Because they have yet to pass national legislation protecting the chiropractic profession, Japanese DCs are in a similar situation that U.S. DCs faced. We were fortunate enough to be able to pass chiropractic licensure state by state. The DCs in Japan must accomplish this nationally, which has proved to be an extremely difficult task. And in spite of their efforts, Japanese DCs are currently faced with two chiropractic professions.
Interesting Quotes
Give 'em a Pill
"The physician would rather please the patient who expects an antibiotic than not use the drug."
-- Dr. William Hueston Primary investigator in a study comparing the use of antibiotics in fee-for-service vs. HMOs.
As quoted in Managed Healthcare, October 1997.
Long-Term Failure Rates
"Long-term failure rates after operations for back pain are as high as 30% for lumbar arthrodesis and 37% for discectomy."
Source: To reoperate or not? Spine Letter, Volume 4, Number 3.
Cut It Again Sam?
"The risk for subsequent reoperation on the lumbar spine after a lumbar disc operation seems higher than previously assumed. This should be taken into account when sharing information with the patient about the postoperative prognosis."
-- Seppo Seitsalo,MD, noted researcher quoted in The Back Letter, Volume 12, Number 8, 1997
Slowing Cost of Health Care
"Over the longer run, managed care could be far more potent - if it changes fundamental forces driving costs. Managed care can't delay the aging of the baby boom. But there are hints it may be slowing cost increases but raising uncomfortable questions."
Health-Cost Trims Hold Inflation Down. David Wessel, Wall Street Journal, June 30, 1997.