Mosley, Cohen, and Arnold (1996) concluded that for patients who had back
or neck pain, "chiropractic care was substantially more cost effective than
conventional care" (281).
Stano and Smith (1996) found that "[f]or both total payments and total
outpatient payments, the mean cost of chiropractic first episodes ($518 and
$477 respectively) is substantially and significantly lower than medical
episodes ($1,020 and $598) with much of the difference in total costs because
of inpatient costs" (198).
An earlier cost comparison study by Stano (1993) involved 395,641 patients
with neuromusculoskeletal conditions. Results over a two-year period showed
that patients who received chiropractic care incurred significantly lower
health care costs than did patients treated solely by medical or osteopathic
In a 1998 study, Manga and Angus urged the Ontario government to lower
chiropractic co-payments, which would grant access to more proper and prompt
care for those who need it most yet can least afford it: poor and elderly
patients. Once the government improves public access to chiropractic care,
"direct savings to Ontario's health care system may be as much as $770
million, will very likely be $548 million, and will be at least $380 million.
The corresponding savings in indirect costs--made up of the short and long
term costs of disability--are $3.775 billion, $1.849 billion and $1.225
In a study of work-related back pain claims in Australia, Ebrall (1992)
found that the percentage of cases managed by chiropractors that required
compensation days was half that of cases managed by medical doctors. The
likelihood of a claim progressing to 90-day, or chronic, status was three
times more likely with medical management than with chiropractic management.
A 1992 review of data from over 2,000,000 users of chiropractic care in
the U.S., reported in the Journal of American Health
Policy, stated that "chiropractic users tend to have substantially
lower total health care costs," and "chiropractic care reduces the use of both
physician and hospital care" (Stano, Ehrhart, and Allenburg 1992, 43).