Dan Kennedy

Many people fear that ObamaCare will necessitate rationing, to curb consumption and cap costs. But an even better bending of the cost curve would be to eliminate care altogether.

As it is obvious there’ll be less turf, turf battles have begun. The September 23 issue of the professional trade journal Dynamic Chiropractic’s front page story describes the Texas Medical Association’s strong-arm lobbying of the state legislature to make it illegal for chiropractic physicians to engage in diagnosis. The rationale: diagnosis constitutes the practice of medicine, thus should be the exclusive province of M.D.s. This follows the logic of the Texas Medical Association’s slow-play lawsuit against the Texas Board of Chiropractic Examiners, alleging that their use of electromyography and manipulation under anesthesia is beyond the permitted scope of chiropractic because these procedures require diagnosis, and diagnosis, by definition, is a medical act.

If you don’t use chiropractic care or don’t live in Texas, why should you care?

Should this insanity prevail and set precedent, no chiropractor, podiatrist, acupuncturist, dentist, optometrist, psychologist, child-psychologist or any other health professional could practice without being owned and employed by or provided patients post-diagnosis by an M.D. – thus creating a single portal for all health care, wiping out hundreds of thousands of independent practices, eliminating these kinds of care altogether or miniaturizing its costs by making these doctors wage slaves. It makes government-run health care much easier to actually operate, as many categories of providers go away; a single category remains.

The specific fight between M.D.s and D.C.s is not new and might arguably not be newsworthy in and of itself, especially with its battleground in a single state. But in the new context of ObamaCare, this shouldn’t stay buried in professional journals or local Texas news. It should be looked at and discussed by mainstream national news media, because of the forest that might be borne by this acorn.


Dan Kennedy

Dan Kennedy is a serial entrepreneur and contributor to the Business & Media Institute.