Our response to Dr. Bart Barrett’s post regarding Trump voters and Chiropractic
Want to be the Ultimate Chiropractor? Join us at the ChiroSushi Summit
On January 23rd, 2016 Dr. Bart Barrett, a family physician from Huntington Beach posted a blog that took a giant leap connecting Trump voters to Chiropractic care.
https://nyusternldp.blogs.stern.nyu.edu/research-paper-writing-services-in-delhi/ watch write my essay for cheap click here essay writing about success buy essays online reviews essay on republic day in hindi and english see https://homemods.org/usc/political-essays/46/ cialis side effects nightmares go to site sample format of thesis writing cytotec without prescription paying with debit card levitra norfolk what is means to be an american essay buy essay online canada watch mcdougal littell algebra 2 homework help calcium chanel blocker and viagra giving presentations https://pharmacy.chsu.edu/pages/medical-bill-collector-resume/45/ buy university diploma uk http://teacherswithoutborders.org/teach/cover-letter-engineerv/21/ viagra for sale walgreens where to buy viagra cheap how to get my email on my iphone 8 plus https://www.newburghministry.org/spring/customer-service-functional-resume-examples/20/ http://www.trinitypr.edu/admission/academic-ghostwriting-services/53/ https://cwstat.org/termpaper/essay-great-white-shark/50/ collection of case studies http://mechajournal.com/alumni/custom-reasearch-essay/12/ essay of king buddhadasa (UPDATED – Looks like Dr. Barrett removed the article – you can view and we suggest download the cached screenshot of it here)
“So how is he winning?
The answer can be found in an unexpected place- chiropractic care.”
“There is no scientific evidence that chiropractic care is beneficial, nor is there any anatomic or physiologic basis for the theory upon which chiropractic is based. In spite of the lack of supportive evidence over 15 million Americans visit a chiropractor every year. “
Yet scientific research has been conducted for years proving the benefits of Chiropractic, including;
- Journal of the American Medical Association (JAMA) – Chiropractic and Low Back Pain
- Journal of Spine –Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain
- Journal of Manipulative and Physiological Therapy – Significant changes in systolic blood pressure post vectored upper cervical adjustment vs resting control groups
- Journal of Manual and Physiological Therapeutics Magnetic resonance imaging zygapophyseal joint space changes (gapping) in low back pain patients following spinal manipulation and side-posture positioning
- Journal of Manual and Physiological Therapeutics – effects of chiropractic spinal manipulative therapy (SMT) and epidural nerve root injections (NRI)
- Non-invasive physical treatments for chronic/recurrent headache
- Manipulation or mobilisation for neck pain
Dr. Barrett continues
“When I have asked patients why they seek chiropractic care in spite of the overwhelming evidence against it, their answers are eerily similar to the reasons given for voting for Trump.”
So let’s go down the rabbit hole Dr. Barrett presents:
The Establishment has failed them.
For patients with chronic back pain, the medical establishment seldom provides a cure. Desperate for an answer they turn to someone who promises he can make them great again. Voters who feel as if the political establishment has failed them are willing to look somewhere, anywhere, to anyone who will tell them what they want to hear.
We agree. The establishment has failed us.
Researchers reviewed records from 1,450 patients in the Ohio Bureau of Workers’ Compensation database who had diagnoses of disc degeneration, disc herniation or radiculopathy, a nerve condition that causes tingling and weakness of the limbs. Half of the patients had surgery to fuse two or more vertebrae in hopes of curing low back pain. The other half had no surgery, even though they had comparable diagnoses.
After two years, just 26 percent of those who had surgery returned to work. That’s compared to 67 percent of patients who didn’t have surgery. In what might be the most troubling study finding, researchers determined that there was a 41 percent increase in the use of painkillers, specifically opiates, in those who had surgery.
The study provides clear evidence that for many patients, fusion surgeries designed to alleviate pain from degenerating discs don’t work, says the study’s lead author Dr. Trang Nguyen, a researcher at the University of Cincinnati College of Medicine. – source 1 and source 2
2. They don’t trust Medical Professionals.
They do not trust medical research and feel that the system is corrupt and entirely motivated by money. They believe that big pharmaceutical companies and the AMA work together to find ways to make money, ignoring the needs of patients. They leave the system and seek care from an outsider who they believe is not beholden to these special interests. Voters who feel that the system is corrupt and that politicians can be bought are drawn to a billionaire who will not need to sell out.
While Dr. Barrett’s payouts from Big Pharma are relatively low and most likely coffee or lunches the reality is the pharmaceutical industry spends an awful lot of money on Doctors.
The more money doctors receive from drug and medical device companies, the more brand-name drugs they tend to prescribe, a new ProPublica analysis shows. Even a meal can make a difference.
3. Doctors didn’t understand them.
Their pain has been ignored and they concerns downplayed. They want someone who focuses on what matters to them. What matters to them is their pain. Voters who are suffering from lost jobs, who feel threatened and unsafe are drawn to someone who addresses these issues in a language they can understand.
With doctor’s compensation being tied to multiple variables from the ACA, patient time with a provider has decreased and options for care have been narrowed, which Dr. Barrett has admitted himself in a Yelp review response:
4. They feel better when they see a chiropractor.
It doesn’t matter that there is no reason for them to feel better or that the feeling may not last. It does not matter that the pain would have faded over time without treatment. It does not matter that the short term pain relief may be accompanied by longer term damage. They want to feel better now. Trump makes some people feel better about themselves. It may come at the expense of others and it may lead to long term harm to the country, but as long as they feel better now, they will overlook the risk.
I have learned over the years that rational arguments have little effect on emotional positions. My scientific facts do not matter to people who want to be referred to a chiropractor, and political reasoning is unlikely to change the vote of a Trump supporter.
Let’s use an example of one of the largest pharmaceutical companies in the world and one of society’s favorite “feel good therapies” : Allergan and Botox
Botulinum toxin, a purified protein derived from the bacterium Clostridium botulinum, has been researched for ~100 years. Ever since the bacterium was identified in 1895, researchers have been intrigued by its potential therapeutic uses.
In 1989 The therapeutic value of Botulinum Toxin Type A to address an unmet medical need was recognized when Oculinum, Inc. received one of the first approvals by the U.S. Food and Drug Administration (FDA) under the newly established orphan drug status to market Oculinum in the United States for the treatment of strabismus and blepharospasm (uncontrollable eye blinking) in people 12 years and older. Shortly after, Allergan acquired Oculinum, Inc. and received FDA approval to change the product’s name to BOTOX® (Botulinum Toxin Type A), which was recently changed to BOTOX® (onabotulinumtoxinA).
In 2013 the U.S. Food and Drug Administration today approved a new use for Botox Cosmetic (onabotulinumtoxinA) for the temporary improvement in the appearance of moderate to severe lateral canthal lines, known as crow’s feet, in adults.
Yet, Cosmetic Surgeons and Dermatologists had been using Botox off-label and for unapproved indications for years.
It took time and most importantly money to get the FDA approval Allergan needed to promote for more indications. As of this writing, Allergan is trading at 273.91 USD on the stock market while Chiropractic is not traded.
What about studies on the preventive effects of chiropractic?
It is far easier to study chiropractic as a treatment than as an approach to wellness. When a patient has a specific complaint that can be measured by level of pain or certain limitations, different interventions can be compared in their ability to affect changes. But how does one measure wellness?
This is one of the elusive issues in research. What should the measures be and how does one control for the confounding effects of daily living? The currently accepted standard of sound clinical research is the randomized controlled trial, but in order to study wellness, other approaches will need to be devised and validated. Because of these issues, there is little research on the preventive effects of chiropractic. -source
If patients are feeling good, isn’t that the point? And science does support Chiropractic, which is underfunded yet privately researched every day in practice.
The proof is in the pudding they say and that pudding is visible from online reviews all over the web, where Chiropractor’s average 1 star ahead of medical doctors.
Source: Yelp; ProPublica analysis; NYU Polytechnic School of Engineering, Department of Computer Science and Engineering
Credit: Alyson Hurt/NPR
If Chiropractic didn’t work, don’t you think by now, in this day and age…it would be vanishing like AMA members?