Is “Expanded Practice” our Pandora’s Box?
SOURCE: A Chiro.Org Editorial
I just read a Press Release from the Foundation for Vertebral Subluxation (FVS) this morning, titled “Chiropractors Lash Out in Massive Campaign Against Accrediting Agency“.
Previous press releases from this group have denounced (perhaps rightly) any movement to include prescribing rights for DCs, and this Blog has published extensively about both sides of that debate in the past. [1–15]
Personally, I think that seeking prescription rights is a bad idea because of the political and legal turmoil it will invite from Organized Medicine. The authors of the Foundation typically paint the “Pro Drug” movement as an attack against the idea of the Vertebral Subluxation and of the profession’s historical foundation, as one that does not use drugs and surgery to accomplish our goals.
It’s now time for the Profession to determine if this is “Chicken Little” paranoia,
or if the FVS has a valid concern that MUST be addressed.
According to their Press release, there is a “massive and historic outpouring” of dissatisfaction by “at least 6000 chiropractors” via “Facebook, Twitter and e-mail“. The author goes on to state that “At issue is the systematic remaking of the profession by these groups into a branch of medicine.” OK, that got my attention.
NOTE: It may be true that this page has 6000 “members”, but MANY of them (like myself) were added to that list without our knowledge or permission. So their claim of 6000 “members” is spurious. Further, even if it WAS true, 6,000 DCs represents less
than 10% of our Profession. Hardly a ground swell movement. (more…)
Point/Counterpoint: Seeking A Second Opinion on Expanded Chiropractic Practice Part I;
A Prescription for Professional Disaster
SOURCE: Dynamic Chiropractic
By Gerard Clum, DC
Life Chiropractic College West
There has been a lot of recent traffic to our postings about Alabama  and New Mexico’s attempts to gain prescription rights. For that reason, we are featuring 2 articles, both pro and con on the topic of expanding chiropractic practice into the realm of medicine. We hope you will find the following 2 articles of interest.
The expansion of the scope of practice of chiropractors to prescribe drugs is an absolute non-starter for me. In recent weeks, this conversation has moved to center stage, as evidenced by activities in the states of New Mexico, South Carolina and Alabama, as well as at the biennial gathering of the World Federation of Chiropractic (WFC).
Legislation proposed to expand the authority of chiropractors in New Mexico to prescribe broadly failed; the South Carolina measure appears to be mired in committee; and the Alabama State Chiropractic Association voted down a proposal to seek such an expansion. The WFC, while presenting a forum on this issue, has not changed its policy that the practice of chiropractic is without drugs and surgery.
The battle lines are rather well-drawn and clear. One element within the profession seeks to alter the history, tradition, conceptualization, culture, laws and regulations under which we have existed throughout our entire existence to include prescription authority of various extents. This view is being opposed by members of the profession who object and perceive the very heart of our clinical approach being hijacked and transformed into the practice of medicine.
A recent legislative hearing in New Mexico did just that: it clarified the intent and extent of the drug lobby in chiropractic. In the past, whenever the question of prescription authority in chiropractic came up, it was always related to injected vitamins and nutritional support, as opposed to the common understanding of prescription medications associated with the practice of medicine.
In Santa Fe, N.M. on March 17, 2011, the veil was pulled back on that charade as representatives of the National University of Health Sciences and University of Western States joined members of the executive committee of the New Mexico Board of Chiropractic Examiners in seeking legislation that would allow the use of “primary care drugs.” Further, these representatives indicated that they were part of the solution for New Mexico’s primary care shortage with their willingness and self-perceived ability to treat patients with hypertension and diabetes, among other maladies. It is now clear and on the record that this is not about nutrition in any shape or form; this is about the practice of primary care medicine under the auspices of a chiropractic license. (more…)
Point/Counterpoint: Seeking A Second Opinion Part II: Best for the Profession or Best for the Public?
Point/Counterpoint: Seeking A Second Opinion Part II:
Best for the Profession or Best for the Public?
SOURCE: Dynamic Chiropractic
By James Winterstein, DC,
National University of Health Sciences
This is the second in a series of articles about expanding chiropractic practice into the realm of medicine.  We hope you will find these 2 articles of interest.
Recently, I had the privilege of testifying for the chiropractic physicians in New Mexico who currently have some prescriptive rights and wished to expand that scope to improve their ability to provide stronger, more complete primary care.
It should be clear that I was asked to appear in behalf of the chiropractic physicians there or I would not have been there. It is not my purpose, as president of National University of Health Sciences, to dictate the direction of the chiropractic profession, but to provide the education that is required by the profession.
In this instance, the request to provide advanced education in pharmacology came to the university several years ago, just as requests to provide education in acupuncture came to the university 41 years ago and requests to provide education in “over-the-counter” medications came from Florida some 20 years ago. Our institutional charter says that we will “provide education,” which is what we have done in New Mexico, and which we intend to continue to do in New Mexico and elsewhere when asked.
Some members of the profession appeared before the New Mexico Senate Judiciary Committee and testified against the wishes of the New Mexico chiropractors – not as invited guests, but as intruders into state concerns. Some of the senators even received calls from out of the United States urging action against the wishes of the New Mexico DCs. I consider this kind of activity to be completely inappropriate and negative toward the profession. New Mexico DCs see a need that can be met with additional education and an expanded scope of practice. They, it appears, have a concern for the public, while their detractors have a fiercely held belief that the chiropractic profession must always remain what it was when formed by its originators. (more…)
For Those Who Wish To Be Medical Chiropractors —
Look, Before You Leap
SOURCE: The New York Times ~ Opinion Page
By ABRAHAM VERGHESE
Treat the Patient, Not the CT Scan
THE other day as I walked through a wing of my hospital, it occurred to me that Watson, I.B.M.’s supercomputer, would be more at home here than he was on “Jeopardy!” Perhaps it’s good, I thought, that his next challenge, with the aid of the Columbia University Medical Center and the University of Maryland School of Medicine, will be to learn to diagnose illnesses and treat patients.
On our rounds of the wards, Watson would see lots of other computers with humans glued to them like piglets at a sow’s teats. We might visit a patient with a complex illness — one whose second liver transplant has failed, who has a fungal meningitis and now also has kidney failure and bleeding and is on a score of medications.
Watson might help me digest the sheer volume of data that is in the electronic medical record and might see trends in the data that speak of an impending disaster. And since Watson is constantly trolling the Web, he would perhaps bring to my attention a case report published the previous night in a Swedish journal describing a new interaction between two of the drugs my patient is taking.
Better still, if Watson could harness data from all the patients in our hospital and in every other hospital in America, we might be alerted to mini-epidemics taking shape. For example, Watson might recognize that the kidney failure in our patient is linked to kidney failure in a patient in Buffalo and another in San Antonio; all three patients, he might inform me, were taking a “natural” weight loss supplement that contained a Chinese herb, aristolochia, that has been associated with more than 100 cases of kidney failure.
In short, Watson would be a potent and clever companion as we made our rounds. (more…)
Source Chiropractic Economics
The Alabama State Chiropractic Association (ASCA) conducted a survey of member practitioners in 2010 regarding the scope of practice in Alabama. Overall, results indicated that a majority of surveyed chiropractors are in favor of the inclusion of injectable vitamins and nutrients and prescriptive rights in the scope of practice…
Within the group of 255 respondents, 63 percent percent agreed or strongly agreed that chiropractic is a drugless alternative to allopathic medical care, and the same proportion of respondents felt that chiropractic is the detection and correction of subluxations. Seventy-six percent agreed that subluxation is an important cause of disease and correction can restore health.
However, 41 percent responded that the chiropractic profession should abandon the term subluxation and focus on a broader scope of practice in general. A majority were also in favor of chiropractors utilizing injectable vitamins and nutrients (58 percent), as well as prescriptions of certain drugs (60 percent). (more…)