The HEAL saga of 1991 has become the HEAL saga of 1991-1992. Since my last report on the HEAL issue (see "HEAL Saga," parts I & II in January 17 and January 31, 1992 issues), to the drafting of this update, nothing has changed regarding reauthorization of the program by Congress. As it stands today, the House has passed their version and the Senate theirs; neither body has appointed conferees to resolve the differences.
We can however report on the attitudes expressed by key legislators and key staff persons. Their mood has changed dramatically. They are being more sensitive to the problems that the 'tiering' process has created for the chiropractic profession. We detect a definite sense that many in the legislative process believe we have been dealt with unfairly and in a discriminatory fashion, whether intended or not.
Relief will appear in the form of a House/Senate conference to resolve the differences in the bills. The next step will take it back to each body for a vote and then on the president. Once this phase has been completed, the supplemental appropriation process (for fiscal year 92) and reappropriation process (fiscal year 93) take center stage.
The colleges did receive some help since my last report. The Association of Chiropractic Colleges was notified that approximately $11.5 million of loan authority was returned to the Bureau of Health Professions (BHP). BHP in turn offered the authority to tier III and tier IV lenders who had a history of lending to chiropractic students. Based on reports from individual colleges, $6-8 million of the total amount was directed to chiropractic students.
The chiropractic profession can look forward to being joined by fellow travelers from many disciplines as the entire program is days to weeks from exhausting all available funding for FY 92 ($290 million). The problem will no longer be a chiropractic problem but will become a health care education problem.
Congress has certainly had plenty on its collective mind lately, but that does not relieve us of the duty to be diligent and to continue to let our needs and desires be known. This is an election year, and oddly enough, lawmakers seem a little more open to input at these times. If you haven't written your representative and or senators please do so. Let them know we need some movement on the issue and some relief during this difficult time.
Gerard Clum, D.C.
San Lorenzo, California
When sports chiropractors first appeared at the Olympic Games in the 1980s, it was alongside individual athletes who had experienced the benefits of chiropractic care in their training and recovery processes at home. Fast forward to Paris 2024, where chiropractic care was available in the polyclinic for all athletes, and the attitude has now evolved to recognize that “every athlete deserves access to sports chiropractic."
It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
