You became a chiropractor to serve people, not an insurance company. You deserve to run a business that aligns with your values, supports your family and lights you up. Cash-based care isn’t just a pricing model – it’s a philosophy rooted in freedom, trust and respect for your patients and for yourself. Here's why - and how - to do it.
Preying on the Elderly?
While the number of spine surgeries has been on the increase, this is especially true for those 65 years and older. Consider the trend for low back surgery between 1979 and 1992:
Number of Low Back Surgeries per 100,000
| 1979 | 1992 | |
| Adults Under 65 | 113 | 152 |
| Adults 65 +Over | 51 | 188 |
SOURCE: Ciol MA, Deyo RA, Howell E, Kreif S. An assessment of surgery for spinal stenosis: the trends, geographic variations, complications, and reoperations. J Am Geriatr Soc 44:285-290, 1996.