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 ExclusiveComparing 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.