Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
Less 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.