dras knowledge

Wednesday, August 04, 2004

You're ignorant if you don't understand Chiropractic philosophy

After watching for a few weeks I see more response from disgruntled chiropractors than anyone else.

I am sure that there are those out there that will never agree with what I say, but that is just due to ignorance on their part, (I don't mean that in a mean way) that is just human nature and that doesn'thave an affect me.

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I know nurses who have become disgruntled or leave because most of Nursing didn't turn out to be like the many preconceptions they had when applying to nursing school. Seldom do they turn on the profession. However, seems those leaving a religion will often turn on it. That might be a discussion for another time.

Is it ignorance, or a conscious decision to focus from a different point of view?
I understand that a placebo effect may be influential in even the majority of remedies. Placebo effect is often attributed to very strong psychological, sociological, and spiritual factors keyed into the conscious and subconscious that will have huge impacts on health and well-being. Since I cannot in surety or accurately control these factors, I simply attempt to account for them in an analysis of the treatment of wellness or disease. In doing so, and despite this placebo effect, I can expect to reasonably be able to predict health outcomes of any given intervention. Or, at least predict it well enough to establish an idea as to whether or not the intervention is worthwhile compared to other alternatives.

In my mind, being able to predict that something is going to benefit is important, not only for ethical and quality-of-care reasons but for financial reasons as well. Now, I'm sure there is much in medical practice that has not proven itself "scientfically" this way, but in most cases these interventions seem to be comparatively worthwhile based on what is understood, and they are widely accepted practice.

Many of the specific interventions (outside adjustments) that I am used to seeing chiropractors practice fall well short of being predictably worthwhile. Before I can agree that adjustments/protocols are worthwhile, I need to know how such treatment might compare to anything else we might try. Since I cannot understand Chiropractic philosophy and subluxation empirically, I am almost obligated to consider adjustments/protocols to be in a realm associated with the placebo effect. In making that association, it may become essential to make study comparisons with not only other medical interventions, but perhaps psychological interventions, psychosocial interventions, and/or spiritual counseling.

I agree that sometimes it is better when we do not attempt to compartmentalize separate treatment of the body, from the mind, from the soul. Yet, this understanding does not validate Chiropractic philosophy within medicine. That is because Chiropractic does not have the corner on the market in the respect that it's adjustment based modalities contribute to health and well-beng. I do not doubt the contributions a devoted chiropractor makes in the community, nor the positive impacts in the lives of individuals through the practice of chiropractic. The same way I do not doubt the similar contributions and individual positive influences a dedicated Pastor or Priest might have. Or, how about a massage therapist, physical therapist, a compassionate hairdresser, a spa membership, a stress reduction course, or any of these in combination?

One obvious empasse has to do with socialized healthcare coverage that our society uses. If we collectively pay Chiropractors for the good they do for someone's health, we must also consider payments for Pasters, Priests, massage, hairdressers or anyone or any idea that proves it benefits someone's health. We attempt to gauge which proposition for health or wellness has better predictability and will be more worthwhile, and then limit payment accordingly, not only to preserve resources for true medical emergencies, but to prevent abuse of the payment system by those who would engage in fraud.

-dras

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