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.
I.Q. -- Interesting Quote
The Fallacy of Managed Care
Although the whole purpose of managed care has been to tame the ever-increasing costs of health care, some providers claim that goal has not been reached. The recent issue of Medical Products Sales, the official journal of the Health Industry Distributors Association, featured several articles regarding managed care and the changing nature of health care itself.1 One article quotes consultant Henry Golembesky, MD, who asserted his belief that managed care has failed to bring about any cost-saving changes in how doctors treat patients:
"Managed care cost controls are a fallacy and [have done] nothing but teach physicians what they need to say to get what they want for the patient. They haven't taught us how to be more cost-effective or how to treat people for good outcomes at a good price."Perhaps it's time once again for the health care industry to reassess patient care.
Reference
1. Medical Product Sales, April 1995, Vol. 26 , No.4.