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Physicians, Chiropractors Still Out of Alignment

Joe Cantlupe, for HealthLeaders Media, April 4, 2013

The Texas Supreme Court, however, may soon consider part of that case, after a state appeals court ruled favorably for the Texas chiropractic board, saying that chiropractors can make limited diagnoses with these procedures. The court said that the chiropractors could diagnose conditions related to the spine and muscle system, and be within the scope of their practice.

TMA: 'A public safety issue'
In another case, the Texas Medical Association won. In December, an Austin state judge granted the association's motion to prevent chiropractors from performing vestibular testing. The vestibular system, a component of the inner ear, is linked to the central nervous system. The judge declared that chiropractors who performed vestibular tests went beyond their profession's lawful scope of practice.

"We think there's a legitimate public health issue, a public safety issue," David Bragg, an attorney for the TMA, says of the physicians' legal battles with the chiropractors.

"From a patient's point of view, many times they don't understand the difference between a doctor of chiropractic and a doctor of medicine," Bragg says. "Potentially, there could be someone exhibiting symptoms of a profound (physical) problem, and chiropractors argue that they should be allowed to diagnose that condition. But these patients maybe should immediately go to the appropriate medical provider. Is this person having a stroke? A heart attack? There should be no delay built into the process."

The chiropractors' claims for diagnostic qualification "dilutes the medical license; it weakens the medical license," Bragg says.

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1 comments on "Physicians, Chiropractors Still Out of Alignment"


John Jaffe (4/5/2013 at 1:32 AM)
The only rational way to resolve this long-running debate is to hold ALL healthcare providers to the same standard[INVALID]evidence for efficacy of their treatments and credible proof that they have adequate training to carry out these treatments. Opposition to chiropractic by physicians isn't only, or even mainly, on economic grounds as it's often portrayed by chiropractors. There is legitimate and well-founded concern and considerable empirical evidence of chiropractors performing tests and procedures for which there is no demonstrated efficacy. And the issue is economic as well[INVALID]for whatever reason(s), some chiropractors are notorious for prolonged repetitive "treatments", often of dubious value, with attendant large costs. If the feds are serious about keeping medical costs down, all serious students of the issue agree that the provision of the right care in the right setting by the right people, is the most cost-effective way to do so.