From: Dr. Margolies .. 3-28-08 www.chirosmart.net www.chirosmart.net/shop Postings this week: Excellent opportunity for Chiropractic in Indonesia .. Practice for sale inAtlanta/Chamblee, Ga .. Part time associate needed in Philadelphia suburbs .. .. For sale 2007 PulStar Fras Computerized Analysis & Adjusting Instument .. For sale Vectra stim and combo unit from Chattanooga .. Articles, Press Releases and Publicity for your practice .. DC is looking for a used e-stim, ultrasound and/or combo unit E-mail message this week .. Wake Up Call I had an extended opportunity to speak one on one with the medical chief of staff of a large and prominent metropolitan hospital. We know each other casually but our recent conversation was promoted by mutual news that we shared. During the conversation, I asked about the financial health of the hospital and the medics in general. He was candid, as I knew him to be, and expressed his concern that the medical healthcare industry has changed for the worse. Besides his responsibilities of monitoring the medical staff he has to also keep an eye on the hospital money crunchers. During our conversation, he brought me up to date on the mechanics and relationship between the hospital administration and the physicians. On a much smaller scale, it was no different than our mom and pop operations. Our decisions on when and what to purchase and procedures to perform are often based on its cost effectiveness. Somewhere in the middle is what is best for our mutual product, patients. Business is business no matter how you spin it. For those reading this and shaking their heads in disagreement, a few hours of reflection would render your understanding that every action results in a reaction where patient visits, patient payments, patient acquisition, patient procedures, diagnostic and treatment equipment and protocols, staff hiring and firing and the general atmosphere within your practice is all related to business. Personal and professional Health and Wellness goes hand in hand. His distaste for the insurance industry was obvious for one simple reason, their reimbursements have been paltry compared to years ago and procedures deemed routine yesterday are now used occasionally. I was surprised to learn how many life saving programs have been curtailed because it isn't cost effective or considered a financial loss. No one is stepping up to make up the financial slack leaving huge gaps in the financial health of our major hospitals. All because of money the sustenance of the institution is becoming more important than the care of the patient. This may sound harsh on the surface but consider your budget; where would you curtail or cut and how far before patient interests supersede staff employment, office procedures and firings or selling becomes necessary. More to the point, if you multiplied your budget and staff by hundreds and had to care for far too many indigent patients with little or no recovery of funds you'll soon get the point. Business is business. If this all sounds dark and dreary with little hope in sight, well, it was. The conversation slowly turned towards solutions. His answer was a modified universal healthcare system with the emphasis placed on the later days when chronic conditions become acute. No place for alternative complimentary procedures and what he called BS medicine or Wellness, and this BS didn't mean Bachelor of Science. His anger was that BS medicine was making an equitable income with little external pressure. In his world of allopathy, there is little room for the body to heal naturally or people desiring a better existence on their own terms. No, people will eventually fail, need medication, surgery, intensive care prior to kicking the bucket, so why bother with alternative complementary interaction, just sustain the body until the inevitable. I decided after the long discussion or one sided speech, there was no room to argue or bicker. The one message from all this was clear, those doctors using BS methodology were, at this moment, immune from the hassles of insurance, and therefore making the bigger bucks. For chiropractic it was also clear, in his future solution scenario, there was no room in his inn for us. To me, this is a wake up call and it's best to heed the message. We will have to, as we always do, fend for ourselves. You better get on the Wellness bandwagon and support your office with qualified patients understanding the value of alternative or complimentary care. Have them understand and appreciate the value to maintain and sustain a clear nervous system with a supportive joint structure that works in harmony. It's okay if you want to ride the wave of insurance but someday, restrictive measures will necessitate cost containment and be assured that we'll be the first they contain. The answer is quite simple, start today to shore up your knowledge and educational procedures. Simplify and quantify your technical prowess and shoot for long-term maintenance patients who appreciate your message and wish to share if with their friends and family. Be ready, if not already, to discuss and provide financial responsibilities and options to help those that wish to participate in their quest for better health. Be ready to stand apart from the dictates of the majority while supporting the few that turn to you. BS Wellness is more than a supplement or rehab session. It's literally taping into the germ that sprouts life itself and for us, freeing the expression that sustains it. This is the best wake up call there is Have a Great Day Dr. M Postings: Dr. Joel E. Margolies or www.chirosmart.net have no responsibility for anything posted or purchased either on the website, message board or within his weekly e-mail. Responsibility is strictly between the parties deciding to either post or purchase Excellent opportunity for Chiropractic in Indonesia: A chiropractic clinic is growing and is excited to help a fellow chiropractor mature and grow with them. Cash only practice offers great income opportunities. Reply with questions and/or CV to Dr. Igor K and the team at: chirobalikpapan@yahoo.com Practice for sale in Atlanta/Chamblee, Ga: $65,000. Doctor is retiring. Need new doctor ASAP. Contact for a two page fact sheet: VolumeDC@aol.com or call 770 748-6084 Part time associate needed in Philadelphia suburbs: Position is for two days per week. DC must have a PA as well as adjunctive therapies license as well as a sports medicine background. Fax CV to 610-353-9863 or e-mail to: drneck@aol.com Dr. looking for Pediatric Chiropractic textbook by Plaugher and Anrig: Reply to: cuonos@bellsouth.net For sale 2007 PulStar Fras Computerized Analysis & Adjusting Instrument: Unit is one year old. Used sparingly in a satellite office that is closing. Excellent condition and includes everything: PulStar unit, 17 iMac computer, original boxes, and all software and related materials. $17,500. Pictures sent upon request. Reply to: drdolak@verizon.net For sale Vectra stim and combo unit from Chattanooga: In like new condition. Four channels loaded with options: interferential, ultrasound, premodulated, microcurrent, high volt, variable muscle stim, russian stim, and combo. Unit is ready to go and is full of clinical protocols. Will toss in box of electrodes and rolling cart. Located in Tahlequah, Ok. $2300 Reply to: Abelschiro@sbcglobal.net or call Dr. Chris at 918-456-0801 Articles, Press Releases and Publicity for your practice: Increase your exposure AND credibility. Includes free submission. Reply to: drtim02@yahoo.com DC is looking for a used e-stim, ultrasound and/or combo unit: Reply to: henryphung12@yahoo.com