As we move up the flagpole, we better keep our bottoms clean, or some enterprising investigative reporter will most assuredly bring it into public attention. We can learn a lesson from the McDonald's hamburger chain who is at the top of that proverbial flagpole. There are thousands of investigative reporters that would love to get something on the McDonald's chain. Their fame and fortune would be made. As we grow, and continue to grow in stature and in numbers, it is a natural requirement that we place upon ourselves or pay the consequences.
States keep a profile on how many chiropractic adjustments it takes to correct different ailments.
They keep these profiles for many years and they can predict from their files just how many treatments it takes on an average to correct specific ailments. Let's further suppose that in 1991 it takes an average of 40 treatments to correct the same type of ailment and now the tab is thousands of dollars. This tells us that there are two possibilities. First, that the quality of care has gone down and the profession had better return back to its old and more effective methods, or second, and more insidious, that there are exploitations and unnecessary treatments being given. This is why establishing a standardized quality of care and standard of care is so critical and deserves top priority.