I think it is the public behind the public. I'm not sure what you are getting at. The chiropractors have done a good job selling what they do. Ask most people and they can tell you more or less what a chiropractor does and most will tell you that they think it is a good thing. Ask a few random people what PT's do and see what kind of answers you get.
I think the whole "gestalt" of chiro 'care' involves creating a compliant 'congregation' of customers who are amenable to accommodating to the chiro belief system that they have backs/bodies that will fall apart from 'subluxations' (that only chiros can diagnose with their various quacky testing techniques) and that without lifelong, purchased- up- front treatment plans these lucky people who have learned the 'truth' about 'wellness maintenance' will be more susceptible to disease.
The belief system depends on conversion of the public into 'practice members'. Part of the propogation of chiro belief system is that conversion is not only permissible, it is the right thing to do, the only recourse, or else the medical 'conspiracy' will keep people from knowing the 'truth'. Chiros have to 'fight' to 'get the truth out' about chiropractic, everyone's (convinced/converted customers') help is needed in the form of support for chiro legislative initiatives.
Besides your biased view and choice of terms we are saying the same thing. Chiro's have convinced the public they are a good thing. You can disagree that this is the truth, that is an entirely different topic, but the fact is it is the public that is demanding Chiro's.
Joined: January 31, 2005
Jeep, my man, you're killing me.
Specific access to specific named providers is not legislated with a separate bill for any providers other than DCs. There is no "Tricare access to Neurologists" legislation, or "Tricare access to Dermatologists" act. Tricare benefits cover medical primary care (again, provider not specified - MD, DO, FNP,PA, etc) and specialty care (again, specific providers are not specified - there is no specific legislation covering specific named providers).
DCs are the only group who has specific legislation forcing their admittance into the healthcare system. Great job, by the way. Seriously. Tip my hat to the marketing and access programs you guys have going - they are top-notch. Some PTs are sore losers about this - not me. We can learn a lot from you guys about this sort of thing. And we are getting better.
Randy- While I agree with you in spirit about marketing, we should realize that more things people do, the more difficult it is to pigeonhole them into a specific activity. For example, ask anyone what a medical doctor does. What do you expect them to say? Would they know that there are specialties for certain kinds of physicians, or would they just think that all of them "prescribe drugs and do surgery and tests and stuff"? If you only do one thing, then it's not hard to get a reputation for it. Everyone knows what a one-trick pony does. I don't think, in the long run, this is a good thing, if a profession is to remain viable in the 21st century. I am sure the chiros who do rehab and treat extremities run into the "oh, can you do that?" sort of situation all the time. If chiroweb is any indication (and i'm not sure it is), there is a large segment of the DC community that looks down on their folks doing anything but subluxation correction. Practitioners trying to use evidence and rehab are called "medi-practors" and "chiro-therapists" and similar such names. It is a difficult situation, I'm sure. So I'm not sure their reputation as spinal manipulators only will really help the many excellent DCs who are trying to reach out for other things. I certainly would not like to be seen as an exercise instructor only!! :) J