By: Rebecca Rice, L.Ac
Is it possible to have acupuncture covered by insurance?Yes! In light of the plethora of news about the reformation of health care, where does Chinese medicine stand? Many practitioners in the field of holistic and complementary medicine are trying to encourage lawmakers to include services such as acupuncture into the new health care plan. The national governing bodies for Oriental Medicine, the NCCAOM and the AAAOM are backing this measure. To support acupuncture coverage please visit: http://www.aaaomonline.org/
For information on President Obama’s statement on preventative health care visit:
http://www.acupuncturetoday.com/mpacms/at/article.php?id=31983
Archive for the ‘Traditional Chinese Medicine’ Category
Is it Possible to Have Acupuncture Covered by Insurance?
Monday, August 31st, 2009Uncle Sam Wants….Us
Friday, August 7th, 2009by: Chris Reilly, L.Ac
According to a recent article in Acupuncture Today (http://www.acupuncturetoday.com/mpacms/at/article.php?id=32014), the programs that the U.S. Army, Navy and Marines are developing to more effectively support soldiers diagnosed with post-traumatic stress disorder (PTSD) will now emphasize an integrative approach. To the standard treatments of drug therapy, psychotherapy and cognitive-behavioral therapy, these programs will add tai chi, reiki, yoga, acupuncture and medical massage.
This news comes in addition to news from 2008 when the Air Force began a pilot program to train a number of physicians to apply acupuncture for soldiers still in the field (http://www.acupuncturetoday.com/mpacms/at/article.php?id=31882). This “battlefield acupuncture” was and is being developed as a way to relieve musculoskeletal pain and some other health problems that can adversely effect a soldier’s ability to function at full potential.
Acupuncture’s reputation continues to grow by the year, and with innovations like those listed above, I’m sure that exciting new insights for the use of acupuncture, and the combination of integrative therapies with more conventional treatments will come to light!
The Heart is Emperor
Wednesday, July 1st, 2009by: Rebecca Rice, L.AC
In Chinese medical theory summer is related to the heart, the emotion joy, the sound of laughter, the ability to sleep, and the function of speech and memory. In western medicine we understand the function of the heart to be related to pumping the blood to supply the body with nutrients and oxygen. In Chinese theory we recognize this along with the concept that the heart is the Emperor and houses the mind. The entire human body can be seen as a kingdom where the center of our being is the heart and the other organs are part of the whole functional dynamic, each with their own unique and necessary roles for the proper maintenance of the kingdom.
The nature of the heart as Emperor is to make its decisions based on clarity. When the heart/mind is clear we sleep well and we are present in conversation. Decision making is easier because we are focused. Things that are harmful to the heart and cloud its ability to “rule” are excessive alcohol intake, anxiety, stress, late nights, and over-thinking; which diminish and stagnate the heart qi causing conditions like insomnia, mania, confusion, poor memory, high blood pressure or depression.
To remedy these symptoms it’s important to clear the mind. This can be cultivated through meditation, quiet contemplation and a lifestyle that allows you to manage the stressors of life. Try being present, listening to your spouse, children, and friends. When they are sharing something with you about their life, look them in the eye and avoid the rustle of thoughts in your own mind. Meditate daily. Clear your mind by beginning the day with 5 minutes of meditation in the morning (for beginners, 30-60 minutes for seasoned meditators). This will give your ‘heart’ a sound ‘throne’ to sit on for the rest of the day.
Acupuncture, Integrative Medicine and Healthcare Reform
Wednesday, June 24th, 2009By Christopher Reilly, L.Ac
Now is the time to show our support for Acupuncture and Integrative Medicine. The reforms that will take place over the coming year will shape healthcare for generations to come. At no time will there be a better chance and opportunity to influence these changes. Programs that have already been established and set in motion will be much more difficult to change than programs that have yet to take their final shape.
Acupuncture Coverage Law
New York’s very own Congressman Maurice Hinchey has sponsored the acupuncture coverage bill H.R. 646 (http://www.washingtonwatch.com/bills/show/111_HR_646.html). This bill would include coverage for acupuncture under Medicare. This is very important, because state’s often follow national regulations when it comes to healthcare coverage, and it would make a NY state mandate to cover acupuncture much more likely. Please visit this link and vote in the poll to support acupuncture coverage.
In addition, you can contact your own Representative https://writerep.house.gov/writerep/welcome.shtml in order to request that he or she also support this bill.
Now is the time to make our voices heard as loudly as possible!
Integrative Medicine Reform
Senator Tom Harkin (D-IA) http://harkin.senate.gov/- a long time supporter of natural and integrative healthcare that I remember from his relationship with Bastyr University- and Senator Barbara Mikulski (D-MD) http://mikulski.senate.gov/ recently co-chaired “Integrative Care: A Pathway to a Healthier Nation.” The Institute of Medicine, part of the National Academies, also recently held a “Summit on Integrative Medicine and the Health of the Public” http://www.iom.edu/CMS/28312/52555.aspx. There is a very real buzz about prevention going on. We can all bring more momentum to the movement by letting our representatives know that this issue is important to us.
Contact your representatives in the senate: Senator Charles Schumer http://schumer.senate.gov/ and Senator Kirsten Gillibrand http://gillibrand.senate.gov/ and let them know this is important for you. Contact your representative in your district https://writerep.house.gov/writerep/welcome.shtml and let them know that you want them to support H.R. 646. It’s a rare opportunity to be able to have a say in your own government and healthcare at the same moment!
The Quick Fix
Saturday, June 20th, 2009By Christopher Reilly, L.Ac
“Haste makes waste” is an axiom that has largely fallen out of style in the fast-paced world that we live in. We expect results quickly and with very little cost or effort, whether that be cheap hamburgers at a drive-through or cable TV on-demand movies. We don’t even have to read books anymore- we can just see them acted out on the silver screen.
When this tendency towards “instant gratification” behavior comes into contact with how we take care of ourselves, the outcome can be a little worrying. Who of us wouldn’t want to be able to just take a pill and not have to worry about eating healthy foods, avoiding yummy treats and sweating it out at the gym? Would anyone refuse a simple pill that can cure all of our ills in a moment without any work on our part? I know I wouldn’t. That is, if they existed. Unfortunately, that’s not how things work.
Think about how things work in real life. Suppose you have a partially clogged drain leading from the kitchen sink, and now it’s starting to leak. Ignore it, and it simply becomes more backed up. Give it a quick cosmetic fix, and we all know you’ll soon be having to fix it again in addition to water damaged floor boards. Maybe you have a well-meaning neighbor who offers to take care of it for you. You’re immensely grateful until a month later you notice the basement ceiling is buckling because he successfully cleared the clog, but failed to seal the leak. Most of us bite the bullet at the outset when we realize we have a plumbing problem that we can’t fix ourselves, and call in the plumber to avoid damage to our home and the investment that it represents.
Do we take care of ourselves with equal care? Taking pain relievers for a chronic pain is sometimes necessary. To do so without at the same time doing everything we can to fix the underlying problem, and to support the body as a whole can lead to more pain and dysfunction down the road. Taking cholesterol lowering medication is often recommended, but doing so without at the same time changing our diet and lifestyle is simply fooling ourselves into believing that the cholesterol was the problem, and not the result of underlying issues of diet and lifestyle that will inevitably lead to other difficulties.
We really do reap what we sow. If we want quality time from our lives, we have to slow down a little and invest quality time into our lives. Exercise can be thirty minutes walking outside watching children play and the clouds dance their slow dance. Eating well can be the adventure of picking a new recipe and having the whole family take part in gathering and preparing the ingredients. Treating the root cause of a problem can be as pleasant as a massage, as relaxing as acupuncture or as rejuvenating as a series of vitamins and herbs. It may even be as awe-inspiring as a sort of renewal of the self and spirit, and a reaffirmation of the value and wonder of our own lives.
“The size of our life is in direct proportion to the size of our courage.” I can’t remember the exact saying or who said it, but it strikes me as being very true. It takes a lot of courage to scoop ourselves out of our old habits, and drop into new and unfamiliar ones. But the reward for such courage can be a bigger and greater life, and what could be more amazing than that?
Qi: Going With the Flow
Thursday, May 28th, 2009by: Rebecca Rice, M.S, L.Ac.
Often patients come to the Center for treatment and say to me, “my qi is out of whack….” Or “Can you fix my qi?…” To me this relates to a whole slue of different diagnoses in Chinese Medicine, requiring different acupuncture point combinations and herbal recommendations. The cause of “blocked qi” is related to different symptoms, stemming from stress to shoulder pain, infertility to migraines. The commonality of all of these symptoms is the basic idea that qi is blocked: it is not flowing to areas where it ought to, or there is a buildup of qi.
Aside from acupuncture specifically, there are things to keep in mind that will help keep the flow of qi running smoothly. By following the guidelines of Chinese nutrition, eating foods that are known to create blockages should be avoided. These are foods that are too spicy, too greasy or fatty, and high in sugar. Also eating too much or too little food is not advised. We know that exercise is crucial for musculoskeletal strength and function as well as cardiovascular health; a body that moves regularly will keep qi moving as well.
The state of our qi and health is also related to the emotions. We will experience all emotions at certain points in our life, some more frequently than others. However if sadness, anger, concern, fear and even bliss become a more constant state, qi will become stagnant (blocked) as these ‘natural emotions’ turn into their unhealthy counterparts (depression, rage, anxiety, paranoia, and mania or bitterness).
A healthy state of qi is also influenced by thermodynamics, or the natural order of things. If we are to deny the next step based on need or destiny, then qi can also become blocked. For example, if at 11pm I ignore the fact that my body needs to sleep, staying up until 1 or 2am, then I will deplete my reserves leading to lassitude the following day. All in all, go with the flow! When the mind is clear the heart will flourish …
Natural Prevention of Swine Flu
Wednesday, May 6th, 2009By Christopher Reilly, L.Ac
There has been a lot of talk lately on the news and in the community about swine-origin flu. Thus far, the transmission of swine-flu, and risk factors associated with it are thought to be very similar to the seasonal flu that we see every year. I thought it might be helpful to review some of the simple, natural ways that we can protect ourselves from flu viruses.
- Get enough sleep. There are numerous studies showing how important sleep is for many aspects of health, in one such study , it was found that patients who had adequate sleep produced far more antibodies in response to a viral (hepatitis A) vaccination, and produced significantly higher levels of immune-stimulating hormones.
- Keep chronic stress to a minimum. Unlike acute fight-or-flight forms of stress, a meta-analysis of research shows that chronic stressors can lower the functioning of the immune system.
- Meditation is great to help prevent chronic stress from accumulating and one study using mindfulness meditation found that those who meditated not only had incr4eased activity in an area of the brain associated with positive mood, but also had significantly higher antibody production in response to an influenza vaccination.
- Keep physically active, especially if you are elderly. As we advance in age, parts of our immune system that work to fight off a specific infectious agent like a virus decline. A study of older men found that this trend was partially reversed by regular physical exercise.
- Drink plenty of fluids and eat nutritious food. This one is pretty much a no-brainer!
- Quit smoking. Smoking, among other things, damages the ability of the respiratory tract and lungs to take care of themselves. Smokers are not only more susceptible to infection, but also have on average more severe symptoms, and take longer to recover from respiratory infection. As far as quitting goes, there truly is no time like the present.
I hope these simple pointers can help us to live a more healthy life in general, and help us to stay calm in the current atmosphere of reactivity and fear. There are many other strategies such as clinical nutrition, herbs and supplementation that can help support a healthy immune system. These require much more individual attention and recommend contacting one of our providers should you want to pursue them further.
Acupuncture Insurance Coverage: Patients’ Rights, Insurers’ Responsibility
Friday, April 10th, 2009By: Christopher Reilly, L.Ac
The single biggest hurdle for acupuncture in New York is a lack of insurance coverage. MVP Gold, Goldanywhere and Trivantage, as well as BlueShield of Northeastern New York’s Blue Health Plus and Aqua programs cover acupuncture. Most plans, however still lack good acupuncture coverage.
Some insurance companies have a directory of acupuncturists that have agreed to give their customers a discounted service. This is not real coverage. The acupuncturist takes a cut in his or her rates in exchange for the advertising in the insurance directory. The insurance company isn’t supplying any reimbursement.
Some NY insurance companies will provide coverage for acupuncture only when performed by a certified acupuncturist (C.A.), not when performed by a licensed acupuncturist (L.Ac.). The requirement for a C.A. is to have only 200 hours of training in acupuncture theory and practice (which may be over the internet)and only 100 hours of supervised clinical experience. A L.Ac. in contrast, is required to have earned a three-year Masters degree in acupuncture consisting of at least 1,450 hours of classroom and clinical (not internet) training, and must pass a national level examination to achieve national certification. Most Masters degree programs have well over 3,000 hours of training.
Seeing that L.Ac.’s have literally ten times the training of C.A’s, and have proven their knowledge of acupuncture by taking a national exam, why would anyone want to see a C.A. instead of an L.Ac.? A certified acupuncturist is a physician or dentist who has taken a certification course.
Insurance companies may feel that a M.D. or dentist will make a more effective and safe acupuncture therapist. A study published in The Archives of Family Medicine in 2000, however, found that medical acupuncturists reported more than twice the amount of adverse events compared to full-time acupuncturists. The difference? For a L.Ac. acupuncture is the focus of their entire day and practice, and is an extensive field in its own right.
On many occasions, I will have a client who has already tried acupuncture from a C.A. with no relief. Working with me, these same clients often see substantial relief. Not only is there financial harm to those paying for a C.A. when they could be receiving more effective care, but there is also harm to the profession of Acupuncture when patients think it can’t work for them merely because their therapist has not been adequately trained.
Seeing your physician for acupuncture is like seeing a urologist for a brain trauma. A urologist has training in the basic sciences of human health, but they are not the experts for brain trauma. Likewise with acupuncture- it is best to see the experts.
The answer? As consumers we should let our insurers know that we are aware that acupuncture is a proven therapy, and that we demand service from fully-trained professionals who are equipped to serve us best. Insisting on proper coverage is an integral part to being active participants in our own healthcare, and to helping change how medicine is practiced in our time.
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