In a
blog post
late last month, the National Center for Homeopathy (NCH)
detailed their efforts to guarantee insurance companies are
required to cover their disproven methods. Along with
acupuncturists, chiropractors, assorted naturopaths, and
other alternative medicine
providers, the NCH is hoping to exploit language that was
inserted into the Affordable Care Act by alt-med supporter
Senator Tom Harkin (D-IA), following the efforts of the
American Chiropractic Association and the Integrative
Healthcare Policy Consortium (IHPC), of which NCH is a member.
Among others, IHPC partners include the American Association of
Acupuncture and Oriental Medicine, The American Association of
Naturopathic Physicians, the American Massage Therapy
Association, International Chiropractic Pediatric Association.
The alt-med coddling language, tracked doggedly by Jan Bellamy
at
Science Based Medicine
(see
here,
here,
here,
here, and
here), is found in the Affordable Care Act’s Section 2706:
“…a group health plan and a health insurance issuer offering
group or individual health insurance coverage shall not
discriminate with respect to participation under the plan or
coverage against any healthcare provider who is acting within
the scope of that provider’s license or certification
under applicable State law.”
Enforcement of Section 2706 is left up to the states, with
their somewhat diverse licensing and certification regimes for
alt-med practitioners. Given those often lax and frankly
unscientific standards, it is in the states where NCH, the
IHPC, and other alternative medicine providers hope to make
their stand—and spectacular profits.
The amount of money at play is staggering, and is quite
certainly why these alternative medicine providers have
been so eager for the Affordable Care
Act’s protection. Each year, Americans spend $32 billion on alternative medicine. One of the more commonly-covered
alternative methods,
chiropractic, cost Medicare nearly half a billion dollars in 2012 alone. That’s an incredible waste of
Americans’ tax dollars—dollars that could have been
spent on treatments proven to work, for the patients who
desperately need them.
This month, to bolster their efforts the IHPC is launching the
“Cover My Care” campaign “designed to educate the public and state
officials about non-discrimination in
healthcare.” Behind that seemingly noble guise of
“non-discrimination,” these groups are working to
erode the standard of scientific evidence in
medicine itself, a situation that would leave
insurance companies unable to refuse coverage for unproven,
disproven, patently unscientific, and sometimes
dangerous treatments that waste both money and time. In the
face of those shoddy state regulations that are
themselves the product of lobbying by the alternative
medicine industry, insurance companies will be forced to treat homeopathy,
chiropractic,
acupuncture, massage therapy, and other alt-med procedures with the same
regard they do evidence-based, scientifically proven medicine.
Indeed, insurance companies won’t be able to
discriminate—between what works and what doesn’t. Every
snake-oil salesman with a slip from their particular state
will be the equivalent of a surgeon with an M.D. The madness
will know no bounds except for the bank accounts of patients,
whose premiums will be driven higher by these wasteful
insurance requirements.
By every measure of sound medical science, the methods the NCH
and IHPC advocate for
are simply not medical care. And if we are to achieve a truly affordable, truly
effective, and truly safe health care system—the very goals of
the Affordable Care Act—they simply should not be covered.