As a Chiropractor, I have found many patients tell me that they love me. It is a wonderful thing to have happen when you are taking care of them and they really appreciate it. Millions of patients love their chiropractor and appreciate our unique and safe approach to recovery from pain. Significant research suggests that chiropractic is the safest approach available for relief from neck pain, back pain, headaches and other “musculo–skeletal” complaints.

Canada has a government-run national health care system. As occurred with Medicare in this country, there had been such pressure on the Canadian government to include chiropractic as a covered benefit, that the Ontario Ministry of Health hired a renowned heath care economist to make a recommendation. The first “Manga Report” was published in 1993. http://www.chiro.org/LINKS/GUIDELINES/FULL/Manga_Report_1993_COMPLETE.pdf

This comprehensive study reviewed all the published literature on low back pain and made some astounding suggestions. In a nutshell, it concluded that: chiropractic should be the treatment of choice for low back pain – excluding traditional medical care altogether!

The specific Findings of the report were:

  • There is an overwhelming body of evidence indicating that chiropractic management of low-back pain is more cost-effective than medical management

  • Many medical therapies are of questionable validity or are clearly inadequate

  • There is no clinical or case-control study that demonstrates or even implies that chiropractic spinal manipulation is unsafe in the treatment of low-back pain. Some medical treatments are equally safe, but others are unsafe and generate iatrogenic complications for LBP patients.

  • Chiropractic is more cost-effective. There would be highly significant cost savings if more management of LBP was transferred from medical physicians to chiropractors.

  • There is good empirical evidence that patients are very satisfied with chiropractic management of LBP and considerably less satisfied with physician management

The specific Recommendations were:

  • Chiropractic services should be fully insured under the Ontario Health Insurance Plan

  • Chiropractic services should be fully integrated into the health care system. Because of the high incidence and cost of LBP, hospitals, managed health care groups, community health centers, comprehensive health organizations, and health service organizations and long-term care facilities should employ chiropractors on a full-time and/or part-time basis

  • A good case could be made for placing chiropractic as the gatekeepers for all musculoskeletal complaints that presented to hospitals.

 

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