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.
What kind of response would come in from the call for perspectives (up to 250 words): “How might rapid uptake of the integrative model influence climate change?” My call was stimulated by a commentary from Harvard’s Peter Wayne, PhD and others in the Osher Collaborative for Integrative Medicine in which they boldly assert that Integrative Medicine Is a Good Prescription for Patients and Planet. I opined that I don’t believe that the environmental movement necessarily views the movement for integrative medicine as a core ally yet that the field would serve itself to up its environmental profile. The call brought a fine array of responses from a diverse, interprofessional group: American Public health Association integrative health leader Elizabeth Sommers, PhD, MPH, LAc, True Health Initiative founder and long-time Yale-based preventive-integrative-lifestyle medicine leader David Katz, MD, MPH, IM4US president Udaya Thomas, MSN, MPH, ARNP, commons activist and Institute for a Sustainable Future founder Jamie Harvie, Bastyr University faculty and past president of the Dieticians in Integrative and Functional Medicine Mary Purdy, MS, RDN, author author and Vermont Chinese medicine practitioner Brendan Kelly, LAc, and Alaska clinician Emily Kane, ND, LAc.
What reform push to turn the medical industry toward health has been shouted from the white-papered roof tops as long as the call to dramatically increase the role of nutrition in professional education and practice? Food as medicine is both cornerstone and connective stratum across the naturopathic, functional, integrative, lifestyle, and most traditional medicine models for reform. The bugle was sounded again recently. With a reminder that poor nutrition is a leading factor in chronic disease and an assertion that “personalized nutrition has the power to reverse this epidemic,” five nutrition-related organizations announced they have banded together to form the American Nutrition Association (ANA). Their bodacious goal: nothing less than to help “unleash nutrition’s potential to reverse the crisis.” Who are these folks and what might they do to finally give nutrition the respect it deserves?
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.