Re: US Health Care Spending (LONG)

[Guest guest]

I couldn't aggree more... we do not have healthcare or health insurance, we have sick care and illness/injury insurance. Obviously, our bodies have the internal capability to renew, restore,and correct to a point (after so many cell divisions they die- cellular apoptosis). This is not a chiropractic philosophy, this is fact, but not all people have the same healing response or ability to maintain homeostasis, due to many factors including genetics, nutrition, exposure to toxins, past injury.... Supporting the body with proper nutrition, exercise, stress reduction, proper sanitation and the like has been a part of the chiropractic appoach since the beginning (and just improving sanitation has saved more lives than all the antibiotics prescribed!). But how do we take the next step, advocating regular adjustments to symptom-free individuals to improve wellness and delay the onset of degnerative disease? I know, "we don't treat symptoms, we treat the patient". But symptoms and signs guide care. That is why blood pressure is taken. That is why lab work is ordered and x-rays are performed. So what dictates wellness care? How do we as a profession quantify and identify in a consistent manner the vertebral subluxation complex? And how does the findings relate to health and wellness? I'm not asking for chiropractic scripture or borrowed science, I'm asking for specific scientific support of our approach to supporting the healing efforts of the body through chiropractic manipulation. How should we measure the VSC? Manual muscle testing? Motion-palpation? X-ray? DTG? EMG? Aura???? I personally evaluate segmental joint motion and muscle tone with motion palpation and palpation. I identify restrictions and restore segmental joint motion and improve global ROM with manipulation and mobilization, manual stretching and TrP compression. Do I improve global body health? I think so, but how do I know for sure? How do you know? And if current insurance covers injury or disease, not health maintenance, how can I encourage the patient to pay for care out-of-pocket without more support than "belief"?

In health!

Seitz, DC Tuality Physicians

730-D SE Oak St

Hillsboro, OR 97123

(503)640-3724 >From: cdc@... > >Subject: US "Health Care" Spending (LONG) >Date: Thu, 22 Jan 2004 16:18:59 EST > >Dear docs here is some food for thought................ >Most recent govt statistics (CMS 2003)show the following: >(Please take the time to try to digest this folks, this is not a cut and >paste, i wrote it myself and the info is actually pretty darned accurate): > >-USA Healthcare spending for 2002: $1.6 Trillion!! (equates to about $5500! >for every man woman and child in USA or $22,000/year for a family of four!) > >-This is the total amount of money spent on 'health care ' services. This >makes "health care" the largest industry (by far) in the United States. > >- This figure represents about 14.1% of the gross domestic product. In other >words, one out of every SEVEN dollars spent in USA ( by individuals, >bussiness, organizations and government) is spent on so-called "health care services". > >-Further breakdown shows that out of the 1.6 trillion- (hospital-based >services was 486 billion [30.4%], out-patient physician (MD/DO) services was 340 >billion [21%], out-patient drug costs are 162 billion [10%], the other 39% is >comprised of lots of different categories including PT, OT, home-health >services, hospice, dental, chiropractic etc etc. > >BTW the approximate total spending on chiropractic care is a whopping 12 >billion or approx 0.75% of all health care or approx $41.25 for every person in >USA/year!!! > > >-46% of the healthcare bill was paid by government mainly medicare and >medicaid (remember this money comes primarily from taxes). > >-35% of the bill was paid by private insurance. > >-15% was paid by individuals out-of-pocket > >-So, looking at that average of $24000/year spent for the family of four: > > -approx $3600 of the bill for health care is direct out-of-pocket >expense. > -approx $8400 is paid by insurance companies (remember, cost of >premiums are shared by individual and employer) > - approx $11000!!!! of their federal and state and other taxes goes >toward paying for healthcare (usually for someone elses). > >Folks this is outrageous!!!!!!!!!!!!! > >Here are my own personal conclusions: > >1) Despite what politicos are saying, we really dont' have a health care >crisis or a malpractice insurance premium crisis, or prescription-drug cost >crisis, or health insurance premium crisis. NO, WE HAVE A NATIONAL HEALTH CRISIS! >And the only solution, is for massive change in the belief and behavior of the >population! There is NO other solution to the economic choke hold that our bad >behavior has caused on our economy. > >2) Most of the money spent is spent on a few very sick folks (look at >hospital costs). Essentially taking them from the brink of death to a place where >they are "a few steps" away or a "stone's throw" from death, over and over again. > >3) Much of the money is spent, not on curing or healing but just on managing >a "condition" (look at how pharmaceutical usage has skyrocketed) > >4) Nationalizing health care is NOT going to solve this problem!!! Heck the >government already foots nearly half (46%)of the bill via our taxes!!!! >Medicare and medicaid are their biggest projects and they are both a disaster! > >4)Conservative and cost-effective chiropractic care is WAY UNDERUTILIZED, it >is a crumb under the table. (less than 1%) > >5) Chiropractors must strive to become leaders in a "thought revolution" in >the USA. We must hang tough to the traditional concept in chiropractic that >says "The power that made the body, heals the body." We must give people back the >faith in their bodies, minds and spirits, because the powers-that-be have >convinced them that the effort isn't worth it. We must be holisitic and lead by >example. We must live healthy lives ourselves and show each and every patient >what they are doing right and what they are doing wrong!! But it starts with a >belief system......most people don't have a clue what true health is.....they >think that health is the absence of medical conditions or abherrant lab >readings. This is just wrong, but this is what folks believe so this is what the >so-called "healthcare" industry has given them. > >6) No, there is no "health care" crisis. Because to have a health care crisis >you have to have a "health care" industry. In the USA, we don't have a health >care industry we have a "sickness-management" industry!! > >So, docs which industry are you a part of? The health-care industry >(emphasizing true health, self-responsibility, inspiring these people to get off the >duffs and change, wellness promotion etc) or the "sickness-management" industry >that grows and grows the more the nation's physical, mental and social health >declines?!?! > > > J. , DC >Springbrook Chiropractic > & Natural Health Center >1015 N. Springbrook Rd. >Newberg, OR 97132 >503-538-0618 >www.springbrookclinic.com >www.HealthyNewberg.com >SANITAS INNATUS EST > Get a FREE online virus check for your PC here, from McAfee.

[Guest guest]

Well put Dr. ,

and many thanks for the information.

Now, what do we do about it?

J. Pedersen DC

Sweet Home

US "Health Care" Spending (LONG)

Dear docs here is some food for thought................Most recent govt statistics (CMS 2003)show the following:(Please take the time to try to digest this folks, this is not a cut and paste, i wrote it myself and the info is actually pretty darned accurate):-USA Healthcare spending for 2002: $1.6 Trillion!! (equates to about $5500! for every man woman and child in USA or $22,000/year for a family of four!)-This is the total amount of money spent on 'health care ' services. This makes "health care" the largest industry (by far) in the United States.- This figure represents about 14.1% of the gross domestic product. In other words, one out of every SEVEN dollars spent in USA ( by individuals, bussiness, organizations and government) is spent on so-called "health care services".-Further breakdown shows that out of the 1.6 trillion- (hospital-based services was 486 billion [30.4%], out-patient physician (MD/DO) services was 340 billion [21%], out-patient drug costs are 162 billion [10%], the other 39% is comprised of lots of different categories including PT, OT, home-health services, hospice, dental, chiropractic etc etc.BTW the approximate total spending on chiropractic care is a whopping 12 billion or approx 0.75% of all health care or approx $41.25 for every person in USA/year!!!-46% of the healthcare bill was paid by government mainly medicare and medicaid (remember this money comes primarily from taxes).-35% of the bill was paid by private insurance.-15% was paid by individuals out-of-pocket-So, looking at that average of $24000/year spent for the family of four: -approx $3600 of the bill for health care is direct out-of-pocket expense. -approx $8400 is paid by insurance companies (remember, cost of premiums are shared by individual and employer) - approx $11000!!!! of their federal and state and other taxes goes toward paying for healthcare (usually for someone elses).Folks this is outrageous!!!!!!!!!!!!!Here are my own personal conclusions:1) Despite what politicos are saying, we really dont' have a health care crisis or a malpractice insurance premium crisis, or prescription-drug cost crisis, or health insurance premium crisis. NO, WE HAVE A NATIONAL HEALTH CRISIS! And the only solution, is for massive change in the belief and behavior of the population! There is NO other solution to the economic choke hold that our bad behavior has caused on our economy.2) Most of the money spent is spent on a few very sick folks (look at hospital costs). Essentially taking them from the brink of death to a place where they are "a few steps" away or a "stone's throw" from death, over and over again.3) Much of the money is spent, not on curing or healing but just on managing a "condition" (look at how pharmaceutical usage has skyrocketed)4) Nationalizing health care is NOT going to solve this problem!!! Heck the government already foots nearly half (46%)of the bill via our taxes!!!! Medicare and medicaid are their biggest projects and they are both a disaster!4)Conservative and cost-effective chiropractic care is WAY UNDERUTILIZED, it is a crumb under the table. (less than 1%)5) Chiropractors must strive to become leaders in a "thought revolution" in the USA. We must hang tough to the traditional concept in chiropractic that says "The power that made the body, heals the body." We must give people back the faith in their bodies, minds and spirits, because the powers-that-be have convinced them that the effort isn't worth it. We must be holisitic and lead by example. We must live healthy lives ourselves and show each and every patient what they are doing right and what they are doing wrong!! But it starts with a belief system......most people don't have a clue what true health is.....they think that health is the absence of medical conditions or abherrant lab readings. This is just wrong, but this is what folks believe so this is what the so-called "healthcare" industry has given them.6) No, there is no "health care" crisis. Because to have a health care crisis you have to have a "health care" industry. In the USA, we don't have a health care industry we have a "sickness-management" industry!!So, docs which industry are you a part of? The health-care industry (emphasizing true health, self-responsibility, inspiring these people to get off the duffs and change, wellness promotion etc) or the "sickness-management" industry that grows and grows the more the nation's physical, mental and social health declines?!?! J. , DCSpringbrook Chiropractic & Natural Health Center1015 N. Springbrook Rd.Newberg, OR 97132503-538-0618www.springbrookclinic.comwww.HealthyNewberg.com

SANITAS INNATUS ESTOregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Good post….

Practicing in a small community gives us

the advantage of seeing the obituaries for the

entire county ( our market

area). We do not see our patients listed very often, so, on this basis

chiropractic is beneficial……..

DrBob

W. Pfeiffer,D.C.;D,A.B.C.O.

P. O. Box 606

Pendleton,

Or. 97801

541. 276.2550

From: BRIAN SEITZ

[mailto:dcdocbrian@...]

Sent: Thursday, January 22, 2004

3:31 PM

Subject: RE: US " Health

Care " Spending (LONG)

I

couldn't aggree more... we do not have healthcare or health insurance, we have

sick care and illness/injury insurance. Obviously, our bodies have the

internal capability to renew, restore,and correct to a point (after so

many cell divisions they die- cellular apoptosis). This is not a

chiropractic philosophy, this is fact, but not all people have the same healing

response or ability to maintain homeostasis, due to many factors including

genetics, nutrition, exposure to toxins, past injury.... Supporting the

body with proper nutrition, exercise, stress reduction, proper sanitation and

the like has been a part of the chiropractic appoach since the beginning (and

just improving sanitation has saved more lives than all the antibiotics

prescribed!). But how do we take the next step, advocating regular

adjustments to symptom-free individuals to improve wellness and delay the onset

of degnerative disease? I know! , " we don't treat symptoms, we treat

the patient " . But symptoms and signs guide care. That is why

blood pressure is taken. That is why lab work is ordered and x-rays are

performed. So what dictates wellness care? How do we as a

profession quantify and identify in a consistent manner the vertebral

subluxation complex? And how does the findings relate to health and

wellness? I'm not asking for chiropractic scripture or borrowed science,

I'm asking for specific scientific support of our approach to supporting the

healing efforts of the body through chiropractic manipulation. How should

we measure the VSC? Manual muscle testing? Motion-palpation?

X-ray? DTG? EMG? Aura???? I personally evaluate

segmental joint motion and muscle tone with motion palpation and

palpation. I identify restrictions and restore segmental joint motion and

improve global ROM with manipulation and mobilization, m! anual stretching and

TrP compression. Do I improve global body h ealth? I think so, but

how do I know for sure? How do you know? And if current insurance

covers injury or disease, not health maintenance, how can I encourage the

patient to pay for care out-of-pocket without more support than

" belief " ?

In health!

Seitz, DC

Tuality Physicians

730-D SE Oak

St

Hillsboro, OR

97123

(503)640-3724 >From: cdc@...

> >Subject: US " Health

Care " Spending (LONG) >Date: Thu, 22 Jan 2004 16:18:59 EST >

>Dear docs here is some food for thought................ >Most recent

govt statistics (CMS 2003)show the following: >(Please take the time to try

to digest this folks, this is not a cut and >paste, i wrote it myself and

the info is actually pretty darned accurate): > >-USA Healthcare spending

for 2002: $1.6 Trillion!! (equates to about $5500! >for every man woman and

child in USA

or $22,000/year for a family of four!) > >-This is the total amount of

money spent on 'health care ' services. This >makes " health care "

the largest industry (by far) in the United States. > >- This

figure represents about 14.1% of the gross domestic product. In other

>words, one out of every SEVEN dollars spent in USA ( by individual! s,

>bussiness, organizations and government) is spent on so-called " health

care services " . > >-Further breakdown shows that out of the 1.6

trillion- (hospital-based >services was 486 billion [30.4%], out-patient

physician (MD/DO) services was 340 >billion [21%], out-patient drug costs

are 162 billion [10%], the other 39% is >comprised of lots of different

categories including PT, OT, home-health >services, hospice, dental,

chiropractic etc etc. > >BTW the approximate total spending on

chiropractic care is a whopping 12 >billion or approx 0.75% of all health

care or approx $41.25 for every person in >USA/year!!! > > >-46% of

the healthcare bill was paid by government mainly medicare and >medicaid

(remember this money comes primarily from taxes). > >-35% of the bill was

paid by private insurance. > >-15% was paid by individuals out-of-pocket

> >-So, looking at that average of $24000/year spent for the family of

fo! ur: >

> -approx $3600 of the bill for health care is direct out- of-pocket

>expense. > -approx $8400 is paid by insurance companies (remember, cost

of >premiums are shared by individual and employer) > - approx $11000!!!!

of their federal and state and other taxes goes >toward paying for healthcare

(usually for someone elses). > >Folks this is outrageous!!!!!!!!!!!!!

> >Here are my own personal conclusions: > >1) Despite what

politicos are saying, we really dont' have a health care >crisis or a

malpractice insurance premium crisis, or prescription-drug cost >crisis, or

health insurance premium crisis. NO, WE HAVE A NATIONAL HEALTH CRISIS! >And

the only solution, is for massive change in the belief and behavior of the

>population! There is NO other solution to the economic choke hold that our

bad >behavior has caused on our economy. > >2) Most of the money spent

is spent on a few very sick folks (look at >hospital costs). Essentially

taking them from the brink of death to a place whe! re >they are " a few

steps " away or a " stone's throw " from death, over and over

again. > >3) Much of the money is spent, not on curing or healing but

just on managing >a " condition " (look at how pharmaceutical usage

has skyrocketed) > >4) Nationalizing health care is NOT going to solve

this problem!!! Heck the >government already foots nearly half (46%)of the

bill via our taxes!!!! >Medicare and medicaid are their biggest projects and

they are both a disaster! > >4)Conservative and cost-effective

chiropractic care is WAY UNDERUTILIZED, it >is a crumb under the table. (less

than 1%) > >5) Chiropractors must strive to become leaders in a

" thought revolution " in >the USA. We must hang tough to the

traditional concept in chiropractic that >says " The power that made the

body, heals the body. " We must give people back the >faith in their bodies,

minds and spirits, because the powers-that-be have >convinced them that the

effort isn! 't worth it. We must be holisitic and lead by >example. We must

liv e healthy lives ourselves and show each and every patient >what they are

doing right and what they are doing wrong!! But it starts with a >belief

system......most people don't have a clue what true health is.....they

>think that health is the absence of medical conditions or abherrant lab

>readings. This is just wrong, but this is what folks believe so this is

what the >so-called " healthcare " industry has given them. >

>6) No, there is no " health care " crisis. Because to have a health

care crisis >you have to have a " health care " industry. In the USA, we don't

have a health >care industry we have a " sickness-management "

industry!! > >So, docs which industry are you a part of? The health-care

industry >(emphasizing true health, self-responsibility, inspiring these

people to get off the >duffs and change, wellness promotion etc) or the

" sickness-management " industry >that grows and grows the more the

nation's physical, mental and socia! l health >declines?!?! > >

> J. , DC >Springbrook Chiropractic > & Natural Health

Center >1015 N. Springbrook Rd. >Newberg, OR

97132 >503-538-0618

>www.springbrookclinic.com >www.HealthyNewberg.com >SANITAS INNATUS

EST >

Get a FREE online virus check for

your PC here, from McAfee.

OregonDCs

rules:

1. Keep correspondence professional; the purpose

of the listserve is to foster communication and collegiality. No personal

attacks on listserve members will be tolerated.

2. Always sign your e-mails with your first and

last name.

3. The listserve is not secure; your e-mail could

end up anywhere. However, it is against the rules of the listserve to copy,

print, forward, or otherwise distribute correspondence written by another

member without his or her consent, unless all personal identifiers have been

removed.

[Guest guest]

c'mon Dr Bob you're not in a small area!

Dr. Charlie Caughlin DC

155 NW 1st Ave

Day, Or 97845

off 541-575-1063

hm 541-575-1103

fax 541-575-5554

----- US " Health Care " Spending (LONG) >Date: Thu, 22 Jan

>

> 2004 16:18:59 EST > >Dear docs here is some food for thought................

> >Most recent govt statistics (CMS 2003)show the following: >(Please take the

> time to try to digest this folks, this is not a cut and >paste, i

> wrote it myself and the info is actually pretty darned accurate): >

> >-USA Healthcare spending for 2002: $1.6 Trillion!! (equates to

> about $5500! >for every man woman and child in USA or $22,000/year

> for a family of four!) > >-This is the total amount of money spent

> on 'health care ' services. This >makes " health care " the largest

> industry (by far) in the United States. > >- This figure represents

> about 14.1% of the gross domestic product. In other

> >words, one out of every SEVEN dollars spent in USA ( by individual! s,

> >bussiness, organizations and government) is spent on so-called " health care

> services " . > >-Further breakdown shows that out of the 1.6 trillion-

>

> (hospital-based >services was 486 billion [30.4%], out-patient physician

>

> (MD/DO) services was 340 >billion [21%], out-patient drug costs are 162

> billion [10%], the other 39% is >comprised of lots of different categories

> including PT, OT, home-health >services, hospice, dental,

> chiropractic etc etc. > >BTW the approximate total spending on

> chiropractic care is a whopping 12 >billion or approx 0.75% of all

> health care or approx $41.25 for every person in >USA/year!!! > > >-

> 46% of the healthcare bill was paid by government mainly medicare

> and >medicaid (remember this money comes primarily from taxes). > >-

> 35% of the bill was paid by private insurance. >

> >-15% was paid by individuals out-of-pocket > >-So, looking at that average

> of $24000/year spent for the family of fo! ur: > > -approx $3600 of

> the bill for health care is direct out- of-pocket >expense. > -

> approx $8400 is paid by insurance companies (remember, cost of

> >premiums are shared by individual and employer) > - approx

> $11000!!!! of their federal and state and other taxes goes >toward

> paying for healthcare (usually for someone elses). >

> >Folks this is outrageous!!!!!!!!!!!!! > >Here are my own personal

> conclusions: > >1) Despite what politicos are saying, we really

> dont' have a health care >crisis or a malpractice insurance premium

> crisis, or prescription-drug cost >crisis, or health insurance

> premium crisis. NO, WE HAVE A NATIONAL HEALTH CRISIS! >And the only

> solution, is for massive change in the belief and behavior of the

> >population! There is NO other solution to the economic choke hold

> that our bad >behavior has caused on our economy. >

> >2) Most of the money spent is spent on a few very sick folks (look at

> >hospital costs). Essentially taking them from the brink of death to a place

> whe! re >they are " a few steps " away or a " stone's throw " from death,

> over and over again. > >3) Much of the money is spent, not on

> curing or healing but just on managing >a " condition " (look at how

> pharmaceutical usage has skyrocketed) > >4) Nationalizing health

> care is NOT going to solve this problem!!! Heck the >government

> already foots nearly half (46%)of the bill via our taxes!!!!

> >Medicare and medicaid are their biggest projects and they are both

> a disaster! > >4)Conservative and cost-effective chiropractic care

> is WAY UNDERUTILIZED, it >is a crumb under the table. (less than 1%)

> > >5) Chiropractors must strive to become leaders in a " thought

> revolution " in

> >the USA. We must hang tough to the traditional concept in chiropractic that

> >says " The power that made the body, heals the body. " We must give people

> back the >faith in their bodies, minds and spirits, because the

> powers-that-be have >convinced them that the effort isn! 't worth

> it. We must be holisitic and lead by >example. We must liv e healthy

> lives ourselves and show each and every patient >what they are doing

> right and what they are doing wrong!! But it starts with a >belief

system......most

> people don't have a clue what true health is.....they >think that

> health is the absence of medical conditions or abherrant lab

> >readings. This is just wrong, but this is what folks believe so

> this is what the >so-called " healthcare " industry has given them. >

> >6) No, there is no " health care " crisis. Because to have a health

> care crisis >you have to have a " health care " industry. In the USA,

> we don't have a health >care industry we have a " sickness-

> management " industry!! > >So, docs which industry are you a part of?

> The health-care industry >(emphasizing true health, self-

> responsibility, inspiring these people to get off the >duffs and

> change, wellness promotion etc) or the " sickness-management "

> industry >that grows and grows the more the nation's physical,

> mental and socia! l health >declines?!?! > > > J. , DC

> >Springbrook Chiropractic > & Natural Health Center >1015 N.

> Springbrook Rd. >Newberg, OR 97132 >503-538-0618 >www.springbrookclinic.com

> >www.HealthyNewberg.com >SANITAS INNATUS EST >

>

> _____

>

> Get a FREE online virus check for <http://g.msn.com/8HMBENUS/2755??PS=>

> your PC here, from McAfee.

>

> OregonDCs rules:

>

> 1. Keep correspondence professional; the purpose of the listserve is

> to foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

>

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print,

> forward, or otherwise distribute correspondence written by another

> member without his or her consent, unless all personal identifiers

> have been removed.

>

> _____

>

>

[Guest guest]

Right Bob,

That rates right up there with KNOWING you cured most of your patients because they never returned to the clinic after the 1st treatment!

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

Please note " New address " 315 Second Street

Lake Oswego, OR 97034

503-635-6246

drscott@...

or

info@...

From: " DRBOB " <drbob@...>

Organization: PENDLETON CHIROPRACTIC CLINIC

Date: Thu, 22 Jan 2004 16:38:53 -0800

" 'BRIAN SEITZ' " <dcdocbrian@...>, < >

Subject: RE: US " Health Care " Spending (LONG)

Good postŠ.

Practicing in a small community gives us the advantage of seeing the obituaries for the

entire county ( our market area). We do not see our patients listed very often, so, on this basis

chiropractic is beneficialŠŠ..

DrBob

W. Pfeiffer,D.C.;D,A.B.C.O.

P. O. Box 606

Pendleton, Or. 97801

541. 276.2550

From: BRIAN SEITZ [mailto:dcdocbrian@...]

Sent: Thursday, January 22, 2004 3:31 PM

Subject: RE: US " Health Care " Spending (LONG)

I couldn't aggree more... we do not have healthcare or health insurance, we have sick care and illness/injury insurance. Obviously, our bodies have the internal capability to renew, restore,and correct to a point (after so many cell divisions they die- cellular apoptosis). This is not a chiropractic philosophy, this is fact, but not all people have the same healing response or ability to maintain homeostasis, due to many factors including genetics, nutrition, exposure to toxins, past injury.... Supporting the body with proper nutrition, exercise, stress reduction, proper sanitation and the like has been a part of the chiropractic appoach since the beginning (and just improving sanitation has saved more lives than all the antibiotics prescribed!). But how do we take the next step, advocating regular adjustments to symptom-free individuals to improve wellness and delay the onset of degnerative disease? I know! , " we don't treat symptoms, we treat the patient " . But symptoms and signs guide care. That is why blood pressure is taken. That is why lab work is ordered and x-rays are performed. So what dictates wellness care? How do we as a profession quantify and identify in a consistent manner the vertebral subluxation complex? And how does the findings relate to health and wellness? I'm not asking for chiropractic scripture or borrowed science, I'm asking for specific scientific support of our approach to supporting the healing efforts of the body through chiropractic manipulation. How should we measure the VSC? Manual muscle testing? Motion-palpation? X-ray? DTG? EMG? Aura???? I personally evaluate segmental joint motion and muscle tone with motion palpation and palpation. I identify restrictions and restore segmental joint motion and improve global ROM with manipulation and mobilization, m! anual stretching and TrP compression. Do I improve global body h ealth? I think so, but how do I know for sure? How do you know? And if current insurance covers injury or disease, not health maintenance, how can I encourage the patient to pay for care out-of-pocket without more support than " belief " ?

In health!

Seitz, DC

Tuality Physicians

730-D SE Oak St

Hillsboro, OR 97123

(503)640-3724 >From: cdc@... > >Subject: US " Health Care " Spending (LONG) >Date: Thu, 22 Jan 2004 16:18:59 EST > >Dear docs here is some food for thought................ >Most recent govt statistics (CMS 2003)show the following: >(Please take the time to try to digest this folks, this is not a cut and >paste, i wrote it myself and the info is actually pretty darned accurate): > >-USA Healthcare spending for 2002: $1.6 Trillion!! (equates to about $5500! >for every man woman and child in USA or $22,000/year for a family of four!) > >-This is the total amount of money spent on 'health care ' services. This >makes " health care " the largest industry (by far) in the United States. > >- This figure represents about 14.1% of the gross domestic product. In other >words, one out of every SEVEN dollars spent in USA ( by individual! s, >bussiness, organizations and government) is spent on so-called " health care services " . > >-Further breakdown shows that out of the 1.6 trillion- (hospital-based >services was 486 billion [30.4%], out-patient physician (MD/DO) services was 340 >billion [21%], out-patient drug costs are 162 billion [10%], the other 39% is >comprised of lots of different categories including PT, OT, home-health >services, hospice, dental, chiropractic etc etc. > >BTW the approximate total spending on chiropractic care is a whopping 12 >billion or approx 0.75% of all health care or approx $41.25 for every person in >USA/year!!! > > >-46% of the healthcare bill was paid by government mainly medicare and >medicaid (remember this money comes primarily from taxes). > >-35% of the bill was paid by private insurance. > >-15% was paid by individuals out-of-pocket > >-So, looking at that average of $24000/year spent for the family of fo! ur: > > -approx $3600 of the bill for health care is direct out- of-pocket >expense. > -approx $8400 is paid by insurance companies (remember, cost of >premiums are shared by individual and employer) > - approx $11000!!!! of their federal and state and other taxes goes >toward paying for healthcare (usually for someone elses). > >Folks this is outrageous!!!!!!!!!!!!! > >Here are my own personal conclusions: > >1) Despite what politicos are saying, we really dont' have a health care >crisis or a malpractice insurance premium crisis, or prescription-drug cost >crisis, or health insurance premium crisis. NO, WE HAVE A NATIONAL HEALTH CRISIS! >And the only solution, is for massive change in the belief and behavior of the >population! There is NO other solution to the economic choke hold that our bad >behavior has caused on our economy. > >2) Most of the money spent is spent on a few very sick folks (look at >hospital costs). Essentially taking them from the brink of death to a place whe! re >they are " a few steps " away or a " stone's throw " from death, over and over again. > >3) Much of the money is spent, not on curing or healing but just on managing >a " condition " (look at how pharmaceutical usage has skyrocketed) > >4) Nationalizing health care is NOT going to solve this problem!!! Heck the >government already foots nearly half (46%)of the bill via our taxes!!!! >Medicare and medicaid are their biggest projects and they are both a disaster! > >4)Conservative and cost-effective chiropractic care is WAY UNDERUTILIZED, it >is a crumb under the table. (less than 1%) > >5) Chiropractors must strive to become leaders in a " thought revolution " in >the USA. We must hang tough to the traditional concept in chiropractic that >says " The power that made the body, heals the body. " We must give people back the >faith in their bodies, minds and spirits, because the powers-that-be have >convinced them that the effort isn! 't worth it. We must be holisitic and lead by >example. We must liv e healthy lives ourselves and show each and every patient >what they are doing right and what they are doing wrong!! But it starts with a >belief system......most people don't have a clue what true health is.....they >think that health is the absence of medical conditions or abherrant lab >readings. This is just wrong, but this is what folks believe so this is what the >so-called " healthcare " industry has given them. > >6) No, there is no " health care " crisis. Because to have a health care crisis >you have to have a " health care " industry. In the USA, we don't have a health >care industry we have a " sickness-management " industry!! > >So, docs which industry are you a part of? The health-care industry >(emphasizing true health, self-responsibility, inspiring these people to get off the >duffs and change, wellness promotion etc) or the " sickness-management " industry >that grows and grows the more the nation's physical, mental and socia! l health >declines?!?! > > > J. , DC >Springbrook Chiropractic > & Natural Health Center >1015 N. Springbrook Rd. >Newberg, OR 97132 >503-538-0618 >www.springbrookclinic.com >www.HealthyNewberg.com >SANITAS INNATUS EST >

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