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 Price of Medical Technology
The opening remarks of the monograph presented by the Quebec Task Force on Whiplash-Related Disorders1 included an interesting comment on medical technology as it relates to third-party reimbursement:
"Since World War II, there has been pressure to depend more on sophisticated technology. Such technology often goes through a trendy 'fad phase' and is not always subjected to rigorous scientific evaluation before its use becomes widespread. The price paid by society for such shortcomings is aggravated by procedure-oriented fee-for-service reimbursement schemes that reward 'doing' much more than 'thinking.'"Reference
1. Spitzer WO, et al. Scientific monograph of the Quebec Task Force on Whiplash-Related Disorders: Redefining "whiplash and its management." Spine 1995;8S:10S