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Dr. McCoy responds to slam on JVSR research

January 2, 2005

Editor
St. Petersburg Times
PO Box 1121
St. Petersburg, FL 33731‑1121

To the Editor,

I have watched the recent events, name‑calling and insults directed at my profession from FSU officials and in newspaper editorials for several months now. Having grown up in the chiropractic profession I am used to medical propaganda and insults directed at the profession and have even become used to the bigotry from within the chiropractic profession itself. It is for this reason that I have refrained from responding to many of the ridiculous and ignorant statements being spouted.

However, I was thrown into the briar patch this weekend when I read the Times editorial that included a statement from FSU's Provost, Lawrence Abele:  

"Our first commitment is to a rigorous scientific educational program, one that would explicitly reject some current chiropractic activities, such as many of the articles published in the Journal of Vertebral Subluxation Research." 

The quote was used to assert that FSU will have "loftier academic standards" and that the FSU program will be a "rigorous scientific educational program" in contrast to other chiropractic colleges. Abele's contention is that most chiropractic programs are run by uneducated, antiscientific quacks while FSU has apparently cornered the market on "real doctors" and "real educators."  

Abele's statement is curious for so many reasons. Mostly because I doubt he has ever read a single research article published in the Journal of Vertebral Subluxation Research (JVSR).  He's not a subscriber and he has never purchased an article. I doubt he has even looked to see who is on the Editorial Board of the journal he has just impugned. Those board members include the discoverer of the opiate receptor, a former Harvard anatomist, an Oxford Scholar, microbiologists, immunologists, engineers, health care attorneys, chiropractic researchers and clinicians and yes ‑ even esteemed medical doctors.  Dr. Abele owes JVSR, each one of these hard working and respected individuals as well as the authors whose work has been published by the journal an apology.

His indignation that chiropractors would have the nerve to study such things as chiropractic's effects on infertility and Parkinson's reveals the underlying issue that any research to come out of a chiropractic program at FSU will no doubt remain locked securely in the box of neck pain, back pain and headaches where organized medicine would like to keep us.

It is interesting that Abele chose to single out JVSR in regards to chiropractic peer reviewed research and that he conveniently did not mention the Journal of Manipulative and Physiological Therapeutics (JMPT) which is also a chiropractic research journal. A cursory search of that journal's contents revealed numerous articles on the treatment of non‑musculoskeletal disorders through chiropractic including one article on ‑ of all things ‑‑ Parkinson's disease!

Could it be that Abele did not mention JMPT because a chiropractor named Alan Adams who is FSU's faculty administrator for chiropractic initiatives is associated with many of the members of the Editorial Board of JMPT and also has a paper published in it?      

As for the unfounded accusations being hurled around by some of FSU's medical faculty that chiropractic is dangerous, I need only point to the relative malpractice costs for the two professions as evidence for which profession poses more of a public health threat.

The issue of comparing medical body counts with chiropractic is really akin to shooting fish in a barrel.  Evidence of this threat is found in the medical profession's own literature. As early as 1994 the Journal of the American Medical Association published an article by Dr. Lucian Leape of Harvard Medical School titled: Error in Medicine. In it he states that the number of injuries from medical error is 180,000 deaths per year and "...the equivalent of three jumbo jet crashes every 2 days." 

According to a report by Public Citizen, medical malpractice is the third leading cause of preventable death in the United States ‑‑ ahead of traffic fatalities and firearm deaths. Of course this is not surprising when, according to another medical doctor and researcher David Eddy writing in the British Medical Journal, "...only about 15% of medical interventions are supported by scientific evidence."  Eddy goes further and states: "This is because only 1% of the articles in medical journals are scientifically sound." Abele and his colleagues ought to clean up their own backyard before chastising the chiropractic profession.  

Beyond the apology owed JVSR, Abele and the Times owe an apology to all of the dedicated faculty and administrators who teach in our chiropractic institutions and the students who attend these schools. While it may be common that individual medical schools require a Bachelor's degree in order for students to matriculate, the decision for that requirement is left to the individual medical schools ‑‑ the same is true for chiropractic schools and the same is true for the issue of grade point averages.

As for the conduct of research at chiropractic institutions ‑‑ lets get something straight:  Chiropractic institutions, unlike medical schools such as FSU's, are tuition driven and are not the beneficiaries of government funding for research and education like medical schools are. The top 25 medical schools, for example, will receive over $7 billion dollars from the NIH this year alone to conduct medical research ‑‑ the chiropractic profession has received less than 20 million dollars in 100 hundred years. To add insult to injury, medical schools receive federal funding as high as $50,000.00 a year for each resident they train. Chiropractic schools receive no such funding. Why?

Part of the answer dates back to 1987 when the AMA was found guilty by Judge Susan Getzendanner of conspiring to destroy the profession of chiropractic. The judge in the case issued a permanent injunction against the AMA and its co‑conspirators because she did not believe they would change their ways. The AMA's plan included containing chiropractic schools and diverting federal research money from them. 

The paucity of federal funding directed towards chiropractic research and education are lingering effects of this conspiracy and the chiropractic profession deserves accolades for the significant strides it has made in the research and educational arena given the obstacles thrown in its path.     

Sincerely,

 

Dr. Matthew McCoy
Editor ‑‑ Journal of Vertebral Subluxation Research
Director of Research ‑‑ Life University
Marietta, Georgia

 
 
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