In late September, the Academy of Integrative Health and Medicine (AIHM) sent out a notice to its list to celebrate the 80th birthday of perhaps its most honored male elder, Bill Manahan, MD. Manahan’s story dates back to a founding membership meeting of a predecessor to the AIHM, the American Holistic Medical Association (AHMA), 40 years ago. One of Manahan’s most powerful areas of impact is an AIHM priority: sewing interprofessional respect. He’s worked to pry open the MD guild – which proved necessary even in the MDs’ “holistic” form. Manahan has been a mentor to countless practitioners and other functionaries in the holistic health and integrative medicine movement, including me. I thought his birthday was a good excuse to re-connect and explore a couple pieces of his rich history in the field – specifically the inter-professional work and the remarkable Minnesota group he has managed for 40 years.
From time to time someone will assume my writing of the Integrator is a “labor of love.” There is something in that, for sure. Yet the truth is that the Integrator Blog News & Reports would have been stillborn if I wasn’t paid for the work. In piecing together from various sources the income I needed for my family over the last quarter century, payment for chronicling the movement for integrative medicine and health has continuously been a part. I’ve chosen not to hit you up for a $50 or $25 or $100 annual subscription for one reason: a terrific set of individuals have on their own or through their businesses relieved me of all that stress and management. Please join me in honoring these Integrator sponsors, 2006-2020.
After publishing on challenges the Accreditation Council for Continuing Medical Education (ACCME) is presenting to the integrative and functional medicine continuing medical education (CME) providers, I sent links to Graham McMahon, MD, MMSc, the organization’s president and CEO to request an interview. Multiple integrative CME providers with decades delivering integrative CME have lost or are facing potential loss of recognition. They have shared serious questions of transparency and intent on ACCME’s part. Some efforts to connect with ACCME have been rebuffed. Is integrative medicine being targeted? In my request for an interview, I provided McMahon some background on concerns. McMahon responded immediately, and affirmatively. We spoke for over 30 minutes via zoom on February 5, 2020. His responses included a surprising assertion that he believes the present ACCME is aligned with integrative medicine principles and practices. He committed to open dialogue in ACCME’s move “from cop to coach.” He underscored that the new proposed language is yet open for comment. I assembled our exchange in the following interview format and sought his edits and written replies to additional questions, then secured his approval prior to publication.
Long-timers in the integrative trenches will know the paradoxical feelings of dismay at how messed up health care still is and at the same time satisfaction at just how far “integration” has advanced. Evidence for the latter comes from not one but two recent moves in the career of chiropractor and health services researcher Christine Goertz, DC, PhD. Place yourself in 1988. The chiropractors were just concluding their decade-long, successful Wilk vs. the AMA anti-trust suit. Most of medicine and much of the media – in part because of the AMA’s economically-driven attacks – equated “chiropractor” with “quack”. Now consider where Goertz has arrived via her health services research and policy career that focused on safety, effectiveness and quality issues. She was recently named by the General Accounting Office as Chairperson, Board of Governors, for the Congressionally-funded, quasi-public Patient Centered Outcomes Research Institute (PCORI). And Goertz just began a new role as Professor and the Director of System Development and Coordination for Spine Health at Duke Health in the Department of Orthopaedic Surgery. I reached Goertz to talk with her about her dual ascension.