Guest guest Posted May 20, 2006 Report Share Posted May 20, 2006 hello everyone, i haven't been keeping up as well as I would like with the discussions, however, i did take some time this morning to get myself up to speed with the some 10 digests that appeared in my inbox overnight. i'd like to chime in on a couple of points. intention: i am of the opinion that manipulating a patient's energy requires energy on the practitioner's part. whether you draw from your own reserves or practice qi gong in order to do so.. using the term " intention " is one way of describing this, however, my experience has been that " intending " one result or another may not be of necessity - for me, keeping the clearest head possible seems to work best - needling in a slight meditative state of clear, focused, lack of intention, with the purpose of allowing the energy to pass through me unfettered. this is just what works for me, i do not intend to put this forward as anything more than my own experience. practicing a medicine that acknowledges and manipulates a form of energy, Qi, seems to predicate that the state of Qi of the practitioner, the room, the day, etc. will have some effect on the outcome. i have also noted that when i am energized, clear headed, focused, and in good spirits, my treatments are dramatically more effective. the opposite is true when i'm drained. although many explainations can be put forward for this outcome, not the least is that perhaps my ability to locate points appropriately is compromised by my fatigue, i lean towards at least a partial energetic explaination for this repeated result. i have also been confounded by the disdain thrown to the " placebo " effect, considering it to be proof of the true power of the mind! The Doctor Title: To be taken seriously by fellow health care practitioners, and thus improve our PR, legislative standing, etc, I think it's important for us to pursue a doctorate level training. Medical Doctors, Osteopaths and Chiropractors all have doctorates. We risk being relagated to the level of technicians if we broadcast to the health care community that our medicine is " simple " enough (their assumption, not mine) to be taught in a 2 year program - a common assumption for the length of time of a Masters program (in fact some masters programs are taught in 1.5 years!). Most of us most recent graduates have nearly, if not over 3000 hours of post grad education! And this is on top of a Bachelor's degree for many of us (myself included). I have been told that MD programs are only 4000 hours, a difference of less than 1000 hours for some MSOM holders. It is a disservice to all of us to be holding a Masters degree for what amounts to double the amount of education. It also lends credence to the idea that our medicine could be effectively taught in a short seminar type format for MD's or chiropractors. We all know that to be false, we all know how complex, profound and extensive our medicine, but the PR problem begins, in part, with our education institutions - the requirements for entry and the degree given upon graduation. I look forward to the day when we have enough resources and support for a true doctorate program available throughout the country and even more so for the possibility that this could one day be offered by public universities. Medicine as a " right " : I may be lynched for this, but I believe that business and Medicine go hand in hand. One cannot supercede the other since business above medicine leads to unethical medicine and medicine above business leads to poor, drained practitioners. (The balance of Yin (care) and Yang (money)?) We should be paid what we deserve for our services, and I would even put forth that it is in the best interest of the patient to pay for our services. It has been shown in psychology that people value more highly what they must pay for more highly. I believe a patient's results are directly proportional to how much they invest in their own health - the amount of money (proportional to income) that they invest being directly correlated to how compliant and committed they are to their own health and wellbeing. Getting something for free means the stakes are much lower. As a result, I have a set rate that I will slide if the patient requires it. I provide free and low cost health care to the local Women's Safehouse, I show myself open and willing to help to whatever extent I can manage without injuring my own Qi or livlihood if a patient in turn is committed and willing to learn and grow. However, I think we do our medicine a disservice by describing it as a " right " since a " right " people need not work toward, and we all know that health must be actively pursued. Perhaps we are saying the same thing but merely arguing over semantics. I think our medicine should be available to anyone who is willing to commit to their health. That's what many acupuncture colleges provide - availability of low-cost alternatives for people who cannot afford it otherwise. That's all for now - I'd also like to say hello and congrats to Yehuda - and hello to Kelvin, if it indeed is the Kelvin from DRU a couple years back. Kind Regards, Nadia E. Haddad, MS, L.Ac Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2006 Report Share Posted May 20, 2006 I would like to add comment to a point that Nadia makes when she states that, " I think we do our medicine a disservice by describing it as a " right " since a " right " people need not work toward, and we all know that health must be actively pursued. " I never said our medicine was a right but that healthcare is a right for all (if we want to be left out of mainstream care then so be it). Health is something that one must work on but our society is pushing people further away from this as time demands for work increase. I was not trying to say something for nothing but there are many ways that people currently pay for their healthcare other then directly cash. Our society has likewise created us to become more specialized as individuals, which means that we rely upon each other for other areas that we cannot perform. Healthcare is a right and a condition for most full-time employment contracts (employers, work comp, etc) which maybe why we need to separate healthcare from employment. On the other hand, if we suddenly allow for large corps to change their minds willy-nilly then who is accountable (better yet why even have contacts anymore?)? We are seeing a similar problem with pension plans and boy is that a mess. When a person pays into something like this for years only to have a corp steal your retirement, that is a crime. I digress but wanted to get to single payer universal care because it seems to be what was implied in the post. People pay taxes and these go to pay for govt admin for various programs and functioning, so nothing in this country is really free. Our future society can either move to a higher place by removing the greedy insr/HMO from the business of healthcare or we can continue to see healthcare become an expensive option afforded only to the rich (HSA's). If we think that things will be better, I would say that more study has shown increased ER visits, and this will drain our govt dollars for other things. Morally it is wrong to make this issue a political one as health is a right of all people, not just Americans but we are the ones who can make it happen here. If you want to see more optional healthcare or worse yet mandated coverage stay tuned because that is what our current " big brother " leadership wants to make it. We all become criminals if we have no coverage and there is no cost-containment language so the problem of escalating costs continues and the HMO's get richer. Talk about your indentured servitude or economic slavery if you will. America's forefathers would never have allowed for this type of criminal activity to stain our govt and they did not. We need to become more vocal about ethics and positive changes to the healthcare system. If our profession continues to remain silent then we may be lost and never truly fulfill our place as a cost-effective part of the healthcare system. We can make lots of arguments for why do not like govt in things but then there is reality and corps have not done well either. This argument usually centers around cost containment and high admin expenses that HMO have which is around 30% as opposed to 2% for current Medicare. When polled about satisfaction of care, patients have been reported to rate Medicare higher then their HMO. As an aside, I would much rather deal with the govt on claims then an HMO, which I did for a couple of years. The govt is straight forward w/o all the issues and wasted time to get paid. Go figure. In the end, we need to get knowledgeable about these issues and get politically involved not only for our profession but also for our patients sake. Take care and thanks for the forum to speak. MB : eastdakota: Sat, 20 May 2006 11:06:13 -0700TCM - intention, doctoral program, medicine as " right " hello everyone,i haven't been keeping up as well as I would like with the discussions, however, i did take some time this morning to get myself up to speed with the some 10 digests that appeared in my inbox overnight.i'd like to chime in on a couple of points.intention:i am of the opinion that manipulating a patient's energy requires energy on the practitioner's part. whether you draw from your own reserves or practice qi gong in order to do so.. using the term " intention " is one way of describing this, however, my experience has been that " intending " one result or another may not be of necessity - for me, keeping the clearest head possible seems to work best - needling in a slight meditative state of clear, focused, lack of intention, with the purpose of allowing the energy to pass through me unfettered. this is just what works for me, i do not intend to put this forward as anything more than my own experience.practicing a medicine that acknowledges and manipulates a form of energy, Qi, seems to predicate that the state of Qi of the practitioner, the room, the day, etc. will have some effect on the outcome.i have also noted that when i am energized, clear headed, focused, and in good spirits, my treatments are dramatically more effective. the opposite is true when i'm drained. although many explainations can be put forward for this outcome, not the least is that perhaps my ability to locate points appropriately is compromised by my fatigue, i lean towards at least a partial energetic explaination for this repeated result.i have also been confounded by the disdain thrown to the " placebo " effect, considering it to be proof of the true power of the mind!The Doctor Title:To be taken seriously by fellow health care practitioners, and thus improve our PR, legislative standing, etc, I think it's important for us to pursue a doctorate level training. Medical Doctors, Osteopaths and Chiropractors all have doctorates. We risk being relagated to the level of technicians if we broadcast to the health care community that our medicine is " simple " enough (their assumption, not mine) to be taught in a 2 year program - a common assumption for the length of time of a Masters program (in fact some masters programs are taught in 1.5 years!). Most of us most recent graduates have nearly, if not over 3000 hours of post grad education! And this is on top of a Bachelor's degree for many of us (myself included). I have been told that MD programs are only 4000 hours, a difference of less than 1000 hours for some MSOM holders. It is a disservice to all of us to be holding a Masters degree for what amounts to double the amount of education. It also lends credence to the idea that our medicine could be effectively taught in a short seminar type format for MD's or chiropractors.We all know that to be false, we all know how complex, profound and extensive our medicine, but the PR problem begins, in part, with our education institutions - the requirements for entry and the degree given upon graduation. I look forward to the day when we have enough resources and support for a true doctorate program available throughout the country and even more so for the possibility that this could one day be offered by public universities.Medicine as a " right " :I may be lynched for this, but I believe that business and Medicine go hand in hand. One cannot supercede the other since business above medicine leads to unethical medicine and medicine above business leads to poor, drained practitioners. (The balance of Yin (care) and Yang (money)?)We should be paid what we deserve for our services, and I would even put forth that it is in the best interest of the patient to pay for our services. It has been shown in psychology that people value more highly what they must pay for more highly. I believe a patient's results are directly proportional to how much they invest in their own health - the amount of money (proportional to income) that they invest being directly correlated to how compliant and committed they are to their own health and wellbeing. Getting something for free means the stakes are much lower. As a result, I have a set rate that I will slide if the patient requires it. I provide free and low cost health care to the local Women's Safehouse, I show myself open and willing to help to whatever extent I can manage without injuring my own Qi or livlihood if a patient in turn is committed and willing to learn and grow. However, I think we do our medicine a disservice by describing it as a " right " since a " right " people need not work toward, and we all know that health must be actively pursued. Perhaps we are saying the same thing but merely arguing over semantics. I think our medicine should be available to anyone who is willing to commit to their health. That's what many acupuncture colleges provide - availability of low-cost alternatives for people who cannot afford it otherwise.That's all for now - I'd also like to say hello and congrats to Yehuda - and hello to Kelvin, if it indeed is the Kelvin from DRU a couple years back.Kind Regards,Nadia E. Haddad, MS, L.AcSubscribe to the new FREE online journal for TCM at Times http://www.chinesemedicinetimes.com Download the all new TCM Forum Toolbar, click, http://toolbar.thebizplace.com/LandingPage.aspx/CT145145To change your email delivery settings, click, and adjust accordingly. Messages are the property of the author. Any duplication outside the group requires prior permission from the author.Please consider the environment and only print this message if absolutely necessary. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 21, 2006 Report Share Posted May 21, 2006 There is a difference between a national health service that makes health care available to the greater public, and treating people for free. In this country (Australia), we have a medicare system that up until recently meant that most visits to a medical doctor were essentially free for the patient, and then the doctor would " bulk bill " the government to recover the fee. However, due to various factors in the health care sector, most doctors are choosing now to charge up front fees and then leave it to the patient to recover the cost from the government themselves. The government has a set amount that they will pay for a consultation and if the doctor charges more than this then the patient may be out of pocket. Some doctors will still bulk bill patients with a " health care card " which means they are low income or unemployed, or with a pension card, but this is becoming increasingly rare. The public hospital system and community clinics are taking up the slack for these patients. The unfortunate thing is that the medicare system is paid for by a levy that is essentially a tax that is added on to a persons income tax. So middle income brackets who pay for this system cannot access it the way they used to be able to. I, personally, would prefer to see a certain amount of over- servicing of some patients, than seeing people choose not to go to a doctor because they dont want, or cant afford, to pay an upfront fee. (Or also cant be arsed sitting in a community clinic for the better part of a day so that they can see some juniour doctor saw- bones who looks at them for 10 minutes and then sends them home.) All that being said. Health care is still available to all in this country, and I think it makes a huge difference to quality of life. I have two children, and was able to have a hospital birth and pay absolutely nothing with each of them. In fact, the first one was born in a rural, public hospital, with midwife based care, private rooms with a big double bed for my partner to stay too. And when I asked how long I could stay for, they said " Just leave before the kids in school. " Paying no out of pocket fees for this service did not make me appreciate it less, in fact, it made me appreciate it more, and took alot of stress out of a situation where you dont need any more financial pressures, such as the imminent arrival of a child. Access to health care should be a fundamental human right. I also agree, however, that practitioners should be renumerated adequately for their services, and I also agree with the notion that people should invest in their own health, with possibly a better treatment outcome the more they have invested in it, but that doesnt necessarily translate out to paying large, up-front fees before anybody is going to treat you. I recently posted a link on a study that analysed peoples health between the UK and the US and discovered that people in the UK are much healthier, even when they adjusted for all factors, it was still a marked difference. The researchers felt that because spending on health care was much higher in the US, then patients should therefore have better health, and they also seemed to downplay the role of the NHS in the UK for health promotion, feeling that this should only account for better health in lower income groups. I feel this is missing some fundamental points. 1) That spending on health care in the States does not reflect how much health care is actually being recieved, but rather the nature of the health care system there (litigious nature of the industry, private health insurance, etc etc.) 2) A national health system such as the UK's benefits people across the board, not just lower income groups. (I also feel that you cant downplay diet as a factor, but that is getting off topic.) I think that some of the listers would benefit from looking in to how other nations are dealing with the issue of national health. A lot of places, in Europe in particular, are doing quite well with providing health care for their citizens. Oh, and just for the record, even though I was born and raised in Australia, I am also a US citizen and have family ties and experience with the place, so to a certain extent I am able to form an opinion on this. I am well aware that in the US, the amount of medical cover you have, or how much you are able to spend, directly relates to the quality of care you will recieve. This is a factor elsewhere in the world, but unfortunately almost defines the US system. Regards, lea. Chinese Medicine , " mike Bowser " <naturaldoc1 wrote: > > I would like to add comment to a point that Nadia makes when she states that, > > " I think we do our medicine a disservice by describing it as a " right " since a " right " people need not work toward, and we all know that health must be actively pursued. " > > I never said our medicine was a right but that healthcare is a right for all (if we want to be left out of mainstream care then so be it). Health is something that one must work on but our society is pushing people further away from this as time demands for work increase. > > I was not trying to say something for nothing but there are many ways that people currently pay for their healthcare other then directly cash. Our society has likewise created us to become more specialized as individuals, which means that we rely upon each other for other areas that we cannot perform. Healthcare is a right and a condition for most full-time employment contracts (employers, work comp, etc) which maybe why we need to separate healthcare from employment. > > On the other hand, if we suddenly allow for large corps to change their minds willy-nilly then who is accountable (better yet why even have contacts anymore?)? We are seeing a similar problem with pension plans and boy is that a mess. When a person pays into something like this for years only to have a corp steal your retirement, that is a crime. > > I digress but wanted to get to single payer universal care because it seems to be what was implied in the post. People pay taxes and these go to pay for govt admin for various programs and functioning, so nothing in this country is really free. Our future society can either move to a higher place by removing the greedy insr/HMO from the business of healthcare or we can continue to see healthcare become an expensive option afforded only to the rich (HSA's). If we think that things will be better, I would say that more study has shown increased ER visits, and this will drain our govt dollars for other things. Morally it is wrong to make this issue a political one as health is a right of all people, not just Americans but we are the ones who can make it happen here. If you want to see more optional healthcare or worse yet mandated coverage stay tuned because that is what our current " big brother " leadership wants to make it. We all become criminals if we have no coverage and there is no cost-containment language so the problem of escalating costs continues and the HMO's get richer. Talk about your indentured servitude or economic slavery if you will. America's forefathers would never have allowed for this type of criminal activity to stain our govt and they did not. We need to become more vocal about ethics and positive changes to the healthcare system. If our profession continues to remain silent then we may be lost and never truly fulfill our place as a cost-effective part of the healthcare system. We can make lots of arguments for why do not like govt in things but then there is reality and corps have not done well either. This argument usually centers around cost containment and high admin expenses that HMO have which is around 30% as opposed to 2% for current Medicare. When polled about satisfaction of care, patients have been reported to rate Medicare higher then their HMO. As an aside, I would much rather deal with the govt on claims then an HMO, which I did for a couple of years. The govt is straight forward w/o all the issues and wasted time to get paid. Go figure. > > In the end, we need to get knowledgeable about these issues and get politically involved not only for our profession but also for our patients sake. Take care and thanks for the forum to speak. > > MB > > > : eastdakota: Sat, 20 May 2006 11:06:13 -0700intention, doctoral program, medicine as " right " hello everyone,i haven't been keeping up as well as I would like with the discussions, however, i did take some time this morning to get myself up to speed with the some 10 digests that appeared in my inbox overnight.i'd like to chime in on a couple of points.intention:i am of the opinion that manipulating a patient's energy requires energy on the practitioner's part. whether you draw from your own reserves or practice qi gong in order to do so.. using the term " intention " is one way of describing this, however, my experience has been that " intending " one result or another may not be of necessity - for me, keeping the clearest head possible seems to work best - needling in a slight meditative state of clear, focused, lack of intention, with the purpose of allowing the energy to pass through me unfettered. this is just what works for me, i do not intend to put this forward as anything more than my own experience.practicing a medicine that acknowledges and manipulates a form of energy, Qi, seems to predicate that the state of Qi of the practitioner, the room, the day, etc. will have some effect on the outcome.i have also noted that when i am energized, clear headed, focused, and in good spirits, my treatments are dramatically more effective. the opposite is true when i'm drained. although many explainations can be put forward for this outcome, not the least is that perhaps my ability to locate points appropriately is compromised by my fatigue, i lean towards at least a partial energetic explaination for this repeated result.i have also been confounded by the disdain thrown to the " placebo " effect, considering it to be proof of the true power of the mind!The Doctor Title:To be taken seriously by fellow health care practitioners, and thus improve our PR, legislative standing, etc, I think it's important for us to pursue a doctorate level training. Medical Doctors, Osteopaths and Chiropractors all have doctorates. We risk being relagated to the level of technicians if we broadcast to the health care community that our medicine is " simple " enough (their assumption, not mine) to be taught in a 2 year program - a common assumption for the length of time of a Masters program (in fact some masters programs are taught in 1.5 years!). Most of us most recent graduates have nearly, if not over 3000 hours of post grad education! And this is on top of a Bachelor's degree for many of us (myself included). I have been told that MD programs are only 4000 hours, a difference of less than 1000 hours for some MSOM holders. It is a disservice to all of us to be holding a Masters degree for what amounts to double the amount of education. It also lends credence to the idea that our medicine could be effectively taught in a short seminar type format for MD's or chiropractors.We all know that to be false, we all know how complex, profound and extensive our medicine, but the PR problem begins, in part, with our education institutions - the requirements for entry and the degree given upon graduation. I look forward to the day when we have enough resources and support for a true doctorate program available throughout the country and even more so for the possibility that this could one day be offered by public universities.Medicine as a " right " :I may be lynched for this, but I believe that business and Medicine go hand in hand. One cannot supercede the other since business above medicine leads to unethical medicine and medicine above business leads to poor, drained practitioners. (The balance of Yin (care) and Yang (money)?)We should be paid what we deserve for our services, and I would even put forth that it is in the best interest of the patient to pay for our services. It has been shown in psychology that people value more highly what they must pay for more highly. I believe a patient's results are directly proportional to how much they invest in their own health - the amount of money (proportional to income) that they invest being directly correlated to how compliant and committed they are to their own health and wellbeing. Getting something for free means the stakes are much lower. As a result, I have a set rate that I will slide if the patient requires it. I provide free and low cost health care to the local Women's Safehouse, I show myself open and willing to help to whatever extent I can manage without injuring my own Qi or livlihood if a patient in turn is committed and willing to learn and grow. However, I think we do our medicine a disservice by describing it as a " right " since a " right " people need not work toward, and we all know that health must be actively pursued. Perhaps we are saying the same thing but merely arguing over semantics. I think our medicine should be available to anyone who is willing to commit to their health. That's what many acupuncture colleges provide - availability of low-cost alternatives for people who cannot afford it otherwise.That's all for now - I'd also like to say hello and congrats to Yehuda - and hello to Kelvin, if it indeed is the Kelvin from DRU a couple years back.Kind Regards,Nadia E. Haddad, MS, L.AcSubscribe to the new FREE online journal for TCM at Times http://www.chinesemedicinetimes.com Download the all new TCM Forum Toolbar, click, http://toolbar.thebizplace.com/LandingPage.aspx/CT145145To change your email delivery settings, click, and adjust accordingly. Messages are the property of the author. Any duplication outside the group requires prior permission from the author.Please consider the environment and only print this message if absolutely necessary. > Quote Link to comment Share on other sites More sharing options...
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