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LETTERS
TO THE EDITOR
Trends
in national health care
To the Editor. -- The nationalization
of health care is clearly forthcoming. At the present time Medicare
is at the forefront of this movement, apparently setting algorithms
for all clinical situations to be reviewed. This is a giant step
forward from the already existing DRGs. In spite of these major
reforms in our health care system, Medical Acupuncture is to date
rarely acknowledged and reimbursed by insurance agencies, and
worse still, a number of arbitrary restrictions are being imposed
on its practice.
Experience has taught us very clearly
that statutory changes on Capitol Hill involve a tedious and often
times lengthy process of testimony from both experts and interested
citizens, as well as reviews of precedents. We, as responsible
physicians represented both by the AMA and the AAMA, are clearly
in a position to respond and to act.
I believe that our entire national health
care system will follow the footsteps of Medicare. The AMA is
the legitimate organization to uphold the quality of the cost-effective
health care system to come. As members of the Academy, we should
join forces in achieving this goal. My immediate suggestions are
as follows:
-
we should solicit support from various state and federal legislators,
with regard to our practice and position;
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we
should actively convey to our non-acupuncturist colleagues our
practical experience in Medical Acupuncture and its complementary
role to its Western medicine counterpart;
-
we
should interact with medical insurance agencies on the issues
of coverage of medical expenses for acupuncture treatments;
-
we
should bolster the awareness of the value and significance of
acupuncture practice in the public, in particular our medical
colleagues and patients.
In
the late 1970s, the World Health Organization had made a pledge
of "Health for everyone by the year 2000". Perhaps we should make
our own pledge read: "Accessible and effective health care by
the year 2000."
Margaret
M. Mullins, M.D.
1020 Cape St. Ciair Road
Annapolis, MD 21401
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