The George family name has been linked symbiotically to the growth of integrative health and medicine in the United States for 20 years. When a group of philanthropists met with a set of integrative academics at the Miraval Resort in 1999 and then again in 2001 in what would become the immensely influential Bravewell Collaborative, Penny and Bill George had their hands on the wheel. At Allina Health inpatient-outpatient integrative health program in their home city of Minneapolis they intentionally spawned methods and data that would guide others through $30-million pouring on the coal. The action of the Georges and the George Family Foundation intentionally reverberated nationally. Where they choose to invest is always of interest and their strategy as a family foundation has caught the attention of the national philanthropic community.
Environmentalism as a value pulled me toward the job that drew me into integrative medicine 35 years ago. Part of the magnetism was learning that a primary charge in the field with which I was deciding whether to become involved was to aid and abet the healing power of nature. I surmised that such teaching would make patients of such doctors acolytes of the environment if they weren’t already. For this and other reasons, the environmental movement’s still limited embrace of the broader integrative domain as a core ally has continuously surprised me. If it is science one needs to bind these together, a recent Grand Rounds at Harvard Medical School included intriguing arguments. Peter Wayne, PhD, the interim director of that institution’s Osher Center for Integrative Medicine locked the two movements together through an array of existing, emerging and suggestive evidence.
The transformation of acupuncturists from things to beings as subjects of research – from modality to whole system professionals – got a big boost at the June 26-29, 2019 Society for Acupuncture Research (SAR) conference. The alchemical stew for which SAR board member Robert Davis, LAc, MS was master chef began with the conference’s real world, policy, and payment focus. A Patient Centered Outcomes Research Institute (PCORI)-funded process for which Davis’ conference co-chair Remy Coeytaux, MD is primary investigator focused attention on implementation and dissemination. Past SAR board president Helene Langevin, MD, who stepped down from the SAR board when she began service as director of the NIH National Center for Complementary and Integrative Health (NCCIH), announced intentions for a precedent-setting initiative on whole systems research. In this mix, the acupuncturist as a whole professional flowered both as research target and as a potentially more valued participant in a reformed system for health care.
Shortly after my recent post, “How the Backlash to Oregon’s Plan to Taper Opioids with Integrative Approaches Missed the Mark”, I received an e-note from national pain leader Sean Mackey, MD, PhD. The letterhead of the chief of the division of pain medicine at Stanford University and co-chair of the US HHS National Pain Strategy was the vehicle through which Mackey and 100 co-signers successfully campaigned for the Oregon Health Authority to prevent forced tapering “of certain patient populations.” Mackey wrote that he presumed we had shared interests in bettering care, yet he thought there was a harmful “negativity” in my article: “May I suggest rather than a ‘missed opportunity’ message, you could easily frame it as ‘forced opioid tapering defeated – here is what we need to do next …'”