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.
The State of Global Chiropractic: Unfulfilled Opportunity?
A new survey of the global chiropractic workforce by the World Federation of Chiropractic reveals "a significant lack of provision in low- and middle-income countries" and "that of the 48 educational institutions offering chiropractic programs, the majority [are] in high-income countries."
"With low back pain being the biggest single cause of years lived with disability and an increasing ageing population, it is clear that there is a shortfall in the numbers of health workers globally who are trained to effectively manage spinal pain and disability," said WFC Secretary-General, Richard Brown.
An article in the World Health Organization's Bulletin supports Brown's comments, discouraging opioid use for back pain and advocating nondrug options ... but also warning of the lack of health system support for chiropractic and other nondrug therapies. So, the world needs more chiropractic ... but isn't filling the need. Something has to give.