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Posted on Jun 29, 2018
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Dr. William E. Morgan Awarded Keeler Plaque as Texas Chiropractor of the Year
AUSTIN, JUNE 12 – The Texas Chiropractic Association is pleased to announce that William E. Morgan, DC, of Dallas was awarded the 2017-18 Keeler Plaque. The Keeler Plaque is the most prestigious award presented to a Doctor of Chiropractic in Texas. Established in 1934 by Dr. Clyde Keeler, this award recognizes the chiropractor of the year in Texas. Nominees must be in good standing in TCA, of good moral character and must have promoted the advancement of chiropractic in Texas through research, public relations, school participation, promotion or support. Dr. Morgan is the president of Dallas-based Parker University and previously was recognized by TCA with the 2016-17 Board of Directors Award for his service to TCA and the Texas chiropractic community. “From the moment Dr. Morgan arrived on the Parker campus, he has been a key supporter of TCA,” said TCA President Devin Pettiet, a chiropractor in Tomball, Texas. “Dr. Morgan’s contributions have been significant, from testifying at hearings at the Texas Capitol during the 2017 Texas Legislative Session to galvanizing Parker students, faculty and alumni to advocate for the rights of Texas chiropractors and get involved in TCA. He’s pledged his time, expertise and the college’s resources to make chiropractic in the Lone Star State stronger. We admire his passion and commitment. Dr. Morgan is a worthy recipient of the Keeler Plaque.”
AHCA: House Votes to Repeal and Replace the ACA
The AHCA has once again been proposed, with some amendments, and has now passed the house of representatives. What does this version of the AHCA propose to do?
The House of Representatives voted 217-213 to repeal and replace the Affordable Care Act (ACA) with a revised version of H.R. 1628, the American Health Care Act (AHCA). The measure now heads to the Senate. Reaction to the vote from the healthcare community was swift and negative.
Here are key elements of the bill:
• Ends the tax penalty against people without coverage.
• Ends the Medicaid expansion funding.
• Changes Medicaid from an open-ended program to one that gives states fixed amounts of money per person.
• Replaces the ACA's cost sharing subsidies based mostly on consumers' incomes and premium costs with tax credits that grow with age.
• Repeals extra taxes on the wealthy, insurers, drug and medical device makers.
• Consumers who let their coverage lapse for more than 63 days in a year would be charged 30% surcharges to regain insurance. This would include people with pre-existing medical conditions.
• State waivers would allow insurers to charge older customers higher premiums.
• States get $8 billion over five years to finance high-risk pools that cover those with pre-existing conditions.
• States get $130 billion over a decade to help people afford coverage.
• Keeps ACA provision that children can remain on their parents' insurance plans until age 26.
The AHCA would eliminate the taxes and mandates that financed the ACA -- including the individual and employer mandate penalty -- allow insurers to charge older adults and young people less, and replace subsidies based on need with flat tax credits based primarily on an age. Over time, the plan would repeal the Medicaid expansion and put a ceiling on the entitlement program by shifting its structure to a per-capita block grant, which would increase as enrollee size increases. The bill would also freeze federal funding for Planned Parenthood.
The original AHCA bill was scheduled for a vote on March 24, but it was pulled at the last minute by House Speaker Paul Ryan (R-Wisc.) after he determined he did not have enough votes to pass it. Since then, Republicans made several changes to their bill.
• An amendment by Rep. Tom MacArthur (R-N.J.) that would allow states to opt out of requiring insurers to cover the ACA's list of "essential health benefits"; instead, states could develop their own lists of what benefits they considered essential. The amendment also would allow states to charge more for 1 year to patients with pre-existing conditions if they have been without insurance coverage for 63 days or more.
• An amendment by Reps. Fred Upton (R-Mich.) and Billy Long (R-Mo.) that would provide states with an extra $8 billion over 5 years to set up high-risk pools to cover patients with high costs due to pre-existing conditions, in addition to the $130 billion already in the bill that states could use for that purpose.
• An amendment by Rep. Martha McSally (R-Ariz.) to prevent members of Congress from being exempted from the AHCA. The AHCA originally exempted Congress members from being affected by state waivers.
Evidence Based Chiropractic Care
Written by Editor
Wednesday, April 18, 2018 03:43 PM
On March 21st, 2018, The Lancet published a series of studies on lower back pain and once again chiropractic is shown to be very effective with the number one reason that patients seek chiropractic care. What we do in our office ranks very high as far as value while many of the common medical procedures rank very low.
The TCA has put together a short synopsis of the recent Lancet lower back pain studies that we hope you will share with your local primary care physicians, nurse practioners and physicians assistants.
The studies found that:
• Lower Back pain is the most disabling disease in the world. It has risen 54% since 1990.
• The first choice of therapy should be non-pharmacological care such as spinal manipulation, exercise, acupuncture, and massage.
• Some therapies to avoid: bedrest, opioids, epidural spinal injections, spinal fusion surgery.
• Imaging should occur only if the clinician suspects a specific condition that would require different management for lower back pain.
Please share the information from these medical findings in The Lancet.
• What low back pain is and why we need to pay attention
• Prevention and treatment of low back pain: evidence, challenges, and promising directions
• Low back pain: a call for action
The TCA has also generated a sample letter that you might use when distributing this information to the medical community:
View TCA Synopsis letter in pdf
Download TCA Synopsis letter in Word
TCA has also developed a powerpoint presentation that may be used. A pdf version of this power point is available:
View pdf of Powerpoint
Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States
Chiropractic care has been reported to have effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Over the past 2 decades, large public sector health care delivery systems in the United States, including the Department of Defense and Department of Veterans Affairs (VA), have integrated chiropractic care into their offered services.
Private sector medical settings, ranging from small primary care clinics to large health care systems in the United States, have introduced chiropractic care. A survey by the National Board of Chiropractic Examiners Practice Analysis of Chiropractic reported that 9% of doctors of chiropractic (DCs) practice in settings other than chiropractic offices, including 7.8% who work in an “integrated health care facility,” with 3.6% of those surveyed identifying that they hold hospital staff privileges.
A recent study was conducted to describe the demographic, facility, and practice characteristics of doctors of chiropractic (DCs) working in private sector health care settings in the United States.
The response rate was 76%. Most respondents were men and mid-career professionals with a mean 21 years of experience in chiropractic. Doctors of chiropractic reported working in hospitals (40%), multispecialty offices (21%), ambulatory clinics (16%), or other (21%) health care settings. Most (68%) were employees and received salary compensation (59%). The median number of DCs per setting was 2 (range 1–8).
Most DCs used the same health record as medical staff and worked in the same clinical setting. More than 60% reported co-management of patients with medical professionals. Integrated DCs most often received and made referrals to primary care, physical medicine, pain medicine, orthopedics, and physical or occupational therapy. Although in many facilities the DCs were exclusive providers of spinal manipulation (43%), in most, manipulative therapies also were delivered by physical therapists and osteopathic or medical physicians. Informal face-to-face consultations and shared health records were the most common communication methods.
The study concluded that doctors of chiropractic are working in diverse medical settings within the private sector, in close proximity and collaboration with many provider types, suggesting a diverse role for chiropractors within conventional health care facilities.