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A team of research-oriented chiropractors have bared their profession's shortcomings in an article that calls for "dramatic changes." The article states:
(1) Chiropractic's market share is dwindling.
(2) Despite its longevity, the profession has not succeeded in establishing respect within mainstream society.
(3) A Gallup Poll found that it rated dead last among healthcare professions with regard to ethics and honesty.
(4) Many chiropractors aggressively (and dogmatically, without evidence) have opposed public health measures such as vaccination and fluoridation.
(5) The profession must become more involved in teaching patients how to stay healthy without frequent, endless visits to chiropractic offices.
(6) Many chiropractic colleges embrace the concept of spinal subluxation as the cause of a variety of internal diseases and the metaphysical pseudo-religious idea of "innate intelligence" flowing through spinal nerves with spinal subluxations impeding this flow. These concepts lack a scientific foundation and should not be taught at chiropractic institutions as part of the standard curriculum. Faculty members who hold to and teach these belief systems should be replaced.
(7) There is a tremendous void in how chiropractic graduates develop any meaningful hands-on clinical experience with real patients in real life situations.
(8) The chiropractic profession has an obligation to actively divorce itself from metaphysical explanations of health and disease as well as to actively regulate itself in refusing to tolerate fraud abuse and quackery which are more rampant in chiropractic than in other healthcare professions.
Murphy DR and others. How can chiropractic become a respected mainstream profession? The example of podiatry. Chiropractic & Osteopathy 16(10) 2008. Full article re-published in this link to Chirobase (24th February 2009)