On Dec. 20, 2001, the U.S. Senate voted to approve a bill that would
make chiropractic available through the Veterans Affairs health system.
The vote took place days after the House of Representatives gave its
approval of the bill, containing language that permits chiropractors to
provide subluxation correction.
Although specific reference to subluxations had been removed during
the legislative process in the House, aggressive lobbying by the World
Chiropractic Alliance was successful in reinstating the vital
terminology.
The VA bill was originally introduced by the American Chiropractic
Association (ACA), which fought long and hard to win acceptance in both
houses of Congress. Although its efforts were applauded by the
profession, a segment of the profession expressed concern over the
bill's initial wording, which stated that chiropractors would be allowed
to provide "at minimum, care for neuromusculoskeletal conditions
typical of those affecting all age groups within the eligible veterans
population..."
No mention was made of subluxation correction and it was widely
feared that the absence of a direct reference to chiropractic's unique
service would restrict D.C.s to quasi-medical treatment of
neuromusculoskeletal conditions. Many felt that M.D.s would be quick to
argue they were better capable of providing that service.
"The one thing only chiropractors can offer is
subluxation correction," stated Terry A. Rondberg, D.C., president
of the World Chiropractic Alliance. "Medical doctors, physical
therapists and osteopaths cannot claim to provide that unique service.
Without reference to subluxation, the bill might have hurt rather than
helped chiropractic."
In an attempt at compromise, the House staff put mention of the
subluxation in the report language but the World Chiropractic Alliance
persisted in arguing for a change in the wording of the bill itself.
Some supporters criticized the WCA for its unyielding stand, fearing
disagreement might scuttle the entire bill. "We understood the
concerns of other chiropractic leaders," Dr. Rondberg stated.
"But this was one case where half a loaf was not better than
no loaf at all. We couldn't allow the bill to ignore the entire basis of
chiropractic. Our veterans deserved more than that, and so did our
profession."
Once it was clear than the inclusion of the subluxation language
would not result in the bill's defeat, all segments of the chiropractic
profession united in support of it.
"It was incredible to see all three major chiropractic
organizations, the WCA, ACA and ICA, working together on a bill,"
stated Rondberg. "For the first time in recent memory, the
profession stood united in front of Congress and the result was a bill
that protects the rights of patients and doctors of chiropractic. It
makes you wonder what else we can accomplish if we're willing to put
aside our differences and cooperate on these issues."