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The Medical Monopoly: Protecting Consumers Or Limiting Competition?

By |December 10, 2014|Editorial|

The Medical Monopoly:
Protecting Consumers Or Limiting Competition?

The Chiro.Org Blog


SOURCE:   The Cato Institute Policy Analysis No. 246

by Sue A. Blevins

Writer and health policy consultant, based in Boston.


Executive Summary

Nonphysician providers of medical care are in high demand in the United States. But licensure laws and federal regulations limit their scope of practice and restrict access to their services. The result has almost inevitably been less choice and higher prices for consumers.

Safety and consumer protection issues are often cited as reasons for restricting nonphysician services. But the restrictions appear not to be based on empirical findings. Studies have repeatedly shown that qualified nonphysician providers–such as midwives, nurses, and chiropractors — can perform many health and medical services traditionally performed by physicians — with comparable health outcomes, lower costs, and high patient satisfaction.

Licensure laws appear to be designed to limit the supply of health care providers and restrict competition to physicians from nonphysician practitioners. The primary result is an increase in physician fees and income that drives up health care costs.

At a time government is trying to cut health spending and improve access to health care, it is imperative to examine critically the extent to which government policies are responsible for rising health costs and the unavailability of health services. Eliminating the roadblocks to competition among health care providers could improve access to health services, lower health costs, and reduce government spending.

Introduction

There are more articles like this @ our:

Alternative Medicine Articles Collection

Although broad-based health care reform has temporarily moved to the back of the public agenda, there remain serious problems of cost and access in the American health care system. The underlying reason for those problems is the lack of a functioning free market in health care in this country. There is privately owned health care, but there is not a living, vibrant free marketplace in health care like there is in other products and services.

Healthy markets have certain common characteristics. On the supply side, there is a choice of providers, in competition with one another, trying to gain customers on the basis of price and quality. And on the demand side, there are consumers seeking the best deal for their dollar. In today’s health care system, neither of those conditions obtains.

During the 1994 health care reform debate, much attention was given to the demand side of the market. [1] That attention led to the development of ideas such as medical savings accounts to make health care consumers more cost conscious. [2]

However, true reform requires that the supply side of the health care market be addressed as well. Currently, a wide variety of licensing laws and other regulatory restricions limits the scope of practice of nonphysician professionals and restricts access to their services. Moreover, at the same time that it is restricting the practices of nontraditional health care professionals, government is providing subsidies for the education and training of physcians who fit the medical orthodoxy. The result has been the creation of a de facto medical monopoly, leading to less choice and higher prices for consumers.

Therefore, true health care reform must involve ending the government-imposed medical monopoly and providing consumers with a full array of health care choices.


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Why You Might Want To Switch Browsers

By |January 29, 2014|Editorial|

Why You Might Want To Switch Browsers

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorial


When I first started working on the Chiro.Org website, I didn’t know anything about HTML (aka hyper text markup language), which is the code that generates every web page.

My friends @ the ORG encouraged me to adopt software programs (code generators) that would take my text and magically turn it into HTML.   What I learned rapidly was that those programs created more problems than solutions, mainly because they made tables look terrible.   Tables are the most difficult thing to format (all those columns and rows).

Because much of the serious materials I wanted to render for our site contained tables, I decided to learn HTML code, so that I would have absolute control over HOW it looked.

The leading browser at that time (1996) was Internet Explorer 5, and up until their most recent versions (IE 10 and 11) IE was awesome at displaying tables.   You had total control over border colors, border widths and other subtleties that made the work look unique AND interesting.

Below you will find 3 examples of my favorite section, the LINKS, represented by the 3 most-used browsers…IE11, FireFox and Google Chrome.

I will list the Chrome example first, since it is the only browser that still renders tables the way I actually designed them to look.

So, here we go. Check out the 3 examples, displayed below:

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A Canadian Lawyer’s Rant

By |October 18, 2013|Editorial, Uncategorized|

A Canadian Lawyer’s Rant

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorial about
Canadian Family Physcian 2013(Oct); 59 (10): 1052


After reading the first 2 paragraphs of this… what… letter to the editor? … I had some thoughts…

As an attorney and advocate for patient safety, I believe the authors of the Motherisk article that appeared in the August 2013 issue of Canadian Family Physician give an insufficient account of the risks that might be associated with chiropractic treatment of pregnant patients.1

Many chiropractors continue to base their treatments on the “detection” and “correction” of “subluxations,” ill-defined and unproven spinal lesions unknown to the medical profession. Nevertheless, chiropractors “adjust” these subluxations with any number of treatments, including manual therapy. Thus, the physician whose patient is receiving manual therapy from a chiropractor might be wholly unaware that the chiropractor is actually adjusting these nonexistent subluxations. These adjustments cannot effectively treat back pain or any other condition or disease.

Have we been hoist on our own petard?

I love how this author ramps up his misinformation campaign, stating that the subluxation is: first

ill-defined…then

unproven, and their final death stroke:

nonexistent.

Then, emboldened, he crows that:

“These adjustments cannot effectively treat back pain”

At this point, I am rolling in the aisles!

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The Government Shut Down

By |October 2, 2013|Editorial|

The Government Shut Down

The Chiro.Org Blog


A Chiro.Org Editorial


I’ve got a bone to pick.

99+% of the materials we post on our website are first discovered on PubMed, the incredible search tool for the U.S. National Library of Medicine (NLM).

Their employees tirelessly add new peer-reviewed journal materials to this immense database, so that professionals LIKE US can keep abreast of the newest studies. That is the core of evidence-based progress.

So here’s my bone: Most of the employees from NLM have been sent home, because Congress is playing political hardball.

That means I can’t locate new journal materials for our edification.

Now I’m REALLY upset.

So, it’s time to consider what these political idiots are up to, and we all KNOW the game they play.

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Clinical Disorders of the Motor System

By |November 27, 2011|Diagnosis, Editorial|

Clinical Disorders and the Motor System

The Chiro.Org Blog


We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 9 from RC’s best-selling book:

“Basic Principles of Chiropractic Neuroscience”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.


Chapter 9:   Clinical Disorders and the Motor System

      OVERVIEW

Such clinical features as fatigue, weakness, nervousness, pain, tenderness, paralysis, sensory loss, paresthesia, and abnormalities of muscle mass or tone are the most common signs and symptoms noted in neural disorders. Fatigue, weakness, and nervousness are frequently presented together. This triune can usually be attributed to a functional disorder or appear as a complication in organic disease.

Abnormal striated muscle function has its origin in diseases of the brain, spinal cord, peripheral nerves, or muscle tissue itself. Dysfunction occurs in a variety of symptoms and signs such as:

(1) impaired movements,
(2) spontaneous movements,
(3) coordination defects,
(4) abnormal reflexes,
(5) distortions of muscle tone, and
(6) postural and movement distortions.

Weakness, wasting, and sometimes paralysis are represented in these conditions. Common types of motor lesions are shown in Table 9.1.

Basic Neuromuscular Activities

There are two fundamental types of neuromuscular activity. One type consists of reflex postural contractions, which are the basis of posture and physical attitudes and maintain muscle tone. The other type consists of phasic contractions, which produce movement. Phasic contractions may be either reflex or volitional in origin. While reflex actions are always purposeful, predictable, and involuntary, cortical activity is not.

Neurons carrying phasic and tonic impulses have distinctive characteristics. Phasic motor neurons are large, have a rapid conduction velocity, have a high threshold of physiologic excitability, present large impulses of short duration, and are electrically silent during rest. In contrast, tonic motor neurons are smaller, have a slower conduction velocity, have a lower threshold of physiologic excitability, present smaller impulses of longer duration, and are electrically active during rest.

Muscle and Joint Correlations
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