The Integrator article two issues ago on Google’s activities that precipitously gouged traffic at key websites (Self-Interested Whims of the Oligarchs: Google and Facebook Kill Access to Alternative and Integrative Medicine) immediately drew a range of responses. Longtime medical journalist Erik Goldman shared the remarkable diminution of traffic at his Holistic Primary Care site. Some spoke of organizing efforts. At the same time, other good analyses have been published. New information regarding Google’s growing partnerships with members of the medical industry and particularly pharmaceutical giants has come out. And there is an interesting coincidence of Google’s choice of dance partners as it matures and measures it global strategy and the corporate decision to excise its cheeky formative promise to “Don’t Be Evil”. Is it time to wonder whether there is a next level war for access emerging?
The past 20 years witnessed the expansion of a new type of institution in academic health care – and specifically in integrative health and medicine: multidisciplinary universities with professional degrees in multiple natural health fields. Variously denominated as universities of “natural health sciences” or “health sciences” or “integrative health” or merely as “university,” these 7 institutions were each founded as single purpose colleges to educate chiropractors, naturopathic doctors or acupuncturists. They expanded to include other disciplines, degrees and certifications. Many have played important roles in the integrative health movement. All sit at the intersection of two fields in turmoil: health care and higher education. I interviewed the presidents of each to access their vantage points. This overview is a first in a two-part series.
The principle of using the least invasive methods first – a corollary of “first do no harm” – is central to integrative health and medicine. Also core is the idea of patient-centered, functionally-oriented outcomes. Each of these principles is being chucked out the window as the FDA is systematically removing multiple natural agents from an approved list for compounding pharmacists.
The evolution of the American Congress of Rehabilitation Medicine (ACRM) began in the 1930s with a founding focus on a single emerging modality and now boasts a position as the largest multidisciplinary-centered rehabilitation organization in the country. ACRM was first a medical academy for x-ray therapy, broadened to more physical therapies, then focused in on physical medicine, and finally extended outward again to address both physical and psychological issues. Core disciplines are medicine, physical therapy, occupational therapy, and psychology. The door is not shut. Anyone can join.