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Organized Medicine Pushes Back
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In the full article found here the American Medical Association claims that "in 2009, physicians fought a blitz of scope-of-practice expansions by other health professionals on legislative, legal and regulatory fronts.  Organized medicine defeated attempts by naturopaths to seek licensure, prevented chiropractors from being able to perform invasive procedures and achieved further regulation of lay midwives. The efforts were among more than 300 scope-related bills the American Medical Association tracked last year. Physicians don't expect the battles to let up, and with patient safety on the line, they are countering such efforts with some fresh tactics."

"In anticipation of another onslaught in 2010, physicians, with the help of AMA model legislation, plan to push lawmakers to establish state scope-of-practice review panels to evaluate plans by nonphysician health professionals who wish to expand their practice realm."

"The AMA also is helping states with model legislation requiring nonphysicians to identify their credentials clearly -- for instance by wearing badges or limiting use of the term doctor."

"When legislative avenues fail, nonphysicians are turning to regulatory boards to expand their realm of expertise -- a tactic that increasingly is landing scope debates in the courts, said Rocky Wilcox, vice president and general counsel at the Texas Medical Assn."

"In a recent win, a Travis County District Court judge, on Nov. 24, 2009, struck down a 2005 state chiropractic board regulation allowing chiropractors to perform manipulation under anesthesia and needle electromyography. The court said state law forbade nonphysicians from performing such surgical procedures. The TMA and Texas Medical Board sued the Texas Board of Chiropractic Examiners and the Texas Chiropractic Assn. over the regulation. An appeal is under way."

"The court also found, however, that state law may not preclude a portion of the board regulation allowing chiropractors to use the term "diagnose." A trial on that issue is expected to begin in March."

If you want to understand WHY your state professional association is "political", the AMA states it very clearly:

"This is a problem that all states are having, and our view is the Legislature has the policy power to decide who can safely do certain things," Wilcox said. "If these [regulatory] decisions are not challenged, then it allows agencies to go way outside of what the statute says, and allied professionals will be practicing medicine and diagnosing medical conditions when they are not qualified to do it. So it's a safety issue....Pending a lack of resolution, we are looking at legislative remedies and would not foreclose the possibility of landing in a court of law." 

"Nonphysician health professionals and their boards say their scope and authority are being restricted unfairly, risking access to care."

"Texas Board of Chiropractic Examiners Executive Director Glenn Parker said chiropractors performing manipulation under anesthesia and needle EMG undergo extensive training and are well-qualified to do what he said were nonsurgical procedures. Moreover, they must be able to diagnose patients to determine if chiropractic or medical care is appropriate."

"The Texas case 'brings up legal questions about the state of Texas allowing medical associations to determine what is and is not within the scope of chiropractors,' Parker said. State chiropractors also are expected to push for legislative remedies, he added."

The AMA claims "team-based collaboration among physicians and other health care professionals is key to resolving access issues. "Do you want patients to have access to just anything or have access to a quality standard of care?"  

This author eagerly awaits the day when the AMA decides to be a "team-player".  So far it seems that they are merely attempting to "take away" the "turf" of other duly licensed and regulated healing arts professionals.

 
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Most Recent Comments
Added: April 04, 2010. 04:15 PM CDT
Your problem is below. Easy to solve!!
Want to know the group that is causing you trouble. It is Stephen Barrett at quackwathch who is best friends with William Fleming at the TMA.
Get rid of Barrett and his gang, and you have won the battle. Spend some money to investigate this person for money laundering and practicing medicine without a license by talking to your patients and getting their medical records.
Anonymous--
Added: January 18, 2010. 01:07 PM CDT
No surprises
AS nationalized healthcare approaches, the AMA will further tighten access to the ever shrinking healthcare dollars. The chiropractic professional does not push expensive unnecessary and harmful medications with a billion dollar pharma coallition to support legislative actions that strengthen a monopoly. With the size of Texas one would think that rural providers are in demand, chiropractors could maker a great difference in meeting rural Texan's needs. Let us then take the enormous dirty money away from these medical doctors after all it is stealing and fraud, poorly covered up. The surgery centers paying doctors large amounts of cash for doing procedures there, the kick backs from one medical doctor to another is as standard of operating as scrubbing in for surgery. The abuse by these MDs must be a first priority before we split hairs as to who can manipulate or do EMG testing. Let us address the corupt over-medicating of our country, the medical mistakes that costs thousands of lives that were preventable, the collusion of State run Workers Comp to deny patient access through the use of "Networks". Many people forgo entering medicine for the pursuit of helping his fellow man, it is a license to print money. The TMA is a money machine with apparently no need for cleaning their own house with corruption and fraud first. Wag the dog anyone? Medicine and chiropractic can and should be working together to make healthcare available, safe and ensure that all providers work together to make our state a leader in co-operative care. The lives lost to poor medical care supercedes these issues. Can the TCA and our membership help? You bet, we have too many patients that are behind us to lose if we can spend wisely in our fight. I am sending my money in today!
William Langeland DC
 
 
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Original clinical study reports, which contain far more detail than published randomized trials, should be made available to independent researchers seeking to verify efficacy and safety claims.

In support of this argument, the history of the influenza antiviral oseltamivir (Tamiflu), which was approved by the FDA in 1999, was cited. The widespread belief in oseltamivir's efficacy, was based on a meta-analysis of 10 trials conducted by the manufacturer prior to licensure.  But the authors pointed out that the FDA, which was aware of these clinical trials, concluded that oseltamivir had not been shown to reduce complications and required a statement on the drug's label to that effect.  Moreover, oseltamivir was not given an FDA indication for prevention of spread of influenza.

To this, [authors] commented, "If FDA is right, the drug's effectiveness may be no better than aspirin or acetaminophen.'"

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