The National Association for Chiropractic Medicine (NACM) was"No More NACM." Dynamic Chiropractic. April 9, 2010 a minority chiropractic association founded in 1984Mirtz TA, Long P, Dinehart A., Slaughter RL, DuVall Jr., CE, Bryson R, Kourmadas F., Campo J. NACM and its argument with mainstream chiropractic health care. Journal of Controversial Medical Claims, 2002;9(1):11-25. (Article summary)Ronald Carter, DC, MA, Past President, Canadian Chiropractic Association. "Subluxation - the silent killer." J Can Chiropr Assoc 2000; 44(1) that described itself as a "consumer advocacy association of chiropractors".National Association for Chiropractic Medicine Official website, archived copy from May 30, 2008 It openly rejected some of the more controversial aspects of chiropractic, including a basic concept of chiropractic, vertebral subluxations as the cause of all diseases. It also sought to "reform the chiropractic profession away from a philosophical scope of practice and towards an applied science scope of practice."History of the NACM It stated that it was "dedicated to bringing the scientific based practice of chiropractic into mainstream medicine"Maley, Patterson, Rice, Sanders. "Complementary and Alternative Medicine in Managed Care Organizations and Tricare." U.S. Army - Baylor University Graduate Program in Health Care Administration, 2004 and that its members "confine their scope of practice to scientific parameters and seek to make legitimate the utilization of professional manipulative procedures in mainstream health care delivery." "While the NACM is focused on furthering the profession, its primary focus is on the rights and safety of the consumers." The NACM was the object of much controversy and criticism from the rest of the profession. It quietly dropped out of sight and its demise apparently occurred sometime between May 30, 2008 and March 6, 2010.
Background Representing a minority viewpoint among chiropractors that is shared by those known as reform chiropractors,NACM's use of the term "reform" is found in their "History" statement. the NACM advocated a highly limited use of spinal manipulative procedures "only for the treatment of some neuromusculoskeletal conditions of musculoskeletal origin," for example the treatment of "sore backs and other musculo-skeletal problems."Foreman, Judy. "Chiropractic makes gains vs. skeptics". Boston Globe Online. 06/23/1997, p. C1. By openly rejectingRenouncement as a requirement of membership: "The first and foremost requirement for membership in the NACM is that a Doctor of Chiropractic Medicine renounce the chiropractic hypothesis and/or philosophy; that is, the tenets upon which their scope of practice is based. The original chiropractic hypothesis, stated simply, is that 'subluxation is the cause of dis-ease.'. ... Because the hypothesis has found no validity in universally accepted, peer-reviewed, published scientific journals, belief in the hypothesis, then, is essentially a theosophy. Science has not found any organ system pathology which 'adjustment' or 'manipulation' of spinal joint structures has effect; that is, no disease or 'dis-ease' process is affected."Judy Foreman in Boston Globe: "The debate over subluxations has been so heated that, over a decade ago, chiropractor Ron Slaughter and like-minded souls founded their own group, the National Association for Chiropractic Medicine, to renounce what Slaughter calls 'the historical, philosophical hypothesis that subluxation is the cause of all disease, which it surely is not. Subluxation is a metaphysical disease. . .and consequently, chiropractic today is practically a religion." some of the more controversial aspects of chiropractic, including a basic concept of chiropractic, vertebral subluxations as the cause of all diseases. NACM members claimed to receive mainstream approval more so than practitioners of straight or mixing chiropractic.
The NACM was a private organization that accepted members by invitation only and did not release membership data, however the neutral Agency for Healthcare Research and Quality and the antagonistic ICA estimated its membership to be in the low hundreds"Chiropractic in the United States: Training, Practice, and Research." Dec. 1997. Research Summary. Agency for Health Care Policy and Research, Rockville, MD. or less.Mootz & Phillips Chiropractic Belief Systems : "However, both organizations [WCA & NACM] are proprietary (as opposed to being representative of their memberships) and have a very small number of members (believed to be in the low hundreds)."
Groupings within the chiropractic profession have been studied and categorized in various ways and the placement of the NACM within that spectrum has been mentioned in the literature. A 2005 study made with support from the chiropractic community had this to say:
"At the risk of oversimplification, chiropractors can be viewed as falling into three groups based on their usage of evidence, diagnosis, and philosophy: evidence based chiropractors, traditional straight chiropractors, and super straight chiropractors. Evidence based chiropractors make use of the best available scientific literature and accumulated clinical knowledge to establish diagnosis, refer or co-manage when necessary, devise and revise treatment plans. The evidence based chiropractor would most closely align with the AACP.""The Future of Chiropractic Revisited: 2005 to 2015." Institute for Alternative Futures, 2005.
That statement referenced the NACM as a subgroup of evidence-based chiropractors:
"Another subgroup represented by the National Association for Chiropractic Medicine (NACM) takes a more narrow view. Whereas the AACP believes in a wide variety of treatment measures, the NACM restricts members to NMS conditions and manipulation by hand only."
In 1998, the AMA's Council on Scientific Affairs used communications from NACM's vice-president as a basis for some of the content in their "Report 12".Report 12 of the Council on Scientific Affairs (A-97). American Medical Association
In 2002, the Journal of Controversial Medical ClaimsJournal of Controversial Medical Claims. Aspen Publishers published a paper submitted by the NACM entitled "NACM and its argument with mainstream chiropractic health care." In 2005, chiropractic leader Anthony Rosner had some strong words for the paper:
"The history of anti-chiropractic invectives labeling the profession as "unscientific" unfortunately fills volumes, from the days of Morris Fischbein's crusades against chiropractic as editor of the Journal of the American Medical Association, to a mind-numbing invective published in 2002 by Timothy Mirtz which I have rebutted in considerable detail elsewhere."Rosner "Exit, Pursued by a Bear." Dynamic Chiropractic, March 12, 2005, Volume 23, Issue 06.
Position on spinal manipulation for children and adults In 2006 the Maryland Health Care Commission examined and briefly compared the positions of the three chiropractic groups "with policies on spinal manipulation services for children: American Chiropractic Association (ACA); International Chiropractor's Association (ICA – with its specialty department, The Council on Chiropractic Pediatrics; ); and National Association for Chiropractic Medicine (NACM)." It then noted that the NACM position differed from the positions of the other groups, both for adults and children:
"NACM differs from ACA and ICA not only in the chiropractic treatment of children, but in the treatment of adults as well. NACM emphatically renounces subluxation as the root of disease or even as a scientifically valid term or condition. Their members believe that spinal manipulation is only useful for affecting joint dysfunctional disorders that result from normal or excessive 'wear' on the joints. As such, they restrict their practices to the treatment of neuromusculoskeletal conditions and do not believe that DCs are sufficiently trained to serve as PCPs for either adults or children. The basis for NACM's position on children and spinal manipulation comes from the 1993 Report to the Committees on Armed Services and Appropriations -- CHAMPUS Chiropractic Demonstration.CHAMPUS Chiropractic Demonstration, Aug 1993. Task III Report MRI Project No.8533-D, 1/24/86. In this demonstration, only children 16 years and older were eligible for participation 'based on review of chiropractic literature that efficacy of chiropractic treatment of young children had not been established and to present more risk than benefit.'"Annual Mandated Health Insurance Services Evaluation. Maryland Health Care Commission, January 19, 2006
Opposition from chiropractic profession The NACM met with strong disapproval from the American Chiropractic Association (ACA),"Veterans Secretary Appoints Chiropractic Advisory Committee." August 13, 2002. American Chiropractic Association the International Chiropractor's Association (ICA)Letter from President of the ICA to the Managing Editor of The Wall Street Journal. International Chiropractors Association. November 19, 2002."Chiropractic Advisory Committee Named by U.S. Department of Veterans Affairs." International Chiropractors Association: "The inclusion of a representative from the National Association for Chiropractic Medicine is an unwelcome though not unexpected development, since the DVA had sought their participation from the very beginning of the discussion about possible legislation."COCSA 'demands' ACA, ICA merger. The Chiropractic Journal, May 2007. Reporting an earlier motion by the ICA to support "...a profession-wide stand opposing the destructive efforts of the National Association for Chiropractic Medicine ..." and other chiropractic organizations, and sparked controversy within the chiropractic profession in 1986 by coming out in favor of chiropractors using pharmaceuticals."NACM sparks national controversy: Association says chiropractic should use drugs" . The Chiropractic Journal. October, 1986.
It was often the object of attack and comments in the magazine Dynamic Chiropractic, as a search of the website will show. In 2002, the Department of Veterans Affairs chose to add Charles DuVall Jr., DC, to the VA "Chiropractic Advisory Committee" to help institute chiropractic care for veterans.VA Appoints Chiropractic Advisory Committee August 12, 2002 At the time, DuVall was president of the NACM, board chairman of The National Council Against Health Fraud (NCAHF), and also the chiropractic member of the editorial group running the website Chirobase, a website skeptical of traditional chiropractic beliefs and practices. The website still promotes the reform position advocated by the NACM and contains a list of chiropractors it recommends. Dynamic Chiropractic showed its opposition to DuVall's appointment by calling for an organized attempt to remove DuVall from the committee,Donald Petersen, Jr, Editor. Let's Send a Message! Dynamic Chiropractic, September 24, 2002, Vol. 20, Issue 20 and by creating a banner and button to use:
"We are asking every chiropractic association, college, company and individual that has a publication or website to add this banner on the front page of their publications, and on every page of their websites. To make it easy, we are offering the banner in various file types on our website at www.chiroweb.com/noduvall."Donald Petersen, Jr, Editor. Let's Send a Message: No Charles DuVall in the VA Advisory Committee! Dynamic Chiropractic
It failed to have him removed, and his role and influence in getting legislation passed which gave chiropractors access to the VA system was singled out for commendation by James Edwards, DC: