A recent comment by a chiropractor told us this:
“If the critics do not take step 2 [point out what’s right and support] then they are entrenched carpet bombers who see reform and reformers as acceptable collateral damage. That makes them just as much a part of the problem when it comes to reform as the subbies.”
Similar words have been posted many times before.
So, are we critics of chiropractic carpet bombers?
Personally, I find the term very distasteful and misplaced. But let’s not be petty and forget about the terminology.
The question is: should I be more supportive of chiropractors who claim to be reformers?
I feel that the claim to be a reformer is hardly enough for gaining my support. I prefer to support clinicians who do the right things. And what would that be?
Here is a list; clinicians would receive my support, if they:
- adhere to the principles of evidence-based medicine;
- follow the rules of medical ethics.
What does that mean in relation to chiropractic?
I think it means that clinicians should:
- use interventions that demonstrably do more good than harm,
- make no false claims,
- advocate the best available treatments for their patients,
- abstain from treating patients for which their therapy is not demonstrably effective,
- obtain fully informed consent from their patients which includes information about the nature of the condition, about the risks of their treatments, about other therapeutic options.
As soon as I see a chiropractor or a group of chiropractors who fit these criteria, I will support them by publicly stating that they are doing alright (as should be normal for responsible healthcare practitioners). Until this time, I reject being called a carpet bomber and call such name-calling a stupid defence of quackery.