Dr. Boothby

[Guest guest]

I would like to submit your latest post at the OBCE meeting on March

16, 2006 as a perfect reason why the Board should not make changes

to the Clinical Justification rule. If you don't feel comfortable

giving me permission to use this post, I will be happy to remove all

personal identifiers when I present it to the board on the 16th.

The last paragraph of your post states, " The clinical rational rule

states that you can use the rational that supports what is described

in our current scope of practice. If there is a problem then peer

review will have every opportunity to grill any doctor who receives

a complaint about their care or rational and can compare their

rational to any standard they want to. Its all in the CR rule " .

This is what both embarrasses and frightens me about your submission

regarding changes to the Clinical Justification rule.

Being a highly educated person, you should be able to easily

understand, that if this paragraph explains your true intent, it

could result in the demise of our wonderful profession. Allowing

someone to " compare their rational (sic) to any standard they want

to " would open the flood gate to unproven forms of care, exposing

patients to extreme danger as long as the care they were receiving

was taught in a seminar somewhere, and the doctor could rationalize

it to any standard he or she wanted.

There is a huge difference between trying to rationalize something

and having to justify it. We can't allow our profession to be taken

back to an era when " anything goes. " We have fought too hard in

our quest to make chiropractic a well-respected and accepted form of

health care to allow it to be disgraced by people who want to treat

patients with unsafe, unproven, and ineffective forms of care. And

we can't expect others to pay for this unsafe, unproven, and

ineffective care, just because it fits into the standard of care the

doctor " wants it to. "

These are just my thoughts, but I believe I speak for many.

Grice, DC

Albany, OR