Beth Clay | International Chiropractors Association https://www.chiropractic.org We are building a strong tomorrow for chiropractic worldwide. Fri, 11 Apr 2025 12:34:04 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://www.chiropractic.org/wp-content/uploads/2020/05/cropped-ica-logo-2x-32x32.png Beth Clay | International Chiropractors Association https://www.chiropractic.org 32 32 It’s All Hand Deck this Morning in Montana https://www.chiropractic.org/its-all-hand-deck-this-morning-in-montana/ Fri, 11 Apr 2025 12:34:03 +0000 https://www.chiropractic.org/?p=46392 For Immediate Release

April 11, 2025 (Falls Church, VA) Today, ICA leadership is all hands on deck primed to testify in person and online in opposition to HB 929, the draconian bill introduced by Representative (Dr.) Oblander to expand the scope of practice to include drug prescribing authorities. ICA”s CEO, Dr. Edwin Cordero will testify online while ICA Board Secretary, Dr. Hugo Michael Gibson, a Montana resident, will testify in person.

ICA’s testimony is attached to Dr. Cordero’s opening commments.

Dr. Edwin Corder, “Just Say No to HB 929!”

Dr. Edwin Cordero, ICA CEO
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ICA Opposes Montana Controversial H.B. 929 https://www.chiropractic.org/ica-opposes-montana-controversial-h-b-929/ Tue, 01 Apr 2025 01:45:06 +0000 https://www.chiropractic.org/?p=46347 Third Attempt to Expand Scope of Practice to Include Drugs
Would Create Risks to Public Safety

Falls Church, Virginia, March 31, 2025: The International Chiropractors Association is reaching out to legislators in Montana again to request they reject legislation that moves the chiropractic scope of practice into the realm of medicine. Since its inception, the profession has been focused on the identification and elimination of vertebral subluxations and allowing the body’s own innate healing process to function optimally. All but a tiny fringe element of the profession desire to keep chiropractic a non-prescribing profession. Montana health professionals and their patients would be better served by expanding the opportunity of Telehealth and professional collaboration in real time between chiropractors and medical doctors rather than expanding the scope of chiropractic to include drug prescribing. The path Representative Oblander is now making with his controversial legislation in a third attempt to expand chiropractic into the medical profession would create an increased risk to public safety through inadequately trained individuals prescribing drugs.

The ICA is concerned that the very language of the bill, most specifically provision lines 18-19 of page one, “ WHEREAS, there is widespread support from many health care providers in Montana to allow for doctors of chiropractic to have prescriptive authority;” has misrepresented the facts. It is our understanding that there is significant opposition by both the medical and pharmacy associations in Montana to this bill. (See Attached Fact Sheet) Further, the American Medical Association has an ongoing ‘Scope Creep’ initiative raising concerns nationwide about attempts to broaden other health professionals into the medical doctor scope.

Drug prescribing is not a simple ‘add on’ technique training. Drug prescribing is a key component of medical education throughout all the years of education and residency. It is not something that can or should be taught as a series of weekend seminars.

ICA’s new CEO, Dr. Edwin Cordero stated, “Please oppose House Bill 929. Three college presidents have previously submitted letters explaining the scope expansion into prescribing should be opposed. I would concur. As a former chiropractic college president, chiropractors graduate with the knowledge and skills to evaluate and correct subluxations; to offer health promoting lifestyle advise. They do not graduate with the training to become drug prescribers. The proficiency exams do not include evaluation of knowledge and skills on drug prescribing.”

A century ago, the ICA was established (Originally named the Chiropractic Health Bureau) to work with the states to establish licensure so that our doctors would no longer be jailed for ‘practicing medicine without out license’. During this process chiropractic was established as a distinct and drug-free profession. Chiropractic is now and should remain a profession without drug prescribing in its scope of practice.

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Montana Medical Association Opposition to HB 929

For Immediate Release

Contact: Beth Clay
Email: bclay@chiropractic.org

Just Say No to HB 929!

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Victory by 1 Vote in Montana https://www.chiropractic.org/victory-by-1-vote-in-montana/ Fri, 07 Mar 2025 17:32:35 +0000 https://www.chiropractic.org/?p=45651 ...]]> March 7, 2025. The House Bill 500 in the Montana legislature to expand the scope of practice to include drug prescribing has failed (a second) Third Reading in the Montana House – By a Single Vote. This is a victory….ICA and our members across the state have been actively the phones, text messages and emails to the entire Body….Not only did we share our testimony but the important letters from three our colleges opposing the legislation – Palmer, Life West and Sherman as well as the public comments from our incoming CEO, Dr. Edwin Cordero.

There was a slight amendment to the bill that was intended to sway members, but the continued engagement over the last 24 hours brought us victory.

This issue to expand scope in prescribing is popping in other states and we as community must work together protect the profession. Thank you one and all who participating in this activity. Montana is safe for now…

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Montana Battle Continues – HB500 Resurrected by Legislator through Reconsideration Procedure https://www.chiropractic.org/montana-battle-continues-hb500-resurrected-by-legislator-through-reconsideration-procedure/ Thu, 06 Mar 2025 22:24:09 +0000 https://www.chiropractic.org/?p=45642 ...]]> March 6, 2025: Yesterday we reported that the Scope Expansion Bill in Montana had been defeated on the House Floor by a 50/48 vote. Rep. Oblander has managed to resurrect the bill by getting a vote through this morning on ‘Reconsideration’ and placed back into a Third Reading.

Montanans need to call their House Member today: https://www.legmt.gov/legislators/

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Montana HB500 Failed by Slim Margin in House https://www.chiropractic.org/montana-hb500-failed-by-slim-margin-in-house/ Wed, 05 Mar 2025 16:38:29 +0000 https://www.chiropractic.org/?p=45637 ...]]> March 5, 2025: This morning the vote on Chiropractic Scope Expansion bill HB500 failed the Third Reading. This is welcomed news to the ICA whose members and leaders in Montana have been actively engaged in the battle to protect the chiropractic professional from veering into the medical line of drug prescribing.

The bill was introduced by Greg Oblander, DC a Montana chiropractor/legislator. The bill had the backing of the Montana Chiropractic Association, who had awarded Dr. Oblander the Chiropractor of the Year award in March 2024.

ICA Board Member, Dr. Hugo M. Gibson led the charge in Montana testifying at both the Chiropractic Board against the legislation; as well as in person at the House Business and Labor Committee. Both the Business and Labor Committee and the Appropriations Committee passed the bill out to the House Floor where it failed by a slim margin.

While ICA is happy with the outcome, we are concerned that the vote was so close. The idea that so many legislators were ready to expand the Montana Scope to include drug prescribing with a list of drugs that included products with mandatory Black Box warnings from the FDA is a wake up call to the need for our entire community to engage and ensure legislators understand that chiropractic is and should remain a drug-free profession. The testimony ICA presented is available below:

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Dr. Edwin Cordero Named ICA CEO https://www.chiropractic.org/dr-edwin-cordero-named-ica-ceo/ Wed, 05 Mar 2025 04:47:25 +0000 https://www.chiropractic.org/?p=45627 Dr. Edwin Cordero, ICA CEO

International Chiropractors Association Names
Edwin Cordero, DC, FICA, as CEO

Falls Church, VA: Dr. Selina Sigafoose-Jackson, President of the International Chiropractors Association (ICA) announced today the appointment of Dr. Edwin Cordero as the ICA Chief Executive Officer (CEO) effective April 1, 2025, with his transition beginning March 17. Dr. Cordero succeeds Dr. Stephen P. Welsh, who has served as interim CEO since November 2024. Ms. Beth Clay, who served as both CEO and Executive Director since January 2020, remains in her role as Executive Director.

Ms. Clay stated, “As we enter our 99th year, the ICA needs a strong, proven chiropractic leader at the helm to facilitate our vision, mission, and goals. Dr. Edwin Cordero is that leader. I look forward to working with him and seeing the ICA and chiropractic flourish through our efforts.”

Dr. Selina Sigafoose-Jackson shared her excitement about Dr. Cordero’s appointment, saying, “I could not be prouder to be part of the team that recruited Dr. Edwin Cordero. We look forward to the proud passion and esteemed experience that Dr. Cordero will bring to this illustrious organization, and we anticipate witnessing the action and reaction that will come from Dr. Cordero’s organizational talents.”

Dr. Cordero expressed his vision for his new role, stating, “I am deeply honored to step into the role of Chief Executive Officer for the International Chiropractors Association. The ICA has a long and proud history of advancing the principles and mission of chiropractic, and I am excited to build upon that legacy. Together, with our dedicated members, leaders, and partners, we will continue to protect, promote, and elevate chiropractic globally, ensuring that our profession thrives for generations to come. I look forward to fostering innovation, strengthening relationships, and driving impactful growth that supports both our members and the communities we serve.”

With his extensive leadership experience, Dr. Cordero is poised to lead the ICA in its mission to support chiropractic professionals and advance the profession worldwide. His commitment to innovation, advocacy, and professional development will drive the ICA’s continued success and growth in the years to come. Dr. Cordero and his wife, Debbie, will be welcomed officially at the ICA’s 99th Annual Meeting in Clearwater Beach, Florida April 3-5. https://icaevents.org/2025con/

About Dr. Cordero: Edwin Cordero, DC, FICA, is a veteran of the United States Navy and a 1993 graduate of Life Chiropractic College. He is a Fellow of the ICA (FICA). A respected and proven leader, Dr. Cordero brings over 32 years of leadership experience to the ICA. He established and led a successful private practice in Boynton Beach, Florida, where he served his community for 20 years. During his time in practice, Dr. Cordero became known for his patient-centered approach, business acumen, and ability to develop strong, lasting relationships with both patients and his team. Dr. Cordero later served as President and CEO of Sherman College of Chiropractic, where his bold leadership and strategic vision transformed the institution. During his 10-year tenure, he led initiatives that expanded academic programs, increased enrollment, and strengthened the college’s national reputation, all while fostering a culture of service, accountability, and leadership development.

Following his successful 10-year tenure at Sherman College, Dr. Cordero served as CEO of MaxLiving, a prominent chiropractic organization with one hundred plus clinics in the United States and Puerto Rico. Dr. Cordero empowered chiropractors to build thriving, patient-centered practices, while maintaining a strong emphasis on health and business success. As the founder and CEO of Cordero Consulting Group, Dr. Cordero works with business owners, leadership teams, and healthcare professionals to help them scale their businesses, develop high-performing teams, and lead with clarity and confidence. His custom coaching programs focus on practical leadership strategies, business growth systems, and personal development tools, giving his clients the tools they need to achieve long-term success. In 2024, Dr. Cordero published, Against All Odds: How to Transform Setbacks into Success, where he shares his personal journey and leadership insights.

About the International Chiropractors Association (ICA): The International Chiropractors Association is a leading global organization that represents chiropractors and the chiropractic community. ICA promotes chiropractic as a safe, effective, and natural approach to health and wellness. Founded in 1926, the ICA’s mission is to protect and promote the chiropractic profession through advocacy, education, and innovation. The ICA’s most recent Strategic Plan, titled “Fulfilling the Lasting Purpose.” aligns with ICA’s broader 2024 theme, “Focus on Fundamentals – A Unified Voice and Vision,” emphasizing education, membership growth, and advocacy to protect and promote chiropractic. Grounded in its core principle—that the body has an innate ability to adapt and self-heal through an optimally functioning nervous system—ICA continues to advocate for chiropractic. The association’s efforts focus on removing barriers to access, ensuring fair compensation, and promoting chiropractic’s role in healthcare.

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For Immediate Release March 5, 2025 Media Contact: bclay@chiropractic.org

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Medicare Legislation 2025 – Get the Facts https://www.chiropractic.org/medicare-legislation-2025-get-the-facts/ Fri, 24 Jan 2025 19:07:03 +0000 https://www.chiropractic.org/?p=45424 ...]]> ICA Offering Legislators a Bill that Provides a Full Resolution to Medicare in a Time Certain

January 22, 2025: Given that H.R. 538/S.106 the Chiropractic Medicare Coverage Modernization Act of 2025 contains the exact same text as the last three legislative sessions, the ICA once again finds itself unable to endorse these bills. As a result, the ICA will be offering legislators a bill that provides a comprehensive solution to Medicare, including the Opt-Out Provision that is essential for eliminating disparities and discrimination against Medicare beneficiaries who seek chiropractic care.

The International Chiropractors Association (ICA) is in consensus with the entire US-based chiropractic community that Medicare needs to be fixed. For too long the vestiges of restraint of trade discrimination have lingered in the Social Security Act laws through which Medicare is administered.

ICA’s Essential Elements Required of Any Medicare Legislation

  1. Maintain the current mandate for coverage of the adjustment to correct a subluxation.
  2. Preserve the subluxation reference in the definition.
  3. Remove the restrictive language used to limit reimbursement to the adjustment “only.”
  4. Ensure that radiographic (x-ray) imaging and exams are covered services.
  5. Maintain economic neutrality by removing barriers to reimbursements for existing covered services only.
  6. Establish equitability in reimbursement rates to other physician level providers.
  7. Eliminate discrimination that denies chiropractic patients the ability to privately contract and chiropractors the ability to opt out of the Medicare system if they so choose.

ICA legislative experts all agree that any Medicare legislation should be clear, specific, and give CMS specific instruction with deadlines for implementation. We do not believe it is in the best interest of chiropractors and their patients to leave the details up to CMS to develop, even with a friendly Director at CMS who will take office in 2025. Further, if a bill were passed into law that leaves the details up to CMS, a multi-year rulemaking will be required; and there will be no guarantees at the end of the process of what will be covered.

Below is a chart that shows the differences between the two approaches.

As we engage with our legislators in Washington, it is important for ICA members and those across the profession who desire a full and certain solution to the issues in Medicare to engage with your senators and representatives to express your support for the bill we are bringing to them for introduction and passage. The road to introduction and passage into law is long.

If you have any questions or would like to help, please email our Executive Director, Beth Clay, at bclay@chiropractic.org.

Compare and ContrastIntroduced
HR 538/S.106
Chiropractic Medicare Coverage Modernization Act
Proposed
Revised HR8701
Chiropractic Act of 2025
Does the bill guarantee coverage of the standards of care basics– exams and x-ray imaging?No – The bill calls for full scope coverage which will require rulemaking with no guarantees of outcome and may take years.Yes Medicare beneficiaries who have paid into the system will be able to access shortly after passage into law.
Does the bill include a date of enactment?NoYes
Does the bill protect the chiropractic -specific terminology in the definition.NoYes
Does the bill create a two-tier reimbursement model within Medicare based on mandated Continuing Education?YesNo
Does the bill federalize Continuing Education (CE) requirements to be determined and managed by HHS/CMS?YesNo
(1) CE is a state issue and (2) CMS already has authority and has provider compliance training in place – no legislation specific only to chiropractic needed.
Source
Does the bill instruct CMS to continue using the physician codes and reimbursement rates (efficient and fair) rather than creating new chiropractic specific codes at lower reimbursement rates?NoYes
Does the bill include the provision to allow Medicare beneficiaries to privately contract with their chiropractor (commonly referred to as the Opt-Out Provision)? NoYes
Does the bill keep chiropractic in the lane of chiropractic by making it clear to CMS that chiropractors are not drug prescribers?NoYes – A provision in the legislation prevents the inclusion of drug prescribing to prevent a state-by-state expansion of scope to include Rx which is outside the lane of chiropractic and in the lane of medicine.
Does the bill call for a revision of the coverage determination that currently precludes chiropractors from providing care for prevention and chronic conditions? NoYes – A provision in the legislation calls for the secretary to include covered services on health promotion, whole person care, and prevention services in chiropractic coverage for services that are covered by any other type of physician.

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International Chiropractors Association Congratulates Robert F. Kennedy, Jr. on His Selection as Secretary of Health and Human Services Designee https://www.chiropractic.org/international-chiropractors-association-congratulates-robert-f-kennedy-jr-on-his-selection-as-secretary-of-health-and-human-services-designee/ Fri, 15 Nov 2024 03:18:55 +0000 https://www.chiropractic.org/?p=45197 ...]]>

November 14, 2024 (Falls Church, VA) Today, President-elect Donald J. Trump made it official that he was nominating Robert F. Kennedy, Jr. to serve as the Secretary of Health and Human Services. Secretary-designee Kennedy has spent his entire career championing the health of the nation through education, advocacy, research and when needed litigation.

Among his many accomplishments are protecting the environment with Riverkeeper and the Natural Resources Defense Council His work at Riverkeeper succeeded in setting long-term environmental legal standards. Kennedy won legal battles against large corporate polluters. He became an adjunct professor of environmental law at Pace University School of Law in 1986 and founded the Pace’s Environmental Litigation Clinic which he co-directed for a decade.

It would be in the Pace Law Review that the landmark paper, “Unanswered Questions from the Vaccine Injury Compensation Program: A Review of Compensated Cases of Vaccine-Induced Brain Injury” (https://digitalcommons.pace.edu/cgi/viewcontent.cgi?article=1681&context=pelr) would be published in 2011.

Kennedy became laser focused on the autism epidemic while giving lectures on the dangers of mercury in fish, he was repeatedly approached by the mothers of children born healthy who regressed into autism after suffering adverse reactions from childhood vaccines, including their concern about the mercury-based preservative, thimerosal, being used in vaccines including the Hepatitis B vaccine given at birth. Kennedy’s approach to the issue was the same as it always, looking at the science. He assembled a team who gathered all the science and reviewed the issues with him. This resulted in the publication of the book, Thimerosal: Let the Science Speak
The Evidence Supporting the Immediate Removal of Mercury—a Known Neurotoxin—from Vaccines.

After establishing and leading the nonprofit Children’s Health Defense, last year Kennedy stepped back from the organization to throw his hat in the ring to be President. Becoming the embodiment of his uncle John F. Kennedy’s famous quote, “Ask not what your country can do for you, but what you can do for your country!”, Kennedy reached out to President Trump to form an alliance to focus on the crisis of chronic disease in the United States, and suspended his campaign to focus on the Make American Healthy Again (MAHA) Initiative.

ICA President, Dr. Selina Sigafoose Jackson, who is currently in Brazil promoting the protection of chiropractic as a separate and distinct profession stated, “Many ICA members have been supporters of Robert F. Kennedy, Jr.’s philanthropic activities and are all in on the MAHA Initiative. The Mission, Vision, and Values of the ICA align with the stated goals of the MAHA Initiative. We stand ready to provide policy proposals and experts to serve as advisors to the incoming Administration and to Secretary Kennedy upon his swearing in.”

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The Science of Chiropractic – Something to Get Excited About https://www.chiropractic.org/the-science-of-chiropractic-something-to-get-excited-about/ Fri, 23 Aug 2024 21:16:38 +0000 https://www.chiropractic.org/?p=44918 ...]]> Looking back at the history of chiropractic and the history of the International Chiropractors Association (ICA), one realizes that too often we have allowed others to define who we are and what we are about. This past week, two stories came out sharing the good news of the benefits of chiropractic care.

Fox News broadcast a story in which our own ICA Council on Pediatrics President, Dr. Lora Tanis was quoted regarding chiropractic care for babies. The story, Ohio baby ‘smiling again’ after chiropractic adjustments, parents say — but is it safe?” shared the amazing but – as our Pediatrics Diplomate doctors know – all too common story of a child who benefited from chiropractic care. The second story “How a ‘chiropractic adjustment’ finally helped Max Muncy return to the Dodgers” shares the story the integral role of chiropractic in the combined health professions efforts to return a star professional athlete to the lineup.

Both stories detail how chiropractic was not the first line of care, but the care of last resort – and in the pediatrics story, as we always see, a medical doctor with no training in the science, art, or philosophy of chiropractic is quoted with an attempt to plant doubt in the public’s mindset about the safety and benefit of chiropractic care across the lifespan.

It is times like these that I am reminded that we – the ICA and the chiropractic profession – need to constantly be responsible for defining ourselves and not allow others to take that power and responsibility from us.

Don’t let others define you. Don’t let the past confine you. Take charge of your life with confidence and determination and there are no limits on what you can do or be.

Michael Josephson, Founder of Josephson Institute of Ethics

The International Chiropractors Association has been and remains the moderate voice in the chiropractic profession. We stand stalwart in our protection and promotion of the chiropractic profession as a separate and distinct profession with its own science, art, and philosophy. We unapologetically respect and protect this system of healing and the underlying premise that it is founded on – that identification and correction of the vertebral subluxation removes the barriers of communication from the brain to every cell in the body so that the body’s own innate is freed up to focus on recovery and optimal health and life expression.

You, as a doctor of chiropractic or chiropractor, hold within your hands the ability to facilitate health through the chiropractic adjustment. It is time to recognize and give voice to the fact that chiropractic care is both patient-centered and evidence-based.

History shows us that assumptions made about chiropractic care have been wrong. An example of that is the long-standing presumption within states that providing coverage of chiropractic care for lower back pain-related injuries in Worker’s Compensation Programs would increase costs. In the 1990s, many states, faced with dramatically increasing medicals costs in Workman’s Comp claims, restricted reimbursement of chiropractic care because they believed the assumption of increased costs without evidence. Fast forward a quarter century and the Workman’s Compensation Research Institute (WCRI) conducted a study to determine if this the assumption was true. The findings were published in 2022 and reported that the average medical cost-per-claim for injured workers with lower back pain who were treated exclusively by a chiropractor was 61% less than for those who received no chiropractic treatment. Another finding of this study was that the utilization of chiropractic – and the resulting cost savings – was higher in states where the individual was able to choose their course of care rather than the employer or the state.

Research is Something to Get Excited About: The growing research record on the clinical- and cost-effectiveness of chiropractic validates the call from the chiropractic community and the public to improve and increase access to chiropractic care more equitably in federally managed or funded health systems and programs, particularly Medicare. While regular chiropractic care has a whole person effect, it is most widely known as a first line of care for back and neck pain and that is where most of the research evidence exists so far. As you know, chiropractic care falls into the category of “conservative care” from chronic and acute pain issues and is considered preferable as a first line of care over pharmacological and more invasive medical interventions.

While chiropractors use the term “chiropractic adjustment,” many researchers use “spinal manipulation therapy” or SMT. Data show that those who seek chiropractic care first are more than 50% less likely to fill an opioid prescription. In 2004, back pain accounted for more than $100 billion in annual US health care costs and is the second leading cause of physician visits and hospitalizations.[1] By 2014, the costs for back pain annual were in excess of $200 billion.[2] The costs continue to increase.

Below is a small snapshot of some of the important studies pointing to the value of chiropractic and its cost-savings.

Thirty years ago, research concluded that if chiropractic care were insured to the extent of other medical specialties, it would likely emerge as a first option for many patients with certain medical conditions. They also believed this could result in a decrease in the overall treatment costs for these conditions. The outcomes from economic assessment conducted at the College of William & Mary and the Medical College of Virginia of mandated health insurance coverage for chiropractic treatment within the Commonwealth of Virginia found chiropractic care to be a lower cost option for back-related ailments. The study reported that:

  • The low cost of chiropractic is due not to its low rate of use, but to its apparently offsetting impacts on costs in the face of high rates of utilization.
  • Formal studies of the cost, effectiveness, or both of chiropractic, usually measured against other forms of treatment, show it to compare favorably with them.
  • By every test of cost and effectiveness, the general weight of evidence shows chiropractic to provide important therapeutic benefits, at economical costs.
  • Additionally, these benefits are achieved with apparently minimal, even negligible, impacts on the costs of health insurance.[3]

More recent studies conclude:

2022: Health care utilization and costs for low back pain:

  • Total cost of care was lowest for individuals who first saw a chiropractor ($5093) compared to primary care physicians ($5660) and highest for individuals who saw Orthopedic specialist ($9434) first.
  • Expensive MRIs have been shown to be used more by Orthopedic specialists (Ortho) and physical medicine and rehabilitation doctors (PM&R), with significantly less MRI for chiropractors (Chiro) over the 1-year follow-up.
  • The variances seen in early- and long-term opioid prescriptions rates are concerning given the ongoing opioid crisis. The study demonstrated that patients first seeing Emergency Medicine physicians (EM), PM&R, and advanced practice registered nurse (APRN) initially had higher early and long-term opioids prescription rates than Chiros.[4]

2022: A first of its kind study in France of participants who presented with chronic musculoskeletal pain and depressive symptoms in a hospital setting. Most participants were satisfied with the chiropractic care they received at the hospital and would recommend it for varied reasons. One participant stated, “In terms of efficiency, for me it was quite spectacular, it did me a lot of good, so I highly recommend it.”[5]

2021: An analysis of Medicare healthcare expenditures for patients who received long-term treatment of chronic low back pain (cLBP) with either opioid analgesic therapy (OAT) or spinal manipulative therapy (SMT) (chiropractic). Adults aged 65 to 84 who initiated long-term treatment for cLBP via OAT incurred lower long-term costs for low back pain but higher long-term total healthcare costs under Medicare compared with patients who initiated long-term treatment with SMT.[6]

2021: Chiropractic is a leading conservative management approach to chronic primary back and neck pain. This study notes that SMT as a preferred conservative management approach increasingly recommended by conventional medical organizations.[7-9]

2021: The Journal of the American Medical Association provides the following patient recommendation: “For patients with chronic low back pain, priority should be given to nondrug treatments combined with exercise. According to the ACP, therapies to combine with exercise include multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercises, progressive relaxation, electromyographic biofeedback, low-level laser therapy, cognitive behavior therapy, and spinal manipulation.”[10]

2020: A study analyzing chiropractic care versus physical therapy (PT), found:

  • Higher satisfaction rates in patients visiting chiropractors.
  • In the short term, chiropractic care is a more cost-effective alternative compared to PT for the treatment of acute low back pain. Chiropractic resulted in a lower cost ($48.56).
  • Chiropractic had a higher daily adjusted life years (DALY) than the PT over a one-month treatment period and five months follow-up.[11]

Sources Cited:

  1. Legorreta, A.P., et al., Comparative analysis of individuals with and without chiropractic coverage: patient characteristics, utilization, and costs. Arch Intern Med, 2004. 164(18): p. 1985-92.
  2. Ma, V.Y., L. Chan, and K.J. Carruthers, Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil, 2014. 95(5): p. 986-995 e1.
  3. Schifrin, L.G., Mandated Health Insurance Coverage for Chiropractic Treatment: An Economic Assessment, with Implications for the Commonwealth of Virginia. 1992, The College of William and Mary: Virginia.
  4. Harwood, K.J., et al., Where to start? A two stage residual inclusion approach to estimating influence of the initial provider on health care utilization and costs for low back pain in the US. BMC Health Serv Res, 2022. 22(1): p. 694.
  5. F, M., et al., Characteristics, expectations, experiences of care, and satisfaction of patients receiving chiropractic care in a French University Hospital in Toulouse (France) over one year: a case study. BMC Musculoskelet Disord, 2022. 23(1): p. 229.
  6. Whedon, J.M., et al., Long-Term Medicare Costs Associated With Opioid Analgesic Therapy vs Spinal Manipulative Therapy for Chronic Low Back Pain in a Cohort of Older Adults. J Manipulative Physiol Ther, 2021. 44(7): p. 519-526.
  7. Gevers-Montoro, C., et al., Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain. Front Pain Res (Lausanne), 2021. 2: p. 765921.
  8. Foster, N.E., et al., Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet, 2018. 391(10137): p. 2368-2383.
  9. Corp, N., et al., Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain, 2021. 25(2): p. 275-295.
  10. Traeger, A.C., A. Qaseem, and J.H. McAuley, Low Back Pain. JAMA, 2021. 326(3): p. 286.
  11. Khodakarami, N., Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation. Healthcare (Basel), 2020. 8(1).
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A Life Lesson from the Opioid-Pain Management Crisis https://www.chiropractic.org/a-life-lesson-from-the-opioid-pain-management-crisis/ Fri, 16 Aug 2024 21:29:13 +0000 https://www.chiropractic.org/?p=44882 August 16, 2024 (Falls Church, VA) Do you remember how the United States ended up with an Opioid Crisis? Several factors were at play to create the “perfect storm.” Around 1996, Perdue Pharmaceuticals received FDA approval for a new opioid commonly referred to as “Oxy.” Around this time, the American Pain Society was established and developed a highly effective “pain as the fifth vital sign” marketing campaign to raise awareness of the importance of proper pain management. The symptom of pain dominated the healthcare dialogue until the National Academies of Science’s Institute of Medicine conducted an analysis and published a report that provided that over 11% of the American public experienced pain every day. The alarm bells went off like a firehouse alarm. And the “firefighters” (regulators and policymakers) jumped in their shiny red trucks and dashed off to put out the fire.

The allopathic medical model calls for symptom suppression and now, in their bag of Rx potions, doctors and dentists had Oxy. So, when JCAHO – the Joint Commission on Accreditation of Healthcare Organizations – instituted a requirement that hospitals ask every patient about their pain status and the satisfaction in their pain management, all of a sudden, the patient population was not focused on their recovery, but on their pain. The use of the smiley face-frowny face pain scale began being used with adults and children every day in doctors’ offices, clinics, and hospital.

Suddenly, millions of Americans were being prescribed opioids and other drugs to suppress their pain! The medical community has always known that opioids are addictive and have serious risks. Oxy was supposed to be “less addictive,” so the “do no harm” oath was set aside and Oxy became the prescribed drug of choice. We now know the manufacturer misled the world about Oxy’s addiction capacity intentionally. Along the way, the American Pain Society was busy normalizing the thought that one should be treating pain with opioids and other strong drugs. In 2019, The American Pain Society would go bankrupt and shut down when their ties to drug makers were made public. But not before the damage was done – millions of Americans died.

Today, over 2.5 million Americans have OUD – Opioid Use Disorder – and over 80,000 Americans died in 2021 from opioids. The medical community puts its attention on the symptom of pain being suppressed and their methods resulted in death and addiction for many. Because their model is far from optimal.

The Life Lesson: Where You Put Your Attention is Where You Get Results!

Where is ICA’s Attention? On making sure every person on the planet has the opportunity to access chiropractic care focusing on the correction of vertebral subluxations by safeguarding the privilege of licensed/credentialled chiropractors to practice chiropractic worldwide!

ICA chiropractors know that pain is a symptom of an underlying subluxation and that by identifying and correcting that subluxation through the chiropractic adjustment, the symptom can be addressed. There are no drugs that can fix the “chronic pain” that develops when the pain signal gets stuck in the “on” position. It is up to you, the ICA chiropractor – Doctors of Health™ who promote the body’s innate ability to seek and achieve optimal life expression, health, and human potential through specific and scientific chiropractic care – to provide the opportunity for patients to resolve this suffering.

To paraphrase former ICA President, Dr. George Curry – the world is subluxated, let’s get to it and get adjusting.

Growth is the Solution – growth of the ICA and growth in the numbers of chiropractors worldwide. ICA leadership and staff are focused on growth; and we ask you to join us in being a part of this important global solution.

ICA is focused on improving the member benefits, on advocating for you and the profession, and on expanding awareness of the benefits of regular chiropractic care.

Our continuing education programs offered through our councils advanced the mission through training at the highest standards. We help attendees be better chiropractors.

We have new vendors coming on board to offer you discounts, and revenue opportunities. The MLily mattresses designed by ICA experts are only available through ICA doctors – it is up to you to get engaged with the company and make these amazing products available.

We could focus on all the negatives in the world today; but instead, we are focusing on what we can do to help the world – and that is to increase access to ICA chiropractors. I am asking you today to joins us in this focus on ICA membership growth through the end of 2024. Will you bring one new doctor to the ICA each month? If you share the ICA message, I know you can. But we must make the effort to achieve the goal. Simone Biles didn’t win all those gold medals by just thinking about gymnastics – she put the effort in. I’m making this same request to our leadership and Assembly Representatives. Working on this focus together we can achieve amazing growth. Our founder, Dr. B.J. Palmer created the ICA to be THE voice in chiropractic to protect and promote the profession worldwide. To achieve his vision and goals, we need ICA members – ALL OF US – focused and active on growing the ICA.

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