Cultural Authority ,
Primary Spine Provider ,
Spine Related Disorders
By Michael Schneider, DC, PhD, Donald Murphy, DC, DACAN, David Seaman, DC, MS, DABCN, John Ventura, DC, DABCO, Ian Paskowski, DC, Richard E. Vincent, DC and Stephen M. Perle, DC, MS. Originally published in Dynamic Chiropractic 2012.
The American health care system is in crisis. We have an unsustainable growth in health care expenditures that will consume 20 percent of our gross domestic product within the next five years.
Last year, this crisis culminated in passage of the Patient Protection and Affordable Care Act by Congress. Although parts of this act are currently being legally challenged, the health care reform train has left the station. The question is whether chiropractors are going to board this train, watch it pass by, or be run over by it.
There is a specific “subcrisis” within the broader health care crisis; the medical mismanagement of spine problems. Back and neck pain, as well as related disorders such as radiculopathy and cervicogenic headache, continue to be the most common reason for disability in American adults and the second most common condition for which patients seek medical care. Patients are faced with an environment in which a wide variety of practitioners offer a disparate array of diagnostic tests and treatments, many of which are completely unnecessary.
In addition, there is little or no coordination of services and no central resource to which patients can turn for guidance through the spine care maze. Spine surgery rates are higher in the U.S. than in any other nation in the world, inappropriate use of imaging and injections is rampant, and the number of Americans addicted to prescription pain medications is at an all-time high.Read more