I think that a number of new dedicated doctors .. especially those that wish to hold the philosophical line and never compromise principal do so because others have influenced them and therefore their income and community may suffer. Keeping your purpose and goals alive .. whether straight or mixer .. has one thing in common and that is getting the chiropractic message out to others and providing a service unduplicated in Healthcare. Below is an e-mail from a young DC after my 5-17-01 e-mail concerning a Personal Injury Practice. Dr. M I respect your position however I disagree. I think PI work puts the chiropractor in a position of diagnosing and making assumptions he or she has no way of knowing without taking care of the person before and really has no way of knowing anyhow. Any clinical decision is medical. I prefer to adjust for subluxation only, let them pay me and they can try to submit the claim. If asked I will explain what I did as a chiropractor and can not make judgement as to the extent of injury or if it preexisted other than that the patient told me he was injured in an accident and sought care. I will no longer play God and suggest I know permancey of injury or if it even existed. The only aspect I can vouch for is that the member was misaligned at time of service and I adjusted that person to the best of my ability. Enuf said....... P.S. - If we really want to teach them about chiropractic we need to let them know to be adjusted accident, injury or otherwise. P.P.S.- This is only my opinion. I respect your right to practice as you wish and do enjoy your forum very much. I guess we can agree to disagree.....no? Now my reply: Thanks for the e-mail. As you may know .. I receive a boat load of e- mails from DC's worldwide requesting assistance concerning various aspects of practice management .. personal concerns .. and just trying to make a living with this great gift we inherited .. Chiropractic. It is not my place to bicker and split hairs about semantics or philosophy .. after two years at Sherman weaned on Reggie .. Easy .. Joe .. Irene and others .. I left there a warrior and planted the best seeds I can within the next year and a half at the infant called Life College. I paid my philosophical dues and can debate with the best of them. Therefore .. in the theme of my e-mail newsletter forum .. I plan always to be apolitical so that my message can reach all. For sure .. I am not here to lecture new recruits who are not even wet behind the ears .. as their enthusiasm is the motor they drive with .. so just let it keep humming. Just to reply to your e-mail .. there is no justice in business failure and no award given for foolish business mistakes. Philosophy and cherished words have nothing to do with making a decent living by providing an ethical and responsible service for an equitable fee. No one asked the other to carry on tradition from weakness and every battle require funds to carry on .. therefore what I read within the words and phrases you write is a badge of respect for your elders and the battles they fought .. just keep up the spirit but realize that even they adjusted and determined where and when to do so .. call it what you will but unless they used a crystal ball they surely used their educated mind to apply the educated force because their educated decision to do so would assist the innate of others to correct whatever needed to be. ICA .. WCA .. ACA are just letters but the depth behind these organizations are just educated people applying group energy for a goal and purpose. But never let them or others have you lose sight of the purpose of chiropractic .. it is not meant to be held behind shackles and bars of shortsightedness .. it was not meant to be denied to those that need an adjustment .. it was not given to any one or group of guardians or overly enthusiastic promoters .. as a protected product .. no .. it is a learned and skilled art where science and philosophy meet for the fulfillment of others. We may bicker on many issues including using adjunctive therapy and terminology .. but the adjustment is sacred and is the only thing that separates us from others. Some use instruments while others prefer light force .. some blocks and others depth charges of force to get the job done. Oh .. you never diagnose .. okay .. let's see .. you analyze .. whatever .. if you decided which side to adjust .. which force to apply .. what angle to approach and had the audacity to have the patient (for lack of a better word) return for similar care .. you went far beyond letting innate guide you .. you made an educated decision and therefore helped the person you tended to become further whole .. that's what it's all about. Never stop this flow .. if insurance helps people be seen by you .. use it. If they come in after a collision and need care the most .. adjust them .. If they cannot afford to pay per visit because you make them pay full fee per service (hopefully not a free or nearly free fee) and therefore are denied their adjustments .. who will be guilty for this .. the philosophy or the doctor. Oh .. you should not place a fee on such a valuable commodity as an adjustment .. is it any less a commodity than a house to shelter you .. food to nourish you or vehicles that get you around .. last I saw only the homeless and destitute were wanting .. others try to pay for their services proudly. If charity is necessary by all means open a FREE clinic a few days a week .. especially in the impoverished areas .. too bad the best of the promoters of reduced and no insurance clinics stay in the decent areas of town and leave those having little to fend for themselves. Be a warrior .. stay the course .. but try to be above the battles of words .. let your specific and special deeds help as many as you can. Assume nothing .. your education was the bridge between the educated and the innate you .. just use it wisely Writing a few words on an insurance form may make you cringe but just think of the patient(s) who have spinal cringcitis because you are too proud to assist them in this game called "helping them out." You are not being medical to use insurance .. what do you care .. if you adjust you are a chiropractor .. placing letters together to play the game is an honor when you have the ability afterwards to adjust as purely as you must and educate them to continue on their own later. Do you think a subluxation is a mystical word invented from thin air or did some DC's of yesteryear invent this concept to explain what we are searching for .. to manage and eliminate. As far as I remember there were a number of components within the complex .. let's see do I decide that as well or just concept it. Diagnosis or not .. who cares amongst the folks that must apply the adjustment. Let us discuss the nuances of words and semantics but never lose sight of those we must serve. Just be smart .. whether for a fee or free .. tell the story .. make a living doing so and agree to disagree for the betterment of humanity. Have a Great Day Dr. M