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.
Comparing Chiropractic
Of the more than $35 billion dollars spent on ambulatory, nonphysician (non-MD) services in 1987, chiropractic accounted for almost 10 percent. But for that money, chiropractors provided over 17 percent of the total patient contacts:
TWO PIE CHARTS
Nonphysician Ambulatory Services
Expenditures: Nursing - 16.6%
Lab - 20.8%
Physical Therapy - 13.3%
Speech Therapy - .9%
Mental Health - 9.6%
Optometry - 1.2%
Chiropractic - 9.8%
Podiatry - 2.5%
Other - 25.3%
Patient Contacts:
Nursing - 17.3%
Lab - 6.6%
Physical Therapy - 7.4%
Speech Therapy - 1.2%
Mental Health - 9.8%
Optometry - 1.1%
Chiropractic - 17.6%
Podiatry - 2.6%
Other - 36.4%
How is it that physical therapy accounted for over 13 percent of the $35 billion, while only providing about 7 percent of the services, while chiropractors accounted for less than 10 percent of those dollars and providing over 17% of the services?
----------------- SOURCE: Nichols, L. Nonphysician health care providers: use of ambulatory services, expenditures, and sources of payment (AHCPR Pub. No. 96-0013). National Medical Expenditure Survey Research Findings 27. Agency for Health Care Policy and Research, Rockville, MD: Public Health Service, Jan. 1996.