Financial pressure, enrollment declines and institutional challenges are emerging at several U.S. chiropractic colleges. Life Chiropractic College West's and Life University's struggles may be the most talked about but appear to be part of a larger story. And with recent USDE requirements threatening to hamstring federal student financing for DC degree programs, chiropractic education is facing questions for which it has no immediate answers.
| Digital ExclusiveLess Medicine, More Surgery
The conventional paradigm for treating neck and back problems is medical treatment (usually drugs), and/or surgery. A recent study found a sharp decrease in medical treatment, but an alarming increase in surgery:
Hospital Admissions (per 100,000 adults) for Medically Treated and Surgically Treated Neck and Back Problems
| Medical Treatment | 1982 | 1987 | 1992 |
| Ontario | 242.8 | 180.2 | 117.1 |
| U.S. | 586.3 | 383.6 | 143.7 |
Surgically Treated
| Ontario | 72.1 | 72.4 | 82.3 |
| U.S. | 160.5 | 194.1 | 217.2 |
The researchers suggest that "higher admission rates for surgery in the U.S. may reflect a larger supply of surgical specialists and imaging units."
------------------ SOURCE: Lavis JN, Anderson GM, Taylor VM, Deyo RA, Bombardier C, Axcell T, Kreuter W. Trends in hospital use for mechanical neck and back problems in Ontario and the United States: discretionary care in different health care systems. Can Med Assoc J 1998;158:29-36.