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Health Care Reform

Federal Appeals Court Upholds Individual Mandate Requirement

By |June 29, 2011|Health Care Reform, News|

Federal Appeals Court Upholds Individual Mandate Requirement

The Chiro.Org Blog


SOURCE:   Medscape Medical News
NOTE: Enrollment on Medscape is Free


June 29, 2011 — A federal appeals court in Cincinnati, Ohio, today placed its constitutional stamp of approval on the linchpin of the embattled Affordable Care Act (ACA): the requirement that individuals either obtain health insurance coverage or pay a penalty.

Today’s decision is the first one on the federal appellate level regarding the healthcare reform law passed last year. So far, 2 federal district judges have declared the so-called individual mandate unconstitutional, saying that Congress has no right under the constitution’s commerce clause to regulate an individual’s economic “inactivity.” In contrast, 3 other federal district judges have agreed with the position of the Obama administration that uninsured “free riders” are indeed active participants in the healthcare marketplace, receiving free or subsidized services when needed, and driving up premiums and healthcare costs for others in the process.

The various district cases are now making their way through the federal appellate courts, with their final destination being the US Supreme Court. (more…)

Primary Care MDs Decline Training In Pain Management

By |January 20, 2011|Health Care Reform|

Primary Care MDs Decline Training In Pain Management

The Chiro.Org Blog


The following survey reveals a depressing new trend in medicine. Although primary care physicians (PCPs) see the largest percentage of chronic pain patients (52%), they are also the least likely to feel confident in their ability to manage musculoskeletal and neuropathic pain conditions, and are least likely to favor mandatory pain education for all PCPs.

How bizarre is that?


Here’s the abstract for your review:

Pain Management by Primary Care Physicians, Pain Physicians, Chiropractors, and Acupuncturists: A National Survey (more…)

Chiropractic: A Profession Coming of Age ~ An Interview with David Chapman-Smith, LL.B.

By |January 6, 2011|Education, Health Care Reform|

Chiropractic: A Profession Coming of Age ~
An Interview with David Chapman-Smith, LL.B.

The Chiro.Org Blog


SOURCE:   Health Insights Today

Interview by Carl S. Cleveland III, DC


David Chapman-Smith, the Secretary-General of the World Federation of Chiropractic (WFC), is a New Zealand-born attorney who now resides in Toronto, Canada. Chapman-Smith’s introduction to chiropractic came when he represented the New Zealand Chiropractic Association before that nation’s Commission on Inquiry into Chiropractic in the late 1970s. The Commission’s report was the world’s first major independent evaluation of chiropractic and set the stage for many later advances.

For Chapman-Smith, the whirlwind years of the New Zealand Commission were a prelude to what has become a career-long mission on behalf of chiropractic. He has served the WFC since its inception in the late 1980s and is widely recognized as the world’s leading non-chiropractor advocate for the profession. (more…)

What NCCAM Says About Chiropractic

By |December 6, 2010|Health Care Reform, News|

What NCCAM Says About Chiropractic

The Chiro.Org Blog


SOURCE:   National Center For Complementary and Alternative Medicine


Chiropractic is a health care profession that focuses on the relationship between the body’s structure—mainly the spine—and its functioning. Although practitioners may use a variety of treatment approaches, they primarily perform adjustments (manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function, and supporting the body’s natural ability to heal itself.

Key Points

  • People seek chiropractic care primarily for pain conditions such as back pain, neck pain, headache, and extremity (e.g., hand or foot)
  • In the United States, chiropractic practitioners must meet the licensing and continuing education requirements of the state in which they practice. All states require practitioners to complete a Doctor of Chiropractic degree program at a properly accredited college. (more…)

Chiropractic Legislative Agenda ~ News Update

By |November 17, 2010|Health Care Reform, News|

Chiropractic Legislative Agenda ~ News Update

The Chiro.Org Blog


SOURCE:   International Chiropractors Association


November 16, 2010 — In the Congressional changes that just took place Nov. 2, 2010, the chiropractic profession lost several longstanding advocates, but fortunately retained a greater number of allies.

There have been numerous statements about using the appropriations process to “de-fund” health reform implementation and also talk of outright repeal of some or all of the law’s provisions. The outcome of the 2010 Congressional elections notwithstanding, the prospects of any legislative repeal of any of the provisions of the Patient Protection and Affordable Care Act are minimal to impossible (it would take 60 votes in the U.S. Senate to pass and 67 Senate votes to override a Presidential veto).

There will be two so-called “Lame Duck” sessions before the new Congress is sworn in. During that time, it is logical to assume that the Democratic majority in both houses will use this limited time to clean up as much unfinished business on their agenda as possible.

Among issues to top concern to chiropractic are:

  • Senate passage of Rep. Bob Filner’s chiropractic veterans legislation: Thanks to the courageous and determined efforts of Rep Bob Filner (D-CA), HR 1017 passed the U.S. House of Representatives on May 24, 2010.

(more…)

New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care

By |October 7, 2010|Health Care Reform, Low Back Pain, News, Research|

New Study Finds Chiropractic Care Superior to Family Physician-directed Usual Care

The Chiro.Org Blog


SOURCE:   Spine J. 2010 (Oct 2)   [Epub ahead of print]


Bishop PB, Quon JA, Fisher CG, Dvorak MF.

International Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, British Columbia, Canada. paul.bishop@vch.ca


This newly published (Oct 2) study in Spine Journal compared family physician-directed usual care with evidence-based clinical practice guidelines (CPGs) (which includes reassurance and avoidance of passive treatments, acetaminophen, 4 weeks of lumbar chiropractic spinal manipulative care, and return to work within 8 weeks) on patients with acute low back pain. [1]

Evidence-based clinical practice guidelines (CPGs) for the management of patients with acute mechanical low back pain (AM-LBP) have been defined on an international scale. Multicenter clinical trials have demonstrated that most AM-LBP patients do not receive CPG-based treatments. To date, the value of implementing full and exclusively CPG-based treatment remains unclear. To determine if full CPGs-based study care (SC) results in greater improvement in functional outcomes than family physician-directed usual care (UC), a two-arm, parallel design, prospective, randomized controlled clinical trial using blinded outcome assessment was designed. Treatment was administered in a hospital-based spine program outpatient clinic. Patients were assessed by a spine physician, then randomized to SC (reassurance and avoidance of passive treatments, acetaminophen, 4 weeks of lumbar CSMT, and return to work within 8 weeks), or family physician-directed UC, the components of which were recorded. (more…)