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.
When I graduated from chiropractic college in 1981 and started practice, I heard it all, and very little was positive. “You are a quack; you do not know what a subluxation is; you couldn’t get into a real health care program, so you chose the one that is slightly above a mail-order degree; you have no proof that chiropractic works; Are you really licensed?”, and so much more.
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A central challenge in creating our identity is that chiropractic is a method of care, not a technique or procedure. This is an important concept for us to promote. Our patients are treated with lifestyle modification, exercise, nutritional supplements, diet and a whole-body approach to accelerate the natural healing process. We are not simply CMT providers.
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