Is it a Slippery Slope? Or an All-Out Free Fall?

by Brandon Harshe, DC · 21 comments

Before I begin, I would like you to watch the following video of Dr. James Winterstein, President of National University of Health Sciences, speaking at the 2011 FCLB Conference in Marco Island, FL.

When the AMA began a systematic attack of the Chiropractic profession back in 1963 through its Committee on Quackery, one of its goals was to eliminate or contain Chiropractic. As evidenced by the favorable ruling in the Wilk et al vs AMA antitrust case in 1987, elimination of the Chiropractic profession never happened.

However, Dr. James Winterstein is proof positive that containment is alive and well and on the move.

He is a heavy proponent of a tiering of the profession. This means that if we get prescriptive rights in just one state, his school, National University of Health Sciences, and other schools like it, will benefit from added revenue because of the Advanced Practice degree needed to be a “REAL” Doctor of Chiropractic (“REAL” = ability to prescribe drugs).

He says the subluxation “must go!” and that “we don’t have evidence on its science-based reality.” One only needs to do a little research to see this is not true. Now, are there randomized double blind control studies to prove this? No, and there never will be. The RCTs aren’t fool proof either, especially when dealing with the human body. Too many variables in the body from person to person for the RCT to be the holy grail people think it is. However, proof of the subluxation is very evident to me in practice every day, as well as most of you reading this. But Dr. Winterstein isn’t in practice, so he wouldn’t know.

He also says the adjustment “doesn’t mean subluxation had anything to do with it.” He’s right. The subluxation has no bearing on if an adjustment was made or not. That is the job of the Innate Intelligence, not anyone or anything else, including the Chiropractor. We apply a force, the body accepts the force, and if it is the right force, the Innate Intelligence will distribute the force where it needs to be distributed. And the subluxation had no control over that.

Obviously I’m being sarcastic with my interpretation of his statement, but why on earth would you try to apply any kind of force to a vertebra that isn’t subluxated if you’re a Chiropractor? Is it only about the high spots that need to be pounded down? If so, that is called BONESETTING and NOT Chiropractic.

Dr. Winterstein also stated that there is “no evidence of a bone out of place.” I have seen x-rays before and after a specific atlas adjustment that dispute this very comment. And even if it were true, what’s the point in being a Chiropractor if you’re going to NOT move bones?

Another highly educated comment that Dr. Winterstein graced us with in this video is that he thinks “mechanical effects… don’t go through the nervous system.” What?!? This man is supposed to be an academic, teaching and leading budding Chiropractors? Every single effect in the human body is a result of nervous system transmission/mental impulses. He obviously hasn’t cracked open a neurology textbook in quite some time. For someone who claims to be “science-based,” this moronic statement clearly shows he doesn’t know as much as he thinks he does.

He also made it very clear that he thinks prescriptive rights make us real doctors, stating “the profession must change,” and that you “can’t take someone off something that you don’t have the authority to give them in the first place.” Here’s what needs to change: More ChiropracTORS who know how to practice ChiropracTIC and less medipractors trying to practice medicine without a license… people like Dr. Winterstein.

The better someone gets at Chiropractic, the higher the likelihood that their patients will be getting off their medications just fine. When Chiropractic is done right, and Innate Intelligence is given the opportunity to heal the body, people don’t have a choice but to get off their drugs anyway. Because if they don’t, they will feel like crap!

He also belives the “public needs primary care,” and the “allopathic community can’t keep up.” I saw this argument pop up during the whole prescription rights fiasco in New Mexico, where people like Dr. Winterstein claimed there was a shortage of doctors. That seems like a far-fetched story when you see Albequerque, NM cracking the Forbes Magazine list of top places to retire in 2011, which was based on things like living costs, taxes, weather, serious crime, and AVAILABILITY OF DOCTORS. Oops! Looks like the allopathic community is doing just fine, especially in New Mexico!

In short, this man right here is Exhibit A in what’s wrong with the Chiropractic profession. I wrote a post not too long ago about not drinking the Kool-Aid. Dr. Winterstein is one of the people who MAKES the Kool-Aid! It is men like him that threaten to bring our profession down, trying their best to turn us into Osteopathy 2.0!

But it doesn’t just happen out of nowhere. It starts with wanting an expanded scope for this or that, then pushing for more after getting what we originally wanted, then next thing we know, our profession is pushing for obstetrics, applying stitches, needle EMG, manipulation under anesthesia, and drug prescription rights.

It is a slippery slope that, if we’re not careful, will only become steeper and steeper until, eventually, we free fall into the abyss of second- or third-rate medicine, osteopathy, and physical therapy. And it’s people like Dr. Winterstein leading the slide down the mountain.

About Brandon Harshe, DC
Brandon Harshe, DC is a Chiropractor living and practicing in Carrollton, TX, as well as the webmaster for TheAtlasofLife.com, a principled Chiropractic website he began in 2009 as a student at Parker College of Chiropractic. If you are sick and tired of the CCE-mandated nonsense pushed in the Chiropractic schools, you'll appreciate what he has to say. If you actually enjoy the medipractic garbage the schools teach, you probably won't be sending him Facebook friend requests anytime soon.

Visit my website →

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  • http://twitter.com/DocHoskins Dwayne Hoskins

    Dude, you needed to put a disclaimer on this “only watch on an empty stomach as this will empty it for you.”  AKKKKKKK!!!

    • http://theatlasoflife.com Brandon Harshe

      No kidding. When I saw this, I had no choice to but put this post together. That guy is a fool!

      • http://twitter.com/DocHoskins Dwayne Hoskins

        I really want to believe he is an idiot (uninformed/uneducated) but he has had too much exposure to the truth of Chiropractic.  One who refuses to see the truth is a fool.
        But he is much more than that, he is dangerous because he leads others down the path towards that lie.  <>

        • http://www.therscproject.com Jason Ulsrud

          The dude is a TOOL!!!!

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  • gbmwillis

    What is wrong with suggesting stepping in as primary care providers?  Nurse practioners, PA’s and the like without doctorates are filling the gap now.  Chiropractic Docs are more than qualified to make proper diagnosis and treat or refer when necessary… what’s the argument?

    • http://www.therscproject.com Jason Ulsrud

      The argument is it’s NOT Chiropractic.  Go be an MD, NP, or PT if that’s what you want, but don’t dilute the Chiropractic profession by pretending to be something you’re not. 

      • gbmwillis

        What are you saying is NOT chiropractic?  Being a primary care provider?  I bet someone like Dr. Harshe is the primary care doctor for many of his patients, isn’t that what we want?  To address the healthcare needs of patients, whatever they may be? 

        • http://www.therscproject.com Jason Ulsrud

          Chiropractic isn’t about being the same as medical or diagnosing and treating symptoms.  Principled Chiropractic is about removing the interference of the nervous system and allowing N8 to flow from above down inside out.  If you want to “treat” symptoms, then you’re practicing from a mechanistic mindset. 

          We can be Primary Care Providers of adjusting Subluxations and we can be Primary Care Providers of Expression, if that’s what you’re talking about…

          Rock On…

        • http://theatlasoflife.com Brandon Harshe, DC

          The health care needs of my patients are a fully functioning nervous system free and clear of interference by way of vertebral subluxation. I don’t diagnose, I don’t accept insurance, and I don’t do any of that OPQRST crap. Yes, my patients come to me before any other type of practitioner because they understand that symptoms are the body’s way of adapting to a vertebral subluxation, and they know that the subluxation will impede the body’s ability to heal and regulate itself properly. I don’t need some lame osteopath-wannabe telling me that my patients need more primary care. See the New Mexico example up above. It’s a flat out lie.

          • gbmwillis

            Dr. Harshe, thank you for commenting.  First and foremost, I had read your bio and will say that I admire your passion for chiropractic and can respect and relate to your hardships endured to realize that dream.  I am reading and trying to grasp what is the exact argument that is being debated here.  You say that you do not diagnose patients, but I am going to disagree with you.  You say that your duty as a physician is to relieve the body of vertebral subluxation and free the interference to the nervous system so it will cease to impede the body’s ability to heal itself.  It would seem to me that in order to relieve vertebral subluxation, one must find the subluxation and correct it.  This entails a diagnosis; the inspection, palpation, locating, and correcting of that pathology.  If indeed the cause of disease is vertebral subluxation, as it seemingly is in this example, then primary health care would be to relieve patients of subluxations to restore them to health.  You certainly have the education and training to be a primary care physician, so why not be accepted as one?  As chiropractors, and as BJ Palmer himself advocated, don’t we want people to experience and have the OPTION to choose whether they want to see chiropractor as their primary care provider?  Wouldn’t this open the doors to better reimbursement from insurance, even further acceptance in the public eye?  I think Dr. Winterstein is not saying YOUR patients need more primary care, he is advocating that YOU the chiropractor can provide it.

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  • DCPrimaryCareAdvocate

    Dr. Winterstein is right. If you do not expand the profession, Chiros will be put out of their place by PT who are now learning adjustments, NP and PA who prescribe medication without actually knowing as much pathology and physiology as Chiros do and the generally negative social public outlook. If you do not want to prescribe meds then dont, but do not hold back the people who paid more for their education and learned more science based Chiropractic medcine. You would be a fool if you would step against this. Limiting our abilities will be the end of Chiropractic within 50 years. Mark my words. 

    • DCPrimaryCareAdvocate

      I would like to add that with the consistently aging population Prescriptive rights would allow Properly Trained Chiropractors like the ones at National University of Health Sciences (Thanks for raising the educational bar) to close the gap in rural and underprivileged areas. May I also add that currently NUHS is sending students yearly to Central America and predominately Nicaragua to practice primary care on mission trips. Individuals are ecstatic to receive care and more then appreciative for the care and attention they receive. Sorry to disappoint the (straights), but here in Chicago you are laughed at, and also from the medical education I received, I can assure you that not everything can be fixed by adjusting the Occiput.      ”If all you have in your tool box is a hammer, then every problem is looked at as a nail.” Maslow    

      • http://www.therscproject.com Jason Ulsrud

        I can’t argue what you’re saying because you’re not talking about Chiropractic.  You’re talking about medicine.  Nothing wrong with medicine, so why don’t you go to med school and become a Medical Doctor. 

        That seems a lot easier than trying to pushing a Profession based in Vitalistic Philosophy into a Mechanistic Paradigm.  It’s like trying to shove a round peg into a square hole.

        • DCPrimaryCareAdvocate

          It seems like your square hole is getting larger as only 15 % of chiropractors practicing in America are straights. I am not closed minded and I whole heartedly appreciate what Chiropractic Medicine can do for people, and yes I do call it Medicine. As I am one who benefited from it several times. I have been diagnosed with ankylosing spondylitis and going through 8 months of suffering and then remitted shortly after getting better for another 5 months. Actually experiencing this kind of raw pain has a tendency to open ones eyes. That said, I benefitted EXTREMELY from a multidisciplinary approach. As I am a 3rd year D.C. student I do not have the best insurance and going from doctor to doctor (M.D. to D.C. and back) was not only excruciating but also financially draining. My 2 D.C.’s and the intern taking care of me at the student clinic were able to help and have increase my self efficacy tenfold, but the 2 M.D.s Ive seen have helped curve the pain to allow me to get back to normal. I would not recommend simply going to M.D. offices for diseases because that IS the problem with moderm medicine, especially in the States. The multidiciplinary approach is the way to go and it is the future of medicine. It would be shameful to deny patients this, or to make access more difficult (regarding financial barriers). Jason I appreciate the comment, but my fellow doctor, I am refering to Chiropractic in the comment above. People have attached a negative stigma to our profession due to the mistakes of our predecessors. It is only right and deserving to the field to try to fix that by expanding the possibilities and the scope of practice. This will make closeminded individuals, the AMA and M.D.’s in general accept our practice as mainstream and possibly change the negative stigma associated with our work. We have been true to the roughly 10% of people utilizing Chiropractic Medicine, but the numbers have slowly been declining. Blame it on the economy or blame it on the AMA and conspiracies, or negative stigma’s, but the numbers are in and the results are saddening. I am for expanding, and the only loss would be a few of the greedy D.C.s prescribing only meds and disregarding the benefits of adjustments and the  positives manual therapies can provide. Feel free to challenge me on any point, but I believe I have covered my bases in a respectful and in a knowledgeable way. Maybe the approach of Dr. Winterstein is not the best (especially represented in the way to edited the video to prove your point), but the idea is absolutely  vital to our profession. We owe it to ourselves and our Future Patients. 

          • http://www.therscproject.com Jason Ulsrud

            First of all…  I had nothing to do with the video.  It’s simply a link from YouTube. 

            Secondly…  Again, I can’t argue this point because you’re talking about Medicine and not Chiropractic.  If you would like to start talking about Chiropractic, then I can join in on the fun.

            Nothing you mentioned above is even closely representative of the Philosophy or Principles of Chiropractic.  You’re simply taking a Medical Paradigm and applying it to the word “Chiropractic”. 

            If your true desire is to gain the respect of the general public and MD’s, I would suggest stop pretending to be one.  Nothing looks sillier than a Chiropractor pretending to know Medicine.

            Just my Opinion…

          • DCPrimaryCareAdvocate

            Then in your opinoin, Jason, “Leader of the most Bad Ass…..” What is the true philosophy or Principles of Chiropractic as you know them because it seems that you and your website “Rockstar Chiropractic” are going around in circles. Either you are not educated enough on current trends and perspectives (and im not making a stab at you but maybe you are just not aware, you should google Chiropractic for a couple hours). You seem to be repetative and cant divert away from one central defensive theme that seems to be a trend with all of your responses on this page. 

            So again I ask you, Parker Grad (correct?) to a National 3rd year student (who does not pretend to know medicine but who is intensively taught medicine and evidence based practice), What is your actual perception or view of Chiropractic and what does it do for your patients?

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