From: Dr. Margolies .. 10-20-05
www.chirosmart.net
http://boards.chirosmart.net

Note: I am sharing the concern of a DC who replied to last weekıs e-mail message. This 
concern is real and should be an eye opener. You need to be more active within your state 
by first joining some state and national chiropractic association and by giving to your 
political action committees. If you are disgusted by politics then get involved in some way. 
Either you are part of maintaining the status quo or part of the solution. Read the doctors 
concerns at the bottom of this e-mail. Yes, we should just adjust and not dwell on the 
negative, but reality dictates that those who keep your license alive are few while the many 
that look the other way hope the floor doesnıt fall to far. 

Postings this week:

Practice for sale in Charleston, SC .. Associate needed in Pa .. DC available to work part 
time in Central New Jersey and Jersey shore .. Assistant seeking employment in an Atlanta 
medical/chiropractic office .. DC needs a chiropractic referral Herzliya, Israel area near 
Netanya .. Front Desk/Office manager needed for Sandy Springs, Atlanta DC office .. 
NSA Basic Seminar in Atlanta October 21- 23 .. For sale SAM Mark VIII .. DC wants to 
purchase two used stationary Zenith II 210 Hi Lo's or comparable tables .. For sale manual 
X-Ray developing dip tank

E-mail message this week .. Are you making a dent

I hope last weekıs message about politics and state laws left a lasting impression. If you 
havenıt read it, you can visit my webpage and look under Previous Postings and scroll 
down to Politically Incorrect. From all accounts, it did. I received a number of replies, 
some expressing concern about our professionıs future and our lack of solidarity, while 
others felt that we are on the right track. Suffice to say that we havenıt made the dent we 
need to be the first healthcare provider people seek, but enough of a dent to have a share in 
the healthcare bubble.

Across the board insurance companies are demanding more and giving providers less. Ask 
some medical professionals and see that they too are burdened with more paperwork, less 
payment and reduced care needed for their patients. Hospitals often take a substantial cut 
from the bills submitted. This is the nature of the times. If you want to survive in our 
profession you must make an individual dent. Create a niche within your community and 
practice. Survival requires creativity and an ability to follow a path towards your goals 
regardless of insurance issues or fears that others may dictate your life. There is no one but 
you responsible for your survival or financial future, choices and action are always in your 
hands.

Granted, some managed care providers inundate our office with paperwork creating a rift 
between us. Patients hate to fill out these forms and both of us must be creative to garner 
interest in allowable paid services. Even if tweaked, not much will change, less forms to 
fill and a visit or two extra without hassles, but overall the same. What can change and 
make a dent in your financial stability and success, is you. You can begin by examining 
your ability to provide extended services, within your philosophical boundaries, and your 
ability to tell the chiropractic story to the demographic pool within ten miles of your office. 
There is never a lack of new patients, just a lack of ability to reach them. Have you ever 
met a person that did not deserve, at least, a health and wellness enhancing chiropractic 
evaluation? No. Are you ready to meet and greet them, share your knowledge, provide 
sound and conservative advice, assist with their ergonomic or physically restraining needs, 
provide the service that may both help the new patient and hopefully their friends, family 
and co-workers? Are you ready to make a dent?

Doctor this is not pie in the sky. We both know doctors that are very successful because 
their level of commitment is higher than ours. Possibly they spend the resources to capture 
the minds of their community with public relations and marketing. Probably they have a 
strong team, all on the same page readying their office for the next in-house promotion, 
whether it be Thanksgiving, Valentines Day or some office or community event. They are 
ready to meet the challenge and provide the services that bring back patients and expand the 
practice with quality referrals. Do you have that commitment and team?

Make a dent.

Have a Great Day

Dr. M 

Postings:

Practice for sale in Charleston, SC:

Fully equipped 8 year practice, very low overhead, 1400 sq. ft. $550/month, profitable 
with collections over $200,000 in the last 12 months.  Everything inplace & included 
for success: patients, hundreds of patient files, equipment allin good working order with 
high frequency x-ray. Request a copy of the furnishing and equipment.  The doctor is 
retiring and will help stay for a smooth transition.  This is a wonderful opportunity for a 
SC licensed D.C. to own their office in the Charleston, SC area.  Price $135,000.Contact 
Dr. Allen at: 843-482-0611Cellular 843-810-0516

Associate needed in Pa:
Must be willing to learn. Call Dr. Sigafoose at: 717-225-6056

DC available to work part time in Central New Jersey and Jersey shore:
Reply to: kinter1@hotmail.com

Assistant seeking employment in an Atlanta medical/chiropractic office:

Experience in computer skills, medical billing, patient-care and patient planning/scheduling.  
Please contact at : onlyskyzthe_limit@yahoo.com or call 770-808-0046

Front Desk/Office manager needed for Sandy Springs, Atlanta DC office:

Must be computer literate and able to multi-task. Must love people and have a desire to 
make the world a better place. Please fax resume to 404 252 1007 or e-mail Dr. Steven at: 
drsaul@adjustcause.com

DC needs a chiropratic referral Herzliya, Israel area near Netanya:.
Patients email is: aes11@zahav.net.il

NSA Basic Seminar in Atlanta October 21- 23:
Register via: www.wiseworldseminars.com/pdf/bci_oct_new.pdf_ 

For sale SAM Mark VIII:

In great condition located in Philadelphia Suburb. Display panel and carrying case included 
$1400. Call 610-768-4559

DC wants to purchase two used stationary Zenith II 210 Hi Lo's or comparable tables:
Also two used stationary massage therapy tables. Reply to: chiro1king@aol.com

For sale manual X-Ray developing dip tank:

Located in NY. It is in perfect condition and has all hangers and accessories. It would be  
best for local pick up rather than shipping. I can send pictures if needed. 
Reply to: Whitestonechiro@aol.com priced to sell ASAP


Hi, Dr. M.

 I went to court for a PI patient against State Farm this year.  It was actually for a couple, 
and the bills came to less than 4K for the 2 of them.  The State Farm attorney jammed me 
on 97140 saying that myofascial work is massage and therefore out of our scope.  He also 
accused me of blatant disregard for the law because I admitted to treating whiplash induced 
TMJ by demonstrating home care to the patient by rubbing his internal pterygoids. Our 
scope law says we can't enter an orifice, y' know.

We won the case.  The judge found in our favor and the award was right in line with what 
our side asked for.  The attorney from State Farm walked up to me in the hallway with a 
smirk and said, "We will never pay you.  We will appeal forever."

The patients had no money to proceed and their attorney had no interest in continuing the 
fight "on contingency."  So, State Farm lost on paper, but not in fact.  And, to my 
knowledge, we can't do a thing about it.    

Our scope of practice law is going to be the absolute foundation for the future of this 
profession.  I wonder how many local DCs are even aware that a College of Osteopathic 
Medicine has recently opened in my state.  Every student is required to take "Manipulation" 
every semester.  Their clinical training room for learning to adjust has a large closed circuit 
TV over every table so the student can really see what the instructor is doing.  No expense 
has been spared.

Between the osteopaths, the highly organized and medically mainstreamed physical 
therapists, and the impressively ever more professional massotherapists, we are at a crucial 
crossroads.  Twenty years ago I watched my profession, professional counselors, get 
almost swept out of existence by the sudden assertion of social workers into the arena of 
psychotherapy.  Counselors were disorganized and at odds with one another because we 
came from so many differnent foundations, and psychologists saw us as unwelcome 
competition.  Social workers back then had virtually no training as therapists, 
but they were (1) highly politically organized, and (2) fully integrated into the medical 
system.  

Insurance started reimbursing for them better, and I watched well qualified, experienced, 
even doctoral level counselors let go again and again.  Soon social workers were taking lots 
of continuing ed programs in psychotherapy, and their curriculum was adjusted.   No one 
seemed to notice or care that they were being given a role for which they were terribly 
unprepared, while an entire group of highly prepared professionals was getting the shaft 
because they were too disorganized to fight it.  Social workers dominate the system to this 
day.   

I fear I'm going to see the same happen to chiropractic.   We MUST open our eyes to what 
is happening