That there should be a huge transformational drama underway in the US medical industry is a desire and dream that powers the integrative health movement and the work of many others. Those who might enjoy a sort of reality TV examination of not the fantasy but the multi-dimensional actuality of what such change looks like have a treat coming. The scene of action is 18 huge medical centers distributed across the entire United States. The script writers are 25 scientists on an evaluation team. The drama cuts across 4 deeply inter-related story lines: the impact of the transformational change on patients, on employees, on utilization, and on the extent of implementation and cost. We the people literally own this story. The investment and outcomes – from which any delivery organization can learn – are revealed in plain English in the public domain. If the launch of the transformational journey was Episode 1 of the series, then this 39-page report after two years is Episode 2. It’s deep insight into a dream coming true in the Whole Health System of Care at the US Veterans Administration (VA). It’s long awaited. And it is exciting.
In the mid-1980s, editor of Holistic Primary Care Erik Goldman began a career as a medical reporter. It was a boom-time for pharma-sponsored print publications. Each month mounds of media arrived at each medical doctor’s doorstep. Goldman’s first reporter job was with Dermatology News. It was what he calls “the height of unfettered spending” by big pharma. Goldman”s personal interests in natural medicine made him feel “an imposter – like they’d find out about me somehow.” By the early 1990s he was encouraging his editors to dip into the emerging “CAM” world. He unsuccessfully shopped the idea of focused holistic medicine publication to publishers before realizing that the “someone” just might be him. In 2000, he teamed up with with publisher Meg Sinclair and co-founded Holistic Primary Care which now goes out to 60,000 mainly conventional practitioners. I caught up with this fellow who is the integrative field’s most legit and enduring medical reporter – and presently sponsor of the Practitioner Channel Forum – to reflect on the two decades and look forward.
Health creation. Transformation. From reactivity to well-being. Empowerment. From system-centered to person-centered. Using the least force. Changing the therapeutic order of the nation. These aspirations warm and power the integrative health movement, dreams on the long march for radical re-direction of a $3.5-trillion industry. Yet how often do change prescriptions meet the radical requirements of the dreams? Acupuncture in Medicare doesn’t do it. Nor non-pharma into chronic pain guidelines. In The Community Cure: Transforming Health Outcomes Together, Evolution of Medicine impresario James Maskell offers a re-framework that seeks to rise to the task. Maskell grounds his “cure” in group services models through which the medium is the message for a population crippled by loneliness.
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.