I sometimes refer to my 1983-1993 years with the re-emergence of the naturopathic profession – amidst the broader social-medical movement that birthed integrative health – as my boot-camp. Given the decade duration of the commitment, it was more of an extended Marine Corp stint. The work was hard, ground won celebrated, compensation scarce, friendships fierce, and mission central. The pole star was the naturopathic profession’s commitment to “treat disease by restoring health.” The constellations that guided the voyage were a set of principles and something educators Jared Zeff, ND and Pamela Snider, ND would articulate as the “naturopathic therapeutic order.” So when the Association of Accredited Naturopathic Medical Colleges (AANMC) recently posted an updated version of the profession’s therapeutic order, I thought it a good time to re-visit the engine room of that field’s transformational work.
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.
Cast a net for papers on “innovations in group-delivered services” and what do you get? Guest editor Maria Chao, DrPh, MPA summed up the nearly 40 submissions this way: “Our editorial team was struck by the heterogeneity of integrative group visits for a range of health conditions, serving diverse patients across the life course and implemented in varied healthcare settings. A unifying theme is the potential for integrative group visits to address unmet needs of underserved and vulnerable patients. In many ways, group visits serve as a critical model towards integrative health equity.” The commentaries and research articles in the JACM Special Focus Issue on Innovation in Group Delivered Services make a potent case for an expanded role for groups not just for those who can pay cash but for all populations in a transformed healthcare system. All the articles are in open access until August 25, 2019.
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 …'”