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Health-care reform and chiropractic in the 1990s
1Department of Urban Studies and Community Health, Rutgers University, New Brunswick, NJ 08903.
Summary
The US healthcare system faces major changes in the 1990s, potentially shifting from pro-competition strategies to national healthcare. This analysis explores the impact on chiropractic practice and offers policy recommendations.
Area of Science:
- Health Policy
- Chiropractic Practice
- Healthcare Economics
Background:
- US healthcare experienced pro-competition strategies in the 1980s.
- Anticipated dramatic changes in healthcare organization and finance during the 1990s.
- Potential shift towards national healthcare by the end of the decade.
Purpose of the Study:
- Investigate the impact of potential healthcare system changes on chiropractic practice.
- Analyze the consequences of continued pro-competition strategies versus national healthcare adoption.
- Provide policy recommendations for the chiropractic profession.
Main Methods:
- Review of healthcare policy trends in the 1980s and projections for the 1990s.
- Analysis of two primary healthcare system scenarios: continued pro-competition and national healthcare.
- Examination of the implications for the chiropractic field within these scenarios.
Main Results:
- Pro-competition strategies likely to persist in the early 1990s.
- A move towards some form of national healthcare is probable by the late 1990s.
- Both scenarios present distinct challenges and opportunities for chiropractic.
Conclusions:
- Chiropractic practice in the US will be significantly influenced by evolving healthcare policies.
- Adaptation to either continued market competition or a national health system is crucial.
- Strategic policy recommendations are necessary to ensure the future viability of chiropractic care.