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."