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Dynamic Chiropractic Canada – May 1, 2009, Vol. 02, Issue 03
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News In Brief

Working Toward Sustainable Health Care in Canada

The Health Council of Canada has released "Value for Money: Making Canadian Health Care Stronger," part of an initiative to begin dialogue about ways to maximize the cost-effectiveness of health care, and created an online forum ( to facilitate discussion. The site features interactive tools including polls, videos and podcasts; a copy of "Value for Money" is available on the site in its entirety. The Canadian Chiropractic Association (CCA) and Canadian Memorial Chiropractic College (CMCC) are working together to support the initiative, and are actively participating in the dialogue.

"We are pleased that the Health Council of Canada has shown the wisdom and leadership on this new and vital way of evaluating health services," said Jim Duncan, executive director of the CCA. "The chiropractic profession has long felt that more money is not the solution to the crisis in health care spending. The solution lies in a quality exploration involving all Canadians."

"As an educational institution, we are especially interested in further exploring how factors such as prevention and lifestyle can be part of the overall solution to sustainability, and how we can contribute to these efforts through valuable, relevant academic programs," added Dr. Jean Moss, CMCC president.

Canadian Spine Society Gains a Chiropractic Perspective

Dr. David Brunarski, vice president of the Ontario Chiropractic Association and associate editor of DC Canada, has been elected to the Canadian Spine Society - the first practicing DC to be offered membership in the organization. Dr. Brunarski's nomination was declared and accepted by the general membership during the society's 9th annual meeting in Gatineau, Quebec, and ratified by the executive committee following the annual meeting.

With his election, Dr. Brunarski becomes one of only seven non-surgeon members of the Canadian Spine Society. Dr. Daryl Fourney, society president, and Dr. Hamilton Hall, executive director, have voiced interest in collaborating with the chiropractic profession; Dr. Brunarski hopes his presence will foster additional interprofessional relationships and help advance the chiropractic profession.

More Progress for Chiropractic in Italy

Editor's note: As reported in Dynamic Chiropractic last year (Feb. 12, 2008 issue), chiropractic is now officially recognized as a primary health care profession in Italy. The following is an update courtesy of Dr. Baiju A. Kahnchandani, vice president of the Association of Italian Chiropractors (AIC).

Following a three-hour meeting in June 2008 (originally scheduled for 15 minutes), the Italian Ministry of Health, together with the Association of Italian Chiropractors, produced a document outlining the regulatory framework for chiropractic. The document includes these key points: (1) Chiropractic is a primary health care profession; (2) Councils on Chiropractic Education International (CCEI) and ECCE standards and colleges are recognized. This means the "grandfather" clause will only accommodate graduates of those colleges; and (3) Chiropractors will perform functional chiropractic diagnosis, and scope of practice covers care of the "neuromusculoskeletal system."

The next step, already underway, is a process of concertazione: a piloted (semi-imposed) endorsement of the document by other stakeholders. Crucially, the Health Ministry, not just the AIC, is impressing upon stakeholders that Parliament expressed its will in December 2007 recognizing chiropractic and that the profession must now be regulated. Following broad agreement, the document will be enacted through parliamentary process.

The medical profession is not sitting on its hands. Several law proposals have been presented by the medical lobby aimed at allowing MDs to become specialized in alternative medicines, including chiropractic, by simply enrolling in short courses. Four universities have already developed courses of 30 credits for nine different complementary medicines and are presently recruiting medical doctors. The AIC has brought this matter to the health minister's attention and is preparing a case for the Senate Healthcare Commission to explain why chiropractic should be removed from the list of professions abusively taught in these courses.

Hopefully, ECCE candidate status with the European Network for Quality Assurance in Higher Education and other arguments will dissuade the creation of a two-tiered chiropractic profession consisting of MDs specialized in chiropractic and professionals possessing the doctor of chiropractic degree. The ECU Convention in Alghero, Sardinia, May 21-23, 2009 ( will be an important impetus to the legislative efforts of the AIC in Italy by highlighting that chiropractic is a distinct and separate profession.

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