Texas Chiropractic eSource

The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events and is emailed to members on a bi-weekly basis.

If there is news that you believe needs to be shared with the profession please send the news, or a link to the news to editor@chirotexas.org

Diets Should Stress Healthy Foods, Not Diversity
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Sunday, August 19, 2018 09:28 PM

A diverse diet may not be best for weight loss, according to a science advisory from the American Heart Association (AHA).  

Opposing the long-standing belief that a diverse diet is necessary for proper nutrition, the AHA highlighted observational research that instead suggests that a diverse diet may lead to a greater intake of highly processed foods, refined grains, and sugar-sweetened beverages, leading to weight gain and obesity.

In the same vein, aiming for a diverse diet — rather than a healthy, high-quality diet — may also lead to less consumption of minimally processed foods, such as vegetables, fruits, and fish.

PTs in Emergency Departments, When DCs?
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Sunday, August 19, 2018 09:02 PM

Physical therapists augment emergency department care teams, reports an article in the American Journal of Emergency MedicinePhysical therapy has three primary clinical applications in the ED, according to the researchers:

  • Acute musculoskeletal injuries are most frequently neck or back pain, but also include hip, knee, and shoulder pain

  • With training in vestibular conditions, physical therapists are well-suited to treat peripheral vertigo, such as giving patients self-directed therapeutic maneuvers and assessing discharge safety

  • Gait training and assessment in the ER is a prime service area for physical therapists, with several clinical applications including home safety and disposition planning for orthopedic devices such as crutches and knee scooters

Emergency department physical therapy (ED PT) offers multiple benefits and is poised to spread across the country, researchers said.

Free Medical School Tuition
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Sunday, August 19, 2018 08:20 PM

In the United States, the average tuition cost paid for attending a chiropractor school for four years is approximately $120,000. However, the total cost that a student is responsible for involves much more than just the ‘sticker price’ of college tuition.

Beyond the tuition cost of a chiropractor school, students must also pay for other education-related expenses, such as books, lab fees, equipment, activity fees, insurance for clinical work experience, and technology fees. Additionally, students must pay for room and board (or off-campus housing), transportation, and other personal living expenses. 

New York University’s School of Medicine recently announced that it would cover tuition for all its current and future students regardless of merit or need. “This decision recognizes a moral imperative that must be addressed, as institutions place an increasing debt burden on young people who aspire to become physicians,” the dean of the school said.

Medicare for All?
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Sunday, August 19, 2018 07:44 PM

Some political analysts are once again promoting universal health care as a basic human right.  One article notes that the “ultra liberal” Alexandria Oasis-Cortez who ran on a platform promising paid family leave, Medicare for All, a universal government jobs guarantee, justice reform to “demilitarize our police,” and abolishing ICE, the Immigration and Customs Enforcement office,  who beat 10-term incumbent Joe Crowley in a New York City district, was decisive proof: the Democrats’ path to victory requires exciting their base with a bold, fearless agenda that includes Medicare for all.  

Orthopedics Diplomate Course Returns to Dallas This Fall
Written by Editor   
Friday, August 17, 2018 08:42 AM

The Texas Chiropractic Association, in partnership with the Texas Council of Chiropractic Orthopedists (TCCO) and the University of Bridgeport, is excited to offer two more Diplomate, Academy of Chiropractic Orthopedists (DACO) courses in the Dallas-Fort Worth metroplex this fall.

Designed specifically for practicing chiropractors, Bridgeport University’s Neuromusculoskeletal Post-Graduate Program and the related DACO Diplomate will give you the credentials necessary to become a valuable member of a primary healthcare team.

Whether your goal is to earn the DACO or simply to complete valuable CE hours, don’t miss the opportunity to be among the pioneers of this revolutionary change in delivering holistic healthcare by completing the DACO program in Texas!

UHC Withdraws Adverse Policy on Manipulation for Headache
Written by Editor   
Monday, August 13, 2018 01:23 PM

American Chiropractic Association (ACA) President N. Ray Tuck, Jr., DC, released the following statement today in response to UnitedHealthcare’s decision to withdraw a recent policy that denied coverage of manipulative therapy for the treatment of headache:

The American Chiropractic Association (ACA) has confirmed that UnitedHealthcare (UHC) has restored its policy in support of coverage for nondrug manipulative therapy for headache treatment. The change was posted online in a revised policy document for manipulative therapy dated Aug. 1.

We appreciate that UHC weighed the evidence in support of manipulative therapy for headache that ACA provided in its July 23 letter to UHC President Dan Schumacher, and made the determination that patients should have access to this effective, nondrug treatment option. 

HHS Chief Urges States to Ease Scope-of-Practice Rules
Written by Dr. Chris Dalrymple   
Friday, August 10, 2018 12:41 PM

The Secretary of the US Department of Health and Human Services has noted that excessive scope-of-practice limitations do not broaden the free market in health care, but rather serve to raise costs for patients and deprive them of choices.  

States should consider relaxing restrictions on scope of practice in order to broaden the free market for healthcare.

Health and Human Services (HHS) Secretary Alex Azar told state lawmakers.  "I would urge all of you to take a look at how state and local regulations can be impeding healthcare competition, raising costs for American patients, and depriving them of choices," Azar said at a meeting of the American Legislative Exchange Council, a group of conservative state legislators. “Regulations like … scope of practice can have a legitimate purpose. But too often, these rules can be a significant barrier to new competition and lower-cost market disruptors.”

A Dozen AGs Sue to Block Association Health Plan Rule
Written by Dr. Chris Dalrymple   
Friday, August 10, 2018 09:39 AM

Recently the TCA added an association health plan to its mix of member benefits.  However, potentially effecting the future of association health plans, twelve Democratic attorneys general have sued the government administration to block a new rule that makes it easier for small firms and individuals to band together in association health plans free from many Affordable Care Act (ACA) market rules.

The group health plan offered by TCA is a long sought after benefit to help the self employed doctors of chiropractic who need affordable and fair group health insurance.  The TCA Lifestyle Health Plans is available to employer groups as small as two employees with an unlimited maximum number of employees.  All plans offered are fully funded insurance plans, and all plans meet Affordable Care Act (ACA) compliance guidelines and qualify as creditable coverage.

Medicare Parity Efforts Advance with the Hiring of Top Lobbying Firm
Written by Dr. Chris Dalrymple   
Saturday, August 04, 2018 02:57 PM

The efforts to pass federal legislation that would provide parity to chiropractors by allowing them to perform to the fullest scope of their license in Medicare was advanced recently as the American Chiropractic Association (ACA) hired the Capitol Hill Consulting Group (CHCG) to add extra strength to its efforts.

ACA chose to work with CHCG, a Washington, D.C.-based, bipartisan government relations firm, because of its strong contacts in the health care arena and, more specifically, within the powerful U.S. House Ways and Means Committee—which will play a vital role in helping any pro-chiropractic Medicare legislation to gain momentum in Congress.

“Passage of a pro-chiropractic Medicare bill is ACA’s No. 1 legislative priority. The Capitol Hill Consulting Group will give our lobbying team the added resources they need to achieve success for our members and their patients,” said ACA President N. Ray Tuck, Jr., DC.

Former Texas Representative Bill Carter of Fort Worth has Died
Written by Dr. Chris Dalrymple   
Saturday, August 04, 2018 02:44 PM

Former state Rep. Bill Carter has died.  He was 89.  Visitation will be held on Tuesday Aug. 7, from 6:00 p.m. to 8:00 p.m. at Greenwood Funeral Home in Fort Worth.  Funeral Services will be held at 11:30 a.m. Aug. 8, at the same location.

Carter served in the Texas House of Representatives from 1984 until January 2003.  A chiropractic legislative friend and father to former TCA State Director Greg Carter, D.C., Rep. Carter was award the Outstanding Legislator Award from the Texas Chiropractic Association in 1995.  

Carter was well known by many and easily recognizable.   Standing 6 feet 4 inches tall with “hands like baseball mitts” he recalls shaking hands once with famed former boxer George Foreman of Houston. He said Foreman did a double take when he saw Carter’s immense hands, and Foreman said: "Hey, you’re the first man I’ve ever seen that has a hand bigger than mine.”

TBCE Proposes New Acupuncture Rule
Written by Dr. Chris Dalrymple   
Monday, July 23, 2018 04:36 PM

The Texas Board of Chiropractic Examiners (TBCE) proposes this new rule to replace Chapter 78, §78.14, to promote a clear understanding of the use of acupuncture as a modality by chiropractors. Accordingly, this rule is proposed to replace the current Acupuncture rule.  It is anticipated that the TBCE will act upon this rule at their August meeting.  The entirety of the language below is the newly proposed rule:

ACA Rallies Opposition to UHC Headache Policy
Written by Dr. Chris Dalrymple   
Monday, July 23, 2018 04:13 PM

The American Chiropractic Association (ACA), supported by chiropractic organizations across the country, strongly opposes a new policy by UnitedHealthcare (UHC) that denies headache sufferers the option to treat their pain without drugs using spinal manipulative therapy (SMT).

In a letter to UHC President and CEO Dan Schumacher, ACA calls the policy--which denies coverage of SMT for headache treatment because it states it is “unproven and/or not medically necessary”--flawed because UHC failed to include key studies in an analysis conducted in advance of its determination.

“We urge UHC to withdraw its policy based on the most recent research, systematic reviews, and practice guidelines (including AHRQ), which support the use of spinal manipulation for the treatment of headache,” writes ACA President N. Ray Tuck, Jr., DC.

September Drug-Free Pain Management Month
Written by Dr. Chris Dalrymple   
Thursday, July 19, 2018 10:59 AM

A resolution supporting the ending opioid abuse and advancing utilization of drug-free chiropractic care has been introduced by the Foundation for Chiropractic Progress (F4CP) for use during Drug-Free Pain Management Month in September. 

The resolution points out that prescription opioid use and abuse leads to addiction and catastrophic outcomes.  This has become a national crisis becoming the leading cause of injury death in the United States.  It notes that in just 17 years it has resulted in more than three times the U.S. military deaths during the twenty years of the Vietnam War, killing more than 350,000 people.

It notes that 115 people per day are lost due to opioid overdoses and more than forty thousand people died from opioid overdoses in the U.S. in 2016.  Further it notes that the newest estimates on the cost of opioid abuse to U.S. employers is estimated at $18 billion in sick days, lost productivity and medical expenses, and that prescription opioids are often recommended for low back, neck, and musculoskeletal pain management.