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The Integrator Blog. News, Reports and Networking for the Business, Education, Policy and Practice of Integrative Medicine, CAM and Integrated Health Care. - Issues #17 and #18 - Dec 2006
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Issues #17 and #18 - Dec 2006 PDF Print E-mail
Written by John Weeks   

December 29, 2006 mailing - Issue #18

December 29, 2006

Research Fellowships Offered Through Osher-NCCAM and UCSF-Osher

ImageResearch-interested CAM clinicians will be among beneficiaries of two new research development programs. The Integrator spoke with Bernard Osher Foundation president Mary Bitterman about the Osher-NIH NCCAM program to offer research career development grants to clinicians from the distinctly licensed natural healthcare professions of chiropractic, naturopathic and acupuncture and Oriental medicine. Meantime, a distinct UCSF Osher Center program will be offering two research fellowships in 2007 and two more in 2008 which are open to both conventionally-trained researchers as well as those from the natural healthcare professions. The initial submission deadline for both programs is February 1, 2007.

December 26, 2006

Linda Rapuano, acupuncture at St. Vincent's
Brief Notes: Personnel, Health Systems, Educators

Reed Phillips, PhD, DC to leave presidency of SCUHS ... Not-for-profit network and resource for integrative clinics, Healing Clinics United, begins under the direction of Beth Rosenthal, MPH, MBA, PhD ...  Linda Rapuano updates integrated care work at St. Vincents, NYC ... Richard Materson, MD chairs board of Institute for Religion and Health in Houston ... Mitch Haas, DC, MPH honored for both public health and research work ... Russ Greenfield, MD, takes break after 5.5 years at Carolinas Health ... Jeff Bland, PhD, looks at life after Metagenics presidency and role as Institute for Functional Medicine chair, plus ...

December 26, 2006

ImageBelly of the Beast, Part 3: The Cost of a Hospitalization with a $5000 Deductible

Integrator interviewees are typically asked for data, if they have it, to ground the qualitative aspects of an interview. It will mean more to readers, I tell them. Well, what is asked of the goose must be asked of the gander. If you thought the picture of the appendix that accompanied my two postings on my September hospitalization was ugly, wait until you see the gruesome economic details of what, with complications, became a four day hospitalization. Here is an education on what a $5000 deductible plus 30% co-insurance plan can mean to those who are choosing, or being forced to choose, this type of coverage in "consumer-directed" health plans ...

December 21, 2006 - Winter Solstice

"dawn" from ilind.net
The Coming of the Light! A Solstice-Celebrating Integrator Top 10 from 2006

For the impatient, progress is always caught in a traffic jam. Looking back, we see how far we have come. The year of 2006 has seen many advances for the multi-disciplinary and multi-stakeholder field of integrated health care. This article, published on the winter solstice, provides you with the Integrator Top 10 from 2006 - with links, should you wish to explore them further. Send your suggestions, disagreements, and reflections to Here's to the coming of the light! (Dawn photo from ilind.net)

December 18, 2006

Sherman Cohn, JD
Your Comments: Debate on Hourly Fees for Acupuncturists - Justice, Apprenticeship and the Market

Talk of money provokes responses. The discussion of fees paid to hired acupuncturists in the Community Acupuncturist Network (CAN) model continues to provoke response. Seven voices are represented here. Sherman Cohn, JD, Georgetown law professor and 30-year student of (and activist in) acupuncture's emergence focuses on the variable fees in private practice versus community settings. A 'retired acupuncturist' lambastes the lack of a 'job market' for acupuncturists, then wonders why schools don't offer training in two areas where hiring does take place: addiction and pain management. Bastyr dean and national accreditation leader Terry Courtney, LAc, MPH offers a response. Geoff Barkley, PhD, LCSW, believes that the low fees, while unjustified given the professional training, come with the territory of working for change. Finally, three affiliates of CAN explain why they feel the fees are justified - focusing on the apprenticeship which is offered.

December 15, 2006

ImageImageHolisms's First Official Recognition: ANA Grants Holistic Nursing Formal Status as a Nursing Speciality

Holism just made one of its most significant advances in US health care. The American Nurses Association accepted holistic nursing as a recognized specialty within nursing. The decision followed a two year process guided by the 26-year-old, 3200 member American Holistic Nurses Association and the association's president, Carla Mariano, RN, EdD, AHN-BC (Board Certified). Good for nursing! Good for us!

December 12, 2006 mailing - Issue #17

December 12, 2006

Jeannette Painovich. LAc, DAOM
Good Samaritan Hospital and Emperors College in Cost/Care Project on Historic, Trusting Exploration of Well-Integrated Inpatient Acupuncture

Well-integrated acupuncture, as provided by licensed acupuncturists, is finally getting a test in inpatient care in a US hospital. Through relationships built between Los Angeles' Good Samaritan Hospital (GSH) and Emperors College of Traditional Chinese Medicine, Jeannette Painovich, LAc, DAOM will soon be managing a historic, $218,500 research project. LAcs will practice side-by-side with conventional MDs and nurses in treating a whole array of critical conditions. Clinical, patient satisfaction and cost outcomes will be measured, with a particular focus on potential savings in the area of length of stay. A key element in the set-up is the acupuncture profession's new Doctor of Acupuncture and Oriental Medicine (DAOM) clinical doctorate, through which GSH will have its acupuncture clinicians. The project has more potential for impact on US health care than any dozen acupuncture RCTs.

December 12, 2006

Peter Reinecke
Follow-up on the New Adverse Events Reporting (AER) Law for Dietary Supplements: Interview with Former Harkin Chief of Staff Peter Reinecke

First as chief of staff for US Senator Tom Harkin and then as a lobbyist associated with Pharmavite and United Natural Products Alliance, Peter Reinecke was present at the conception and passage of the adverse events reporting (AER) bill for the dietary supplement industry. After the AER bill passed both chambers, the Integrator contacted Reinecke for a brief report on the process, the opposition and the meaning of the AER.

December 12, 2006

ImagePolitical-Economic Issues in Whole Systems Research Revealed by JACM Roundtable

The Journal of Alternative and Complementary Medicine convened an international roundtable to explore the "methodological" challenges in the whole systems research strategies which respect the whole of what human beings are. Measuring economic outcomes was recommended by George Lewith, MD, PhD, and others. Percolating through the discussion are suggestions of the extent to which political-economic biases in the conventional research establishment are arrayed against whole systems research ever having a meaningful effect on health care. A political solution involving a focused funding campaign to US Senator Tom Harkin, the Congressional CAM Caucus and the 110th Congress is suggested.

December 9, 2006

Jeanne Achterberg, PhD
Brief Notes: Personnel Changes, Organization Action

Bill Meeker, DC, MPH takes over presidency of Palmer West, Christine Choate, DC, PhD to lead Palmer's research .. Jeanne Achterberg, PhD, moving the frontier of medicine ... Pain experts learning integration from James Dillard, MD, DC, CAc ... Update on the Jahnke/McLean Health Action, plus James Strohecker, PhD's new Wellness Inventory ... Lori Knutson, RN, named AHNA's holistic Nurse of the year ... and association action from SAR, AANP, IAF, IAYT and more ...

December 7, 2006

US Senator Orrin Hatch
Supplement Industry-backed Adverse Events Reporting (AER) Bill Passes

BREAKING NEWS: On December 9 at 3:06 AM, the last act of the US House of Representatives in the 2006 Congress was to pass AER legislation.

In the waning days of the 109th Congress, the US Senate passed a bill requiring adverse events reporting (AER) for the dietary supplement industry and the over-the-counter (OTC) drug industry. Though supported by the Natural Products Association and the American Herbal Products Association, the bill has also generated opposition from some parts of the broader natural health world, including the American Association for Health Freedom. If AER doesn't pass, a similar bill is expected to be back before
the Democratic 110th Congress next year. The Democrats would be expected to produce a bill that is more stringent.

December 7, 2006

Image"Integrative Medicine" Definition Changed by Conventional Academics at Request of CAM Academics

In December of 2004, members of the Consortium of Academic Health Centers for Integrative Medicine (CAHCIM) reached a milestone in their development as a young organization. They formally adopted a guiding definition of "integrative medicine" (IM). Yet within months a younger consortium representing educators from alternative healthcare disciplines, the Academic Consortium for Complementary and Alternative Health Care, asked them to change their self-definition. The core issue had to do with whether IM was focused on integrating therapies or providers. CAHCIM responded positively to the suggestion and put a new multi-disciplinary face on their self-definition as "integrative medicine." The story, largely unreported, deserves telling as we in the northern hemisphere nudge toward the season of the coming of the light ...

December 5, 2006

Subhuti Dharmanandra, PhD
Your Comments
: Heated Debate on the Hourly Pay for an Acupuncturist in a
Community Setting

The recent column on the Working Class Acupuncture (WCA) model of delivering low cost acupuncture in a community room provoked a response that the $15-$20 rate for hiring an acupuncturist does not reflect rates elsewhere and was "shameful." The Integrator contacted the WCA co-founders for their response, and then contacted Subhuti Dharmananda, PhD, a clinic operator who also offers a national perspective. The discussion jumps between what acupuncturists get paid in various markets, and what they may "deserve" to get paid - to how we can create sound business practices.

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