James D. Edwards, DC
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve. In fact, on many occasions since 9/11, I have looked somewhat goofy sprinting down an airport terminal to thank a veteran wearing a military service cap, or a man or woman in uniform.1
Having said that, on June 7, 2018, I was delighted to watch on television as President Trump signed the "VA Mission Act" into law. My good friend and strong chiropractic / veterans supporter, Kansas Senator Jerry Moran, stood behind him, and the president turned around to shake his hand in congratulations for his work on the bill.
Community Care for Vets
After the bill became law with the president's signature, I decided to research it and see exactly what it will do. Without getting into all of the details, here is the thumbnail sketch of why this new "community care" law is so important to veterans ... and doctors of chiropractic.
The new law states on page 1 (with italicized emphasis included in the statute), "This section requires access to community care if VA does not offer the care or services the veteran requires." As a result, veterans will have the ability to access private practitioners if the VA does not offer the treatment or service that is needed. The way I see it, that means if the patient needs a treatment or service not offered by the VA (such as laser therapy, decompression therapy, etc.), the vet can access a private "community care" health provider – like yourself – to obtain those needed services and be reimbursed for them.
How Else Can a Veteran Access Community Care?
- If the VA does not operate a full-service medical facility in the state in which a veteran resides.
- If the veteran was eligible for care in the community under the 40-mile rule in the Veterans Choice Program and meets certain other criteria.
- If the VA is not able to furnish care within the designated access standards established by VA.
- If the veteran and the veteran's referring clinician agree that furnishing care or services in the community would be in the best medical interest of the veteran after considering criteria.
Dovetailing With the Opioid Crisis If that was not enough, the new law references the opioid crisis seven times; yes, the crisis killing 175 Americans every day and about which I have twice written columns.2-3 If that doesn't make this new law a win for veterans, a win for the chiropractic profession by being reimbursed for VA services, and a win for veterans who can choose safe and effective chiropractic care instead of opioids, I don't know what does. That Was Then, This Is Now It was my greatest honor to serve as ACA chairman in 2003 when the 107th Congress authorized chiropractic care for our veterans; and then watch the law being implemented by attending every meeting of the two Veterans Administration Chiropractic Advisory Committees.4-5 But this new expansion for veterans is also a big deal because in many cases, it will offer veterans the opportunity to choose the "community care" doctor they want to see and receive the type of treatment recommended by that doctor! References - Edwards J. "Thanks for What You Do!" Dynamic Chiropractic, Dec. 17, 2006.
- Edwards J. "The Opioid Crisis: It's Time We Stand and Fight." Dynamic Chiropractic, October 2017.
- Edwards J. "The Opioid Crisis: Let's Roll!" Dynamic Chiropractic, June 2018.
- Edwards J. "B.J. Would Be Proud!" Dynamic Chiropractic, Nov. 30, 2003.
- Edwards J. "Scoring Touchdowns From the 5-Yard Line!" Dynamic Chiropractic, Oct. 20, 2003.
Diagnosis & Diagnostic Equip
While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
Ken Kaufman, DC
The New Jersey Board of Chiropractic Examiners has made a precedential decision, concurring with the Association of New Jersey Chiropractors' (ANJC) position paper on chiropractic X-ray guidelines. In plain terms, the board ruled, consistent with the ANJC position, that insurance companies cannot use medical X-ray rules or recommendations, like those written by the American College of Radiology (ACR), to decide whether a chiropractor's X-ray was necessary. | Digital Exclusive
Jeff Randolph, Esq.
For decades, chiropractors have been told the answer to more professional referrals is simple: educate medical doctors about chiropractic. There is some truth in that advice; but it is also incomplete. The modern challenge is not simply getting another healthcare professional to know that chiropractors exist. It is becoming the kind of clinician (and building the kind of professional relationship) that makes collaboration easy and sustainable. | Digital Exclusive
Dynamic Chiropractic Staff
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