TMA, Controlling Government
Written by Editor   
Wednesday, September 03, 2014 11:52 AM

TMA never misses an opportunity to engage in a scope of practice battle and on August 13th, 2014 TMA did not disappoint.

The University Interscholastic League (or UIL) the age-old organization that brings you high school sports is under state Sunset Review to determine whether a state agency is worth keeping around awhile longer.  Problem is that it can also provide fodder for legislators with a few choice bones to pick.  Several used the process for just such an occasion.

The issue? Apparently, chiropractors have been performing physicals for high school athletes in UIL competitions for ten years or so. Rep. Four Price, R – Amarillo (TMA’s) proposed an amendment that would simply cut out chiros.

The Sunset Commission is stacked with three medical doctors and is chaired by Sen. Jane Nelson, R-Flower Mound and Rep. Four Price, R – Amarillo. When push comes to shove you can bet Nelson and Price will be pushing and shoving in the direction of TMA. In a close one, TMA prevailed by a 7-5 vote. At the end of the day, TMA maintains control. Nothing else really matters. Really.

Price tried to make the safety argument for our student athletes. But as is usually the case, no evidence was provided regarding a bad outcome after a chiro administered physical. Nor was any evidence offered to indicate how a medical doctor physical was any better that one by a doctor of chiropractic.

Rep. Harold Dutton, D-Houston asked how many chiropractors were performing physicals. The Sunset staff didn’t know. No one knows yet somehow we need a solution in a desperate search of a problem.

Rep. Richard Raymond, D-Laredo suggested that if there were bad outcomes after a physical that those physicals were most likely performed by medical docs. Wow. Viva huevos! Thought I’d never live to see that.

There is one immutable TMA truism: Whatever TMA says is true. For all their blustering about evidence-based this and scientific-based that, the fact is that TMA offers nothing in the way of facts when it come to these scope battles.

It’s one more example how TMA controls the healthcare environment to suit its own ends. So if the TMA proposal is ultimately adopted, Texas will have fewer providers doing school physicals.

It’s the same old sad story. Run everything health through physicians? You wind up with fewer providers, fewer services available, more gaps in service delivery and higher costs for the services that ARE available.  Using the government to increase the cost of your services.  A nifty trick if you have the money, the legal staff, and the self-centeredness to pull it off.

Oh, but the medical profession is given federal and state money, and special privileges, to run health programs, and all medical providers (not just medical providers) and insurance companies are required to use their copyrighted code book.  Make your opponents give you money so that you can more easily defeat them; another nifty trick.