapeutic taping as part of their treatment approach know it can be effective for a variety of shoulder problems.
Through the Eyes of a Child
Once upon a time there was a girl name Lucy. Lucy had cancer, but she had a heart filled with love and compassion. Please come along to hear this story of an amazing child, her tenacity and her dream to help other children.
Arch Height and Running Shoes: The Best Advice to Give Patients
Because runners with different arch heights are prone to different injuries, running shoe manufacturers have developed motion-control, stability and cushion running shoes for low-, neutral- and high-arched runners, respectively.
Revisiting the Neurological Exam
In spinal trauma or disease, the neurological exam chiefly aims to determine whether one (or more) of three basic neurological conditions is present: myelopathy, radiculopathy and peripheral nerve disorder.
How Much is Enough?
One of the primary arguments used against acupuncture care is the overuse of treatment. Some people say, "once you go, you have to go forever."
Socializing In My Slippers
When I graduated college, I had grandiose dreams of becoming an amazing acupuncturist. I wanted to build a great practice and make a good living. For four years, 13 semesters to be exact, I had a spreadsheet.
Environmental Toxins: Cause of Modern Illness (Part I)
Environmental toxins have created burdens on the human body that put demands beyond our evolutionary development. Modern diseases that historically did not exist to any great degree have been rising sharply in the last 40 years.
Dietary Supplement Research: Contradictions, Bias, Misinterpretation and Confusion
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
San Zhen Protocols Part II: Case Studies
In my last article, I presented a collection of three-point acupuncture combinations which can provide effective clinical results.
Dry Needling is Acupuncture: Anatomy of a Legal Victory in Oregon
On January 23, 2014, the Oregon Court of Appeals overturned the Oregon Board of Chiropractic Examiners "dry needling" administrative rule, which allowed chiropractic physicians to perform acupuncture after only 24 hours of training.
The Recliner Test
"Hi, Bill, how are you?" "Oh, I'm OK, Doc. I've got pain down the leg again, so I thought I would stop by and get you to check it."
AAAOM: Facing An Ultimatum
On the heels of the growing discontent with leaders of the AAAOM, the Council of State Associations (CSA) recently took it upon themselves to present the organization with an ultimatum: for all board members to resign from the board and turn the organization over to the CSA or they will proceed on their own to become the primary representative of the AOM profession.
Chinese Herbs Debut at the Cleveland Clinic
Chinese herbal medicine is now being prescribed at the Cleveland Clinic thanks to a trailblazing team of people.
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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