The Alamo, Part 2: The Texas Medical Association
Continues to Suppress Chiropractic
SOURCE: Texas Medicine ~ May 2015
By Kara Nuzback
Edited from their article:
The Affordable Care Act promotes collaboration and team treatment of patients. The Texas Medical Association agrees collaborative care is crucial, but the association wants to ensure physicians remain the head of the team. With the Texas Legislature in full swing, physicians face several bills that would challenge that leadership and expand the scope of practice for nurses, chiropractors, and other health professionals without a license to practice medicine.
Fort Worth pediatrician Gary Floyd, MD, says he started testifying before the legislature in defense of patients in the 1990s. Every session, a similar onslaught of bills arises from nonphysician practitioners aiming to expand their scope of practice.
“A lot of them are reaching beyond what they’ve been educated and trained to do, and beyond what their skill sets allow them to do,” he said. “That puts patients in danger.”
These medical professionals also put their own licenses at risk, he says. “When you over-reach, you get in trouble,” he added.
Dr. Floyd does not downplay the need for nurses and other midlevel professionals, but he emphasizes the importance of physician supervision. “They are part of a physician-led health care team,” he said. “We strongly believe that is the best model for delivering care.”
That roughly translates into: They can only do what WE permit, and no more!
This section is quite revealing:
TMA has gone up to bat against the Texas Board of Chiropractic Examiners (TBCE) in the past to fight rule changes that would expand chiropractors’ scope.
In 2006, TMA took TBCE to court to invalidate the board’s adoption of rules that would have allowed chiropractors to make diagnoses and perform needle electromyography (EMG) and spinal manipulation under anesthesia (MUA). In 2012, an appellate court invalidated TBCE’s rules allowing EMG and MUA, but it said it had no jurisdiction to consider the diagnosis rule. TMA appealed the diagnosis decision to the Texas Supreme Court the same year, but in 2013, the high court decided not to hear the case. The issue of chiropractors diagnosing medical conditions is not yet resolved.