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"The profession is clouded by uncontrolled commercialism and self-interest which endangers the fiduciary relationship with the patient. There is a major conflict between the culture of business and the culture of clinical delivery… Diagnostic and treatment services that exceed clinical necessity are indicators of incompetence or intentional mistreatment — a violation of public trust that requires remediation." Presentation to the Federation of Chiropractic Licensing Boards by Richard E. Vincent, DC, FICC, Past-President, FCLB and NBCE (2005) [pdf]