MD, PhD, MAE, FMedSci, FRCP, FRCPEd.

In the US, the dismantling of public health is in full swing. That this development would sooner or later involve chiropractic had to be expected:

Thus, the recently launched MAHA Chiropractic Hub cannot come as a surprise. The new Hub is a national lobbying and promotional initiative designed to position chiropractic care as a drug-free, “prevention-first” solution to chronic disease and to reshape US healthcare policy in its favour. Launched as part of the broader “Make America Healthy Again” campaign, the Hub is a coordinated partnership between the MAHA Centre, MAHA Action, and various chiropractic associations, practitioners, and educators. The initiative promotes chiropractic as a root-cause fix for a broken system.

However, medical researchers and public health experts note that the broader claims of chiropractic, particularly those regarding “prevention-first” wellness and treating chronic non-musculoskeletal diseases, lack a credible evidence base. While an optimistic reading of the clinical evidence might support spinal manipulation for short-term relief of acute lower back pain, high-quality scientific data remains weak or non-existent for its efficacy in managing systemic health issues, preventing disease, or acting as a primary care substitute.

Operationally, the Hub seems to organize its strategy around 4 main pillars:

  • Public Relations & Branding: Launching a national media campaign to rebrand chiropractic as a credible, prevention-focused discipline, an effort critics argue pushes past the boundaries of evidence-based medicine.
  • Legislative Lobbying: Pressing for the Chiropractic Medicare Coverage Modernization Act and the full enforcement of Section 2706 of the Affordable Care Act to expand federal funding and reimbursement.
  • Military & Veterans Integration: Promoting chiropractic within Defense Health and Army medical structures for musculoskeletal injuries and pushing the Department of Veterans Affairs (VA) to expand access and reduce wait times.
  • Targeted Outreach: Explicitly marketing these non-drug, non-surgical options to vulnerable or specialized demographics, including children, military personnel, veterans, and seniors.

By targeting federal policy and public perception, the Hub seeks to institutionalise chiropractic care across major public health sectors. In the true MAHA tradition, skepticism from the medical and scientific communities regarding the effectiveness and safety of chiropractic is being ignored.

What is next?

You may well ask!

A homeopath to run the FDA, or the flat earth society taking over NASA?

Nothing can surprise me now!

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