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1970 — Editor’s note: The inclusion of a demonstration project for chiropractic services to Medicare recipients in the Medicare Prescription Drug Act of 2003 was another step forward in chiropractic’s fight for recognition. But the battle, and the sentiment behind it, has stretched out over several decades.

An Open Letter to the President of the United States
concerning the Inclusion of Chiropractors Service in Medicare

President Richard M. Nixon
The White House
Washington, D.C.

Dear Mr. President:

The second annual report of the Health Advisory Council to Congress dated October 23, 1970, is a matter of grave concern to the democratic process. In my opinion, this committee has exceeded their authorized responsibilities.

Chiropractic is valid!

Chiropractors have always known it. The medical profession knows it, but won’t publicly admit it. I would like to validate this claim as follows:

Journals of the medical profession are replete with articles reflecting increasing interest by the medical practitioner in the chiropractic premise. Only this month a seminar was held at the University of Iowa Medical School, taught by a physiotherapist, on the art and technique of spinal manipulation. The sad commentary is that those techniques taught are characteristic of techniques discarded by the chiropractic profession decades ago as being obsolete. This is not an isolated instance of the medial profession’s interest in the methods of chiropractic. Many such similar projects are being conducted currently in medical centers around the world.

Isn’t it ironic — the very profession castigating chiropractic on the one hand is immersing itself in chiropractic practices on the other, yet remaining some 40 to 50 years behind our work in the self-same field. I do not wish to make unvalidated statements and so include herein supportive evidence of my claims.

1. True Magazine, July, 1970, Vol. 51, No. 398. “Manipulation for Bad Backs?” “Can medical manipulation of the spine help lumbago — low back pain — when trouble stems from a ruptured disc? Apparently yes, according to a study at St. Thomas Hospital, London, England,” etc.

2. Daily Intelligence Journal, Lancaster, Pennsylvania, April 22, 1970. “Aching Back Cure Looms.”. “Current non-surgical treatments for comparatively less severe cases include bed rest, use of heat, muscle-relaxant, pain-killing drugs and manipulation — the later being mostly practiced by osteopathic physicians.”

3. Chicago Tribune, May 7, 1970. “Neck is Cause of Headache, Study Hints.” “They all had recurring headaches of the adult type without apparent cause. The scientists stretched their necks with gentle traction and produced lasting cures in 97 of them.”

4. In the New England Journal of Medicine as far back as February 22, 1945, Vol. 232, we find the following quote: “The best treatment for herniated discs will remain a subject for debate for some years to come. Conservative surgeons will continue to treat patients much along the same lines they have treated them in the past — physiotherapy, epidural injections, manipulation and so on.”

5. In February, 1952, James N. Wilson, MD, and Frederick W. Illfield, MD, Los Angeles, California, reported on a study of “Manipulation of the Herniated Disc,” but using rotary manipulative techniques that have not proven entirely satisfactory to the chiropractic profession and have been replaced by techniques proving to be more effective.

5. In April, 1961, O. Donald Chusman, MD, and associates reported on “A Study of the Results Following Rotary Manipulation in the Lumbar Intervertabral Disc Syndrome.” In this study, the effectiveness of manipulation was noted but admittedly not understood. The methods used were again those no longer approved by the chiropractic profession.

The point being made is that the chiropractic profession has never been studied by any government committee that had chiropractic representation on it. We have not even had the courtesy of a “peer” review by professional peers who were not hostile to chiropractic. All members of so-called study committees have been either medical personnel, paramedical personnel or members of satellite medical organizations. We, as a profession, resent the name-calling, the discourtesy and the very unprofessional attitude that has been the continuing diatribe against us for so long by the medical majority.

The second annual report of the Health Insurance Benefits Advisory Council (HIBAC) to Elliot L. Richardson, Secretary of Health, Education and Welfare has been transmitted to Congress. The committee reaffirms the claims of this letter that it is made-up of medical, paramedical and medical satellite personnel, but no chiropractic representatives. Some members of the HIBAC Committee are already known for their biased views of chiropractic without any real knowledge of what chiropractic is. The AMA has published widely their intent to destroy chiropractic. All members of the AMA are expected to fulfill their obligations to this parent organization. How can such people be objective in coming to a proper conclusion when they are already committed to actively eliminate chiropractic from the America scene? They could not be free agents even if they so desired.

We are really concerned about the outcome of chiropractic inclusion in the Social Security (Medicare) Bill and hope that these viewpoints will be of assistance in helping the Congress arrive at a fair, equitable and just conclusion.

Thanks for taking the time to read such a long letter. I feel it is necessary in this instance of such great injustice to a profession that has served the American public for 75 years. If quackery, how could it possibly have existed for so long and be acclaimed by so many that have enjoyed its benefits?

Very respectfully yours,
H. Ronald Forgley, DC, PhC
Vice President, Palmer College of Chiropractic
Davenport, Iowa.


 
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