November 2020 | The IACP News | Page 1

Prosperity Through UnityExceptional Care for Idahoans

Continued on page 5

IACP Annual Convention recapThe IACP News, Vol. 4, No. 11November 2020

In this pandemic-warped year, attending meetings and even conferences via video is becoming the norm. This year, the IACP stepped up and held their annual convention via Zoom. Expertly organized and elegantly presented, the 2020 IACP Annual Convention was a pleasure to attend. IACP President Dr. Jeremai Hafer welcomed attendees at 8:00 am on Nov. 7 and then attendees were off and running with an eye-opening presentation by Dr. Mitch Mally, DC.

Dr. Mally, DC, the “extremity guru,” started the Convention off

with a lecture entitled, Extremity Extravaganza. There are more than 200 bones in the human body and for chiropractors to exclusively adjust only the bones in the neck and back means, according to Dr. Mally, that often the source of back and neck problems are not be corrected.

He gave the example of someone with weeds in their garden. Breaking off the weeds at the ground, he said, means

the root remains and the weed will just grow back. To resolve the weed problem one must pull the weed up by the root. It’s the same, Dr. Mally said, with some back and neck problems, as chiropractors need to adjust the knees and ankles.

Dr. Mally noted that there are more than 23,000 ankle sprains per day according to Craig Young, MD (Medscape.com). Of that, sports injuries account for 30% of ankle sprains. Chiropractors are the only doctors who should treat sprains or strains he said. Faulty foot

Chiropractic and nutritional supplementsmay help to manage migraines

This story was first published by Cleveland University, Kansas City, and the full story can be read here.

Nearly everyone has had a headache at some time, but those who suffer from migraines endure something much more intense. It’s an excruciating, and often debilitating experience that can disrupt an entire day. However, research has shown progress in the management of migraines through the use of chiropractic manual therapy and the addition of dietary nutritional supplements.

Migraines are not only a painful inconvenience, they are also a very common neurologic disease. Globally, they are the third most common

disease, and the sixth most disabling. In the U.S., approximately one in seven adults reported having severe headaches, or a migraine within the last few months. More than 30 million Americans have one or more migraine episodes per year, and 75% of the headaches are experienced by females.

Typically, migraine treatment involves acute (abortive) treatment and preventive (prophylactic) therapy. Patients with frequent headaches often require both interventions.

Continued on page 8

Page 2 | The IACP News | November 2020

I A C P

2019-2020 IACP Board of Directors

Dr. Thomas BenchVice President

Dr. Joan BurrowSecretary

2019-2020 IACP Board of Directors

Dr. Corey VollinkDistrict 1

Dr. Grayson BlomDistrict 7

Dr. Kimball Arritt District 3

Dr. George FiegelDistrict 4

Dr. Jennifer CoffeyDistrict 5

Dr. Jeremai Hafer President

The mission of the Idaho Association of Chiropractic Physicians (IACP) is to act as the unified voice, leader and stalwart supporter of the individual licensed doctors of chiropractic and supporting associates who provide exceptional health care and wellness to the patients and communities of Idaho. In supporting our Idaho chiropractic physicians, the IACP will work diligently to protect, enhance and build opportunities for the chiropractic industry and increase public access to chiropractic care.

Idaho Association of Chiropractic Physicians13601 W McMillan Rd., Ste. 102-331, Boise, ID 83713

Phone: (208) 424-8344 • FAX (888) 399-5459

https://iacp.wildapricot.org • iacpcontact@gmail.com

For advertising info, email C&S Publishing at: CandSpublishing@gmail.com

Dr. Scott CrawfordTreasurer

Dr. John Maltby IIDistrict 6

Dr. Michael HenzeDistrict 2

November 2020 | The IACP News | Page 3

In This Issue

IACP Annual Convention recap (continued)

Chiropractic and nutritional supplements may help to manage migraines (continued)

The Affordable Care Act and chiropractors

If elected, this is how Biden would change the ACA

Brain differences in kids linked to increased weight

Key pathway in lysosomes that coronaviruses use to exit cells discovered

British study shows evidence of waning immunity to COVID-19

ChiroHealth USA:

Chiropractic News

The IACP Marketplace: Featured Businesses & Suppliers

Chiropractic College News

IACP Membership Application

Office poster notice

This month’s poster: Be safe, stay safe

IACP News Display Advertising Rates and Sizes

Pages 5 - 7

Pages 8 - 9

Pages 10 - 12

Page 12

Page 13

Pages 14 - 15

Page 15

Pages 16 - 17

Pages 18 - 20

Page 21

Pages 22 - 24

Page 25

Page 26

Page 27

Page 28

This table of contents is linked for your convenience. Just click on the page you want.

Page 4 | The IACP News | November 2020

“Join the Pack” Become a member of the IACP

The IACP acts as a resource, representative and leading advocate for the chiropractic industry in Idaho. We cannot

continue to properly serve the chiropractic profession without the commitment and support of exceptional industry

leaders, such as yourself. The IACP Board and its members believe that membership in the Association is and

should be mutually beneficial to both the Doctor and the IACP, which makes it a perfect cooperative relationship.

As a member, you will have multiple opportunities to obtain learning and marketing opportunities, at a discounted

wrate, through membership, as well as, have an opportunity to utilize the services of the IACP team and its Board.

You will also have an opportunity to get involved in important issues, from the center, along with other industry

leaders and spokespeople. At the same time, the Association continues to grow and provide broader services to the

industry with your support. Join now and be a part of the “pack” that will lead us into the future!

The IACP Board of Directorsand the staff wish you and yours a

joyous and safe Thanksgiving holiday

November 2020 | The IACP News | Page 5

Continued from front page

Continued on next page

IACP Annual Convention recap

mechanics is the precursor to other problems in the knee and hip, which can move up into back and neck problems. If a patient arrives with postural distortions, look to the lower extremities, Dr. Mally said. Faulty foot mechanics can cause lower back pain.

Dr. Mally urged chiropractors not to ignore the foundational issue of over pronation in a patient’s foot. He said that correcting problems in the neck and back but ignoring the problems in the foot only results in the return of lower back pain and issues. He likened it to a house — fixing cracks in the wall are useless as long as the foundation is crumbling and not repaired.

One set of slides shown to convention attendees discussed valleix phenomena. According to Dr. Mally, the ipsilateral quadratus lumborum and psoas (major/minor) contract as a result of musculoskeletal splinting. This is the result of torsion of the fermur in an anteverted (internally rotated) vector, secondary to an externally rotated tibia. This Valleix Phenomena often results in torsional adaption of the pelvis, sacrum and lumbar spine. Biomechanically, piriformis syndrome’s primary etiology is the result of torsion of the femur in an anteverted (internally rotated) vector, secondary to an externally rotated tibia. This valleix phenomena results most often from improper foot alignment. Adjusting the foot resolves the problem – fixing the house’s foundation, as it were.

Dr. Mally noted that the primary cause of morbidity and mortality from trauma in persons 65 years and older is falls and fall related injuries. Inappropriate footwear affects balance and exacerbates stability problems contributing to falls. Correcting people’s feet problems and helping them get proper footwear resolves balance problems and in seniors, can prevent injury and death.

Dr. Mally has been a speaker and educator for nearly 30 years. He has been sponsored and requested as a speaker by chiropractic associations across the country and around the globe. Dr. Mally has also been a featured speaker for numerous chiropractic colleges, the ECU, C.E.P.A, ProSport, Parker Seminars, Parker College, multi-disciplinary audiences, including and not limited to Orthopedic Surgeons, PT’s, OT’s, and many State Associations worldwide. Dr. Mitch Mally’s proprietary techniques for the diagnosis and treatment of extremity injuries have been praised by the chiropractic

profession, often regarded as the “10th Degree Black Belt” in extremity adjusting. His diagnostic and non-surgical treatment techniques for Sports and Occupational Injuries and Carpal Tunnel Syndrome, have been very well received. Dr. Mally is a noted academician, author and inventor of the X-POSER and the QUAD BASE SCALE. Dr. Mally is also a Team Teacher for Parker Seminars and lectures Internationally for State Associations, Conventions and Chiropractic Colleges. Dr. Mally is a post graduate faculty member for several Chiropractic Colleges and is a powerful, dynamic, entertaining and motivational educator with presentations armed with documented research supporting all presentations.

Additional information about Dr. Mally and has techniques can be found here and on his YouTube channel.

Day two of the IACP Annual Convention began with welcoming remarks by Caroline Merritt, IACP Executive Director, followed by the first session speaker, Dr. Scott Bergman, DC, speaking about joint, myofascial pain and the underlying causes of inflammation. Dr. Bergman began with a review of the definition of rheumatism, which he said was any painful condition of bones, joints, tendons, ligaments, muscles, cartilage or connective tissue and fascia. He added that according to a 2012 National Health Institute Survey, 54 percent of adults had chronic back pain. Because of this, there is a scary rise in drug use – 85 percent over last two decades while the total US population has increased by only 21 percent. This yields an unhealthy rise in the aggregate cost of treatment to Americans, including the cost to society, which is estimated to exceed $882.5 billion per year.

He added that with the aging population we presently have, things are not expected to get better any time soon.

Dr. Bergman next explained a term he has coined: Nutrient Reserve Deficiency or Nu.R.D. He said that people use macro- and mirco-nutrients every day, which are pulled from storage sites within the body. Those nutrients are stored in organs and they play a major role in protecting those organs. Organs with an adequate reserve of nutrients have a greater resistance to stress. But, when nutrients get depleted from the organ reserves there is increased stress in the organ, with lower repair mechanisms and lower immune defenses. This particulary worrysome in our current pandemic.

Page 6 | The IACP News | November 2020

IACP Annual Convention recap

2021 IACP Annual ConventionApril 30 - May 2, 2021The Grove Hotel, Boise

Chronic conditions arise from these insufficient reserves and most chronic conditions can be associated with at least one Nu.R.D.

This brings us, he said, to the necessity for supplementation. He reviewed a January 2006 study by the Lewin Group called, An evidence based study on the role of dietary supplements in helping seniors maintain their independence. That study found significant benefits to seniors in taking supplements. From that study and others, Dr. Bergam asserts that chiropractors should be encouraging everyone to supplement their diets with a foundation of quality nutrition. Helping patients to improve their health through supplements complements and supports chiropractic adjustments.

Additional information about Dr. Bergman and his practice can be found online.

Continued from last page Dr. Ted Forcum, DC, spoke in the afternoon on the topic of functional foot orthoses evaluation and management. Dr. Forcum treats injuries and optimizes function by integrating multiple modalities of care with chiropractic treatment to optimize patient response. He combines therapies such as osseous and soft tissue manipulation, soft tissue therapy, kinesiology taping, physiotherapy, corrective exercises, and biomechanical orthotics to maximize healing and accelerate the return of patients to their highest level of ability. Dr. Forcum applies decades of experience working with world-class athletes and complicated injuries to gain control of the most difficult cases and help patients attain their goals.

His afternoon session covered the topic of formthotics, which are prefabricated custom fitted orthotics, designed to provide the needed support and comfort. Patient satisfaction with orthoses is generally 70 to 90 percent, and have a positive effect on plantar fasciitis, arthritis and, in general, back pain. Additional information is available online.

November 2020 | The IACP News | Page 7

Thank you convention sponsors

The Advocates is a team of experienced personal injury attorneys dedicated to representing clients who have been injured through no fault of their own. The Advocates originated in Utah in 1992 and has since expanded throughout the western United States, including three offices in Idaho (Boise, Twin Falls, and Pocatello). The Advocates aim is to protect our clients financially while they work through their treatment and recovery. While our role is to insure that our clients are made whole, financially, we sincerely desire that our client’s recover as much as possible from their injuries. Throughout the years thousands of our clients have received meaningful and effective treatment from chiropractors, among other health care professionals. In addition to our effective lawyering, our sincere desire to see our client’s recover physically has set The Advocates apart as a recognized premier injury law firm.

Visit their website.

Chiropractic BioPhysics® is the world’s leading chiropractic technique, producing exceptional breakthrough results for patients worldwide. Chiropractic BioPhysics® or CBP® is the protocol of choice for elite chiropractors who look to spinal rehabilitation and postural correction as means to address not just pain, but disease and organ dysfunction. Whether you’re a CBP® doctor, a chiropractor looking to specialize in CBP® or a patient looking for a better way to address your health concerns, you have arrived at the right place as CBP® is the most researched, advanced, results-oriented and effective chiropractic technique, and stands at the leading edge of chiropractic advancements.

Technique uses postural and radiographic analysis procedures that have been shown to be reliable and valid. Significantly, CBP® Technique has multiple types of peer-reviewed publications in scientific journals as evidence for its patient treatment methods. What remains for CBP® technique is further refinement of technique protocols and evaluating the effects of subluxation reduction using the E.A.T. procedures in more advanced study designs. CBP is a technique practiced by a large number of practitioners, is a leader in the chiropractic technique and biomechanics research arena, and has shown good potential to improve chronic pain conditions.

Visit their website. KT Tape is an elastic sports tape designed to relieve pain while supporting muscles, tendons, and ligaments. When an area of the body is injured through impact or over-use, the lymphatic fluid builds up causing inflammation and swelling. This accumulation of lymphatic fluids may cause increased pressure on muscles and tissue which can cause significant discomfort or pain. It is believed that when applied correctly, KT Tape lifts the skin, decompressing the layers of fascia, allowing for greater movement of lymphatic fluid which transports white blood cells throughout the body and removes waste products, cellular debris, and bacteria.

For Clinical questions or to purchase direct, please contact Ed Terris ed.terris@kttape.com

Visit their website.

Nutri-Dyn, a third-generation family business, is known for supporting the chiropractic profession, and has chiropractors on their science team. The company offers nutritional supplements such as Chondro Relief, Cardioauxin, Crave Curb, Dynamic Greens, Red Yeast Extract and more.

Visit their website.

Page 8 | The IACP News | November 2020

Measures directed toward reducing headaches, and headache triggers are also recommended. A variety of pharmacological approaches are typically used including abortive and preventive medications.

However, medications do not always work, and some are cost prohibitive. Moreover, the overuse of abortive medication is considered one of the most important risk factors for the worsening of migraines. Headache caused by medication overuse can occur with any analgesic, including acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and aspirin.

Another option for patients with migraines is to employ a trial of non-pharmacologic approaches including addressing known migraine triggers such as poor sleep, fatigue, stress, certain foods, and alcohol, as well as such options as biofeedback, cognitive-behavioral therapy, or other complimentary approaches such as chiropractic care (manual therapy) and nutritional supplementation.

Cleveland University-Kansas City Director of Research, Dr. Mark Pfefer, is a chiropractor who has reviewed different options for those seeking relief from migraines. He has seen results that indicate it may be possible to manage, or co-manage these headaches, by incorporating chiropractic care. Pfefer has seen patients who come to him seeking help with migraines after trying many medications that are sometimes only partially helpful.

“By adding manual therapy and nutritional interventions in addition to drug therapy, some patients have functional improvement with decreased morbidity,” Pfefer said. “In some cases, the need for medication is also reduced.”

Pfefer went on to say that his personal observations align with the research which indicates chiropractic can be effective.

“My clinical experience as a chiropractor matches the published research in that many patients benefit from, sometimes dramatically, the intervention of manual therapy approaches including chiropractic spinal manipulative therapy, soft tissue techniques, and exercise recommendations,” Pfefer said. “Trials of nonpharmacologic management have produced an average reduction in

Chiropractic and nutritional supplementsmay help to manage migraines

Continued from front page migraines of 40% to 50%, closely paralleling results obtained in trials of preventive drugs. Biofeedback, cognitive-behavioral therapy, and relaxation therapy are frequently effective against migraine headaches.”

Pfefer has seen patients who come to him seeking help with migraines after trying many medications that are sometimes only partially helpful. “By adding manual therapy and nutritional interventions in addition to drug therapy, some patients have functional improvement with decreased morbidity,” Pfefer said. “In some cases, the need for medication is also reduced.”

Many patients can benefit from an evidence-based, manual therapy approach by a chiropractor. A recent review of evidence-based headache guidelines concluded that chiropractic care, including spinal manipulation, lessens the incidence of migraine and cervicogenic headaches. Researchers recommend that the type, frequency, dosage, and duration of care should be based on guideline recommendations, clinical experience, and individual findings and response to treatment.

Additionally, an earlier study demonstrated that chiropractic spinal manipulation seemed to be as effective as a well-established and efficacious drug treatment (amitriptyline), and on the basis of a benign side effects profile, should be considered a treatment option for patients with frequent migraine headaches.

The study results and conclusion stated, “Clinically important improvement was observed in both primary and secondary outcomes in all three study groups over time. The reduction in headache index scores during treatment compared with baseline was 49% for amitriptyline, 40% for spinal manipulation and 41% for the combined group; p = .66. During the posttreatment follow-up period the reduction from baseline was 24% for amitriptyline, 42% for spinal manipulation and 25% for the combined group; p = .05.

“There was no advantage to combining amitriptyline and spinal manipulation for the treatment of migraine headache. Spinal manipulation seemed to be as effective as a well-established and efficacious treatment (amitriptyline),

November 2020 | The IACP News | Page 9

and on the basis of a benign side effects profile, it should be considered a treatment option for patients with frequent migraine headaches.”

The use of nutritional supplements may also have a positive impact for those managing painful headache episodes.

“Some patients also respond well to the addition of nutritional supplements such as magnesium, coenzyme Q10, riboflavin, and feverfew,” Pfefer said. “Chiropractors can play a role in providing an evidence-based, manual-therapy approach, while also recommending other non-pharmacologic interventions.”

In reviewing the use of nutritional supplements for reduction of migraine attacks, Pfefer has found that many are safe, are typically not overly expensive, and have few if any side effects. While most can be used without hesitation, it’s important to note that not all supplements are safe for all patients. A health assessment may be needed prior to use, to make certain there are no pre-existing conditions that could be exacerbated.

Recent research demonstrated that oral magnesium reduced incidence of migraine attacks from 22% to 43%. Low magnesium levels in the serum, and low intracellular concentration in various cells and the brain, have been linked to migraine. It is postulated that stress may deplete magnesium, which in turn, potentiates vascular changes associated with migraine. Magnesium supplements should not be used in patients with renal failure.

Riboflavin (Vitamin B2) is an important co-factor for enzymes involved in cellular energy production. It is a safe and inexpensive migraine prophylactic intervention. Some studies have shown a decrease in migraine attacks compared to placebo when taken for a minimum of three months (Recommended dose 400 mg/day).

Coenzyme Q10 is also involved in cellular energy production, and may have some anti-inflammatory properties that are helpful in migraine mitigation. Recently, CoQ10 doses of 100 to 150 mg per day in combination with magnesium, riboflavin, and feverfew were effective in reducing intensity and days with headache, compared with placebo.

Low melatonin levels have been found in serum and urine of patients with migraine, theoretically associated with hypothalamic dysfunction. Melatonin is an endogenous hormone which plays a role in regulation of circadian rhythm. It is thought to have some anti-inflammatory effects against calcitonin gene-related peptide, and other pro-inflammatory mediators implicated in migraine. The overall quality of research using melatonin for migraine is low, and there is some concern related to long-term use.

Ultimately, if there are safe and conservative options available to reduce the frequency and intensity of migraine headaches, they should be considered. By maintaining overall good health and stress management, along with the use of interventions such as chiropractic and nutritional supplements, perhaps the morbidity of migraines can be reduced.

Page 10 | The IACP News | November 2020

The United States Supreme Court is back up to full strength, and is set to hear arguments in February that may strike down the Affordable Care Act, also known as Obamacare. A brief filed in June asked the court to strike down the Affordable Care Act, arguing it became invalid after Congress axed parts of it.

Under the Affordable Care Act, more than 20 million Americans have gained health care coverage and the uninsured rate has been cut almost in half. Among the newly insured are more than 2.3 million young adults who are covered because the Affordable Care Act allows them to stay on their parent’s insurance until age 26. Discrimination based on pre-existing conditions is now illegal, and nearly 8 in 10 Americans who recently shopped for health insurance in the marketplace could get it for less than $100 per month.

The Affordable Care Act has also allowed states to expand Medicaid to help even more Americans get covered. Thirty-one states and the District of Columbia have expanded Medicaid, and Medicaid and SCHIP enrollment has risen 26 percent.

Republicans have been opposed to the law since its inception. Republicans argue that some people are better off without Obamacare due to the fact that it does not cover those who need it “most”. President Trump has been actively trying to repeal the healthcare law since he campaigned for the 2016 presidential election. The Trump administration asked the Supreme Court to revoke Obamacare because it’s been an “unlawful failure.”

President Trump endorsed a replacement to Obamacare in 2017 but that legislation fell short of passing the Republican-controlled Congress. The replacement would have rolled back Medicaid coverage and weakened protections for pre-existing conditions due to state waivers allowing insurers to charge people more for coverage on the basis of factors like health status.

Since then the President and Republicans in the Senate have been working to draft a new, replacement health plan. President Trump’s health care plan has become one of the most highly anticipated, hotly debated documents in Washington. And depending on whom you ask, it might not exist at all. The contents — and the whereabouts — of the health plan have been a growing mystery since 2017, when efforts to pass a White House-backed replacement for Obamacare stalled in the Senate. Since then, Trump has repeatedly vowed to unveil a new health plan. In July, it was said to be two weeks away. On Aug. 3, Trump said the plan would be revealed at the end of that month. Last month, White House press secretary Kayleigh McEnany said it would be released within two weeks. At other points, Trump has suggested the plan is already complete.

Democrats have been staunch in their support for the ACA. House Speaker Nancy Pelosi went to far to say, “President Trump and the Republicans’ campaign to rip away the protections and benefits of the Affordable Care Act in the middle of the coronavirus crisis is an act of unfathomable cruelty. If President Trump gets his way, 130 million Americans with pre-existing conditions will lose the ACA’s

The Affordable Care Act and chiropractors

November 2020 | The IACP News | Page 11

Continued on next page

lifesaving protections and 23 million Americans will lose their health coverage entirely.”

If, in Fenruary, the Supreme Court strikes down the Affordable Care Act, the Kaiser Family Foundation estimated in 2016 that up to 52 million people could be denied coverage. Millions more would lose insurance if the ACA’s Medicaid expansion were thrown out. A full repeal with no immediate replacement plan could also hurt the fight against opioid addiction and HIV, and would come during the coronavirus pandemic, which has killed more than 220,000 Americans and left many others with lingering health issues.

In addition to the 23 million who could lose healthcare if the ACA is scrapped, protections for people with preexisting health conditions would also be put at risk. Democrats were quick to the latest push from Trump and his fellow Republicans to gut Obamacare. The current law provisions include:

• Children can stay on their parent’s healthcare plan until age 26.

• No one who is sick or has a medical condition can be denied insurance.

• Companies can no longer charge women more than men.

• Businesses with more than 50 full-time employees must offer health insurance.

How would the loss of the ACA impact chiropractic?

Some individual market plans, sold via the health insurance marketplaces and off-exchange, include coverage for chiropractic services – but many do not. It depends in large part on where you live, as different states have different rules.

The ACA establishes a set of essential health benefits (EHBs) that defines the benefits required to be offered to consumers in broad categories but do not specify specific services to be included in many cases. Chiropractic care is not spelled out specifically in the EHB, but the ACA granted states a significant degree of flexibility to further define specific services to be included in the set of EHBs to be offered in each state.

The law allows states to choose a “benchmark” plan that serves as a model for all ACA-compliant plans sold in the small group and individual markets within that state. CMS has a page that provides details for each state’s benchmark plan. That page also includes links to each state’s list of state-mandated benefits. If a state mandates coverage for

chiropractic care, it will be included in the state’s benchmark plan. But a state’s benchmark plan might include chiropractic care even if the state doesn’t mandate it.

In Idaho, chiropractic care is an ACA covered benefit. Loss of the ACA would mean chiropractic patients in Idaho who use the ACA to pay for treatments would lose the ability to see their doctor of chiropractic.

In many cases, state mandates and/or benchmark plan coverage for chiropractic care are limited to a set number of visits per year, and coverage is typically based on medical necessity, i.e., as long as the patient makes medical improvement claims are covered within the policy visit or other maximums. But “maintenance” chiropractic care would generally not be covered.

Idaho expanded Medicaid as of January 2020. Enrollment began November 1, 2019, with coverage effective January 1, 2020. More than 53,000 people had enrolled by early January. The state expects total enrollment in expanded Medicaid to eventually reach 91,000 people, and they reported in December that enrollment was tracking fairly close to their projections. There is not currently a work requirement for Idaho’s Medicaid program, but the state is working closely with the federal government to get a work requirement waiver approved, so Medicaid expansion enrollees could soon be subject to a work requirement.

Prior to 2020, there were an estimated 78,000 Idaho residents in the coverage gap — ineligible for subsidies in the exchange and also ineligible for Medicaid. But these individuals — in addition to people with income from 100-138 percent of the poverty level who had previously been eligible for subsidies in the exchange — are eligible for Medicaid in Idaho as of January 2020.

Proposition 2, which Idaho voters approved by a wide margin in the 2018 election, directed the state to expand Medicaid as called for in the ACA. The text of the ballot initiative called for the state to submit an expansion plan to the federal government within 90 days, and to implement to provisions of the proposition “as soon as practicable.”

Most people think the health law directly affects only those Americans who purchase their own insurance through the exchanges the law created (and who get subsidies if their incomes are between 100% and 400% of the poverty level). That’s about 10 million to 12 million households.

But many of the insurance protections in the law also

Page 12 | The IACP News | November 2020

Continued from last page

How a Biden Presidency might change the ACAProvide bigger subsidies: Under Biden’s plan, everyone buying coverage on the Obamacare exchanges would have access to federal premium subsidies. (Under Obamacare, only those making less than 400% of the poverty level, or roughly $50,000 for an individual and $103,000 for a family of four, qualify for federal help.) Those subsidies would cap premiums at a maximum of 8.5% of income, rather than up to roughly 10% under the Affordable Care Act. And Biden would tie the premium subsidies to more generous gold plans -- which have lower deductibles and out-of-pocket costs -- rather than silver policies, so enrollees would spend less when they visit the doctor or a hospital.

Those with job-based coverage could buy policies on the Affordable Care Act exchanges and receive subsidies, which is not currently allowed under the law.

Coverage would be less expensive for nearly all current Obamacare enrollees, as well as those who are priced out of the market, according to a recent Kaiser Family Foundation analysis of a proposal like Biden’s. A 40-year-old earning $50,000 would pay 32% less per month for the benchmark gold plan, for instance. Also, more than 12 million people with employer-based policies would pay a smaller share of their incomes for health insurance by switching to exchange plans, Kaiser found.

Create a public option: The former vice president would offer a government-run health insurance option on the Affordable Care Act exchanges that would compete with private plans. The campaign hasn’t provided a lot of details about the option, but the goal would be that it could offer lower premiums because it could use the government’s heft

to negotiate lower payment rates to providers, much like Medicare does.

Cover more low-income Americans: Biden would automatically enroll uninsured, low-income Americans either in the public option or in Medicaid, depending on whether their states expanded Medicaid to those making less than 138% of the poverty level, or roughly $17,600 for an individual. Those put into the public option would not have to pay premiums.

Lower Medicare eligibility age to 60: In a nod to progressives, Biden agreed to add to his platform a measure that would allow older Americans to sign up for Medicare at 60, instead of the current 65.

Allow Medicare to negotiate drug prices: The former vice president would push to repeal the law that bars Medicare from negotiating with pharmaceutical manufacturers. He also would limit launch prices for drugs that face no competition. And he’d allow consumers to buy medications from other countries.

Let undocumented immigrants sign up for unsubsidized coverage: Biden would allow the undocumented to enroll in policies on the Affordable Care Act exchanges but they would not be eligible for federal subsidies.

Bring back the individual mandate: Biden said last year that he favors reinstating the individual mandate, which requires most uninsured Americans to pay a penalty. The Republican-led Congress effectively eliminated the mandate in the 2017 tax cuts by reducing the penalty to $0.

The Affordable Care Act and chiropractors

protect those who have insurance through their jobs. These provisions include allowing adult children to stay on their parents’ health plans and requiring that insurers cover people who have preexisting health conditions at no additional charge to those patients. The law also requires that ACA-compliant policies provide preventive care with no out-of-pocket cost, and bans annual and lifetime insurance coverage limits.

It also limits insurers’ amounts of profit and administrative

expenses. That makes for a lot of chaos right there should the entire law disappear. But there is more. An important, though frequently overlooked, portion of the health law created the first legal framework and regulatory pathway for copies of expensive, already FDA-approved biologic drugs, called biosimilars, to reach the market. Biologic drugs are among the most expensive medications and treat life-threatening ailments such as cancer, rheumatoid arthritis and macular degeneration. It is unclear what would happen to the stream of biosimilars already approved if the law is struck down ― will their approvals be revoked? What about medications currently in the approval pipeline?

November 2020 | The IACP News | Page 13

The National Institutes of Health (NIH) is reporting that obesity, which in the U.S. affects about 35% of children and adolescents, is associated with negative mental and physical health consequences and higher death rates. Children who are obese have more than a fivefold likelihood of becoming obese as adults. Previous studies have shown a relationship between a reward-related brain area called the nucleus accumbens and unhealthy eating behavior in adults. Animal models of diet-induced obesity suggest a role for inflammation in this brain region, as cells other than neurons appear at higher levels.

To investigate more about the cellular structure of this brain area and weight gain in youth, researchers used data from the Adolescent Brain Cognitive Development (ABCD) Study. ABCD, which is funded by multiple NIH components, is following nearly 12,000 children through early adulthood to assess factors that influence individual brain development and other health outcomes. The research was supported by NIH’s National Institute on Drug Abuse (NIDA). Results were published on October 12, 2020 in the Proceedings of the National Academy of Sciences.

The researchers examined data from more than 5,300 ABCD Study participants, ages 9- to 10-years-old. More than 2,000

of these participants returned for a one-year follow-up visit. The average waist circumference of the participants was used as a measure of body fat. This increased by an average of 2.76 centimeters per participant over the year.

To investigate the density of cells in the nucleus accumbens, the researchers used a noninvasive technique called diffusion MRI. They found that cellular density in the brain region reflected differences in waist circumference at baseline. It also predicted increased waist circumference at the one-year follow-up.

“We know that childhood obesity is a key predictor of adult obesity and other poor health outcomes later in life,” says NIDA Director Dr. Nora D. Volkow. “These results extend previous animal studies to reveal what may prove to be a vicious cycle in which diet-related inflammation in brain striatal regions promotes further unhealthy eating behaviors and weight gain.”

By getting regular chiropractic adjustments, the spine is relieved of pressure that could be causing subluxations, or dysfunctions of the spine. With these subluxations removed, then exercise becomes easier and any diet becomes more effective. Exercising without pain enables longer, more intense workouts that have the ability to burn more calories, which, in turn, contributes to greater weight loss.

Regular chiropractic care can supplement weight loss goals by helping the body get rid of the weight faster under safe circumstances. Chiropractors that specialize in aiding in weight loss do so with chiropractic manipulations and by offering nutritional and exercise advice. These chiropractors are educated in nutrition science and can help patients create a balanced and workable nutrition plan. By approaching weight loss in this multi-pronged way, patients are more likely to see better, longer lasting results.

Chiropractic adjustments give muscles a tone up. Chiropractic manipulations are a supplement to exercise. Adjustments may help get rid of adipose tissue, which may lead to better muscle tone, making it harder for the body to put on excess weight. Adjustments may also be beneficial after a workout is completed by allowing your muscles to relax, which might help them get ready for the next workout. Additionally, regular chiropractic adjustments will enable a chiropractor to spot and correct injuries.

Chiropractic is an essential part of a wellness lifestyle. Being in pain prevents people from doing what theyt want to do. Getting people out of pain lets people get back to their workouts and life.

Brain differences in kids linked to increased weight

Page 14 | The IACP News | November 2020

Key pathway in lysosomes that coronaviruses use to exit cells discovered

Researchers at the National Institutes of Health have discovered a biological pathway that the novel coronavirus appears to use to hijack and exit cells as it spreads through the body. A better understanding of this important pathway may provide vital insight in stopping the transmission of the virus—SARS-CoV-2—which causes COVID-19 disease.

In cell studies, the researchers showed for the first time that the coronavirus can exit infected cells through the lysosome, an organelle known as the cells’ “trash compactor.” Normally the lysosome destroys viruses and other pathogens before they leave the cells. However, the researchers found that the coronavirus deactivates the lysosome’s disease-fighting machinery, allowing it to freely spread throughout the body.

Targeting this lysosomal pathway could lead to the development of new, more effective antiviral therapies to fight COVID-19. The findings, published today in the journal Cell(link is external), come at a time when new coronavirus cases are surging worldwide, with related U.S. deaths nearing 225,000.

Scientists have known for some time that viruses enter and infect cells and then use the cell’s protein-making machinery to make multiple copies of themselves before escaping the cell. However, researchers have only a limited understanding of exactly how viruses exit cells.

Conventional wisdom has long held that most viruses—including influenza, hepatitis C, and West Nile—exit through the so-called biosynthetic secretory pathway. That’s a central pathway that cells use to transport hormones, growth factors, and other materials to their surrounding environment. Researchers have assumed that coronaviruses also use this pathway.

But in a pivotal experiment, Nihal Altan-Bonnet, Ph.D., chief of the Laboratory of Host-Pathogen Dynamics at the NIH’s National Heart, Lung, and Blood Institute (NHLBI) and her post-doctoral fellow Sourish Ghosh, Ph.D., the study’s main authors, found something different. She and her team exposed coronavirus-infected cells (specifically, mouse hepatitis virus) to certain chemical inhibitors known to block the biosynthetic pathway.

“To our shock, these coronaviruses got out of the cells just

fine,” Altan-Bonnet said. “This was the first clue that maybe coronaviruses were using another pathway.”

To look for that pathway, the researchers designed additional experiments using microscopic imaging and virus-specific markers involving human cells. They discovered that coronaviruses somehow target the lysosomes, which are highly acidic, and congregate there.

That finding raised yet another question for Altan-Bonnet’s team: If coronaviruses are accumulating in lysosomes and lysosomes are acidic, why are the coronaviruses not destroyed before exiting? In a series of advanced experiments, the researchers demonstrated that lysosomes get de-acidified in coronavirus-infected cells, significantly weakening the activity of their destructive enzymes. As a result, the viruses remain intact and ready to infect other cells when they exit.

“These coronaviruses are very sneaky,” Altan-Bonnet said. “They’re using these lysosomes to get out, but they’re also disrupting the lysosome so it can’t do its job or function.”

The researchers also discovered that disrupting normal lysosome function appears to harm the cells’ immunological machinery. “We think this very fundamental cell biology

November 2020 | The IACP News | Page 15

finding could help explain some of the things people are seeing in the clinic regarding immune system abnormalities in COVID patients,” Altan-Bonnet said. This includes cytokine storms, in which an excess of certain pro-inflammatory proteins in the blood of COVID patients overwhelm the immune system and cause high death rates.

Now that this mechanism has been identified, researchers may be able to find ways to disrupt this pathway and prevent lysosomes from delivering viruses to the outside of the cell; or re-acidify lysosomes in order to restore their normal functions in coronavirus-infected cells so they can fight COVID. The authors have already identified one experimental enzyme inhibitor that potently blocks coronaviruses from getting out of the cell.

“The lysosome pathway offers a whole different way of

thinking about targeted therapeutics,” she said, adding that further studies will be needed to determine if such interventions will be effective and whether existing drugs can help block this pathway. She notes the findings could go a long way toward stemming future pandemics caused by other coronaviruses that may emerge.

Research reported in this study was funded by the Division of Intramural Research of NHLBI, part of the National Institutes of Health. Additionally, the research was supported by NIH grants including NIH R01 AI091985-05; NIH R01 NS36592; F32-AI113973; NIH R37GM058615; and NIH R01AI135270. All other co-authors were supported by intramural NIH and National Cancer Institute funds. Study: β-Coronaviruses use lysosomes for egress instead of the biosynthetic secretory pathway DOI: 10.1016/j.cell.2020.10.039

British study shows evidenceof waning immunity to Covid-19

A new study of hundreds of thousands of people across England suggests immunity to the coronavirus is gradually wearing off — at least according to one measure. Researchers who sent out home finger-prick tests to more than 365,000 randomly selected people in England found a more than 26% decline in Covid-19 antibodies over just three months.

“We observe a significant decline in the proportion of the population with detectable antibodies over three rounds of national surveillance, using a self-administered lateral flow test, 12, 18 and 24 weeks after the first peak of infections in England,” the team wrote in a pre-print version of their report, released before peer review. “This is consistent with evidence that immunity to seasonal coronaviruses declines over 6 to 12 months after infection and emerging data on SARS-CoV-2 that also detected a decrease over time in antibody levels in individuals followed in longitudinal studies.”

The study was recently published by Imperial College London and Ipsos MORI, a market research company. At the beginning of the study, in June, 6% of those who took the tests had IgG antibody responses to the coronavirus, they reported. By September, just 4.4% of them did. For health care workers, the rates stayed about the same.

Antibodies are the proteins a body naturally generates to fight infection. IgG are one type — the tests were not designed to detect other types of antibodies. Other research

teams have found that other types of antibodies may persist longer than IgG does.

The results also confirm earlier studies that showed that people who did not have symptoms of Covid-19 are likely to lose detectable antibodies sooner rather than those who had more severe infections. Younger people who had recovered from Covid-19 had a slower loss of antibodies, compared to people older than 75 who had survived an infection, the researchers found.

Still, not enough is known to determine if antibodies provide any effective level of immunity to Covid-19, or how long people may be immune to reinfection with the coronavirus.Some infections, such as measles, cause what’s known as sterilizing immunity. People infected once have antibodies that can be detected for many years after infection.

With coronaviruses, scientists know less. It’s also unclear what contribution T cell immunity and the body’s memory responses to threats like Covid-19 will play in providing protection if someone is exposed again to the novel coronavirus. More research is needed to better understand the ongoing risks of reinfection. This study has limits. The samples were not taken from the same people over and over again, but from different people over time. It’s possible people who had been exposed to the coronavirus were less likely to take part over time and that may have skewed the numbers, researchers said.

Page 16 | The IACP News | November 2020

CMS resumes audits during pandemicBy Dr. Ray Foxworth, President of ChiroHealthUSACertified Medical Compliance Specialist

The recent pandemic has brought many changes in healthcare, some good and some bad. One of the benefits we received was the suspension of Medicare-Fee-For-Service audits. Effective August 3, 2020, that changed. During this break from active audit activities, payers have shifted their focus to data-mining claims. Over the next couple of months, we will begin to see an increase in records requests and possible overpayment demand letters.

If you have ever been audited, you know that they can be disruptive to patient care and create chaos in your business in the best of circumstances. Many of us are facing staffing shortages and struggling to meet the demand of practice responsibilities. It is as important now as before the pandemic to respond in a timely manner to every record request from third-party payors and government agencies. In the most recent Coronavirus Disease 2019 (COVID-19) Provider Burden Relief Frequently Asked Questions (FAQs), providers were advised to discuss with their contractor any COVID-19 related hardships they are experiencing that could affect audit response timeliness. (CMS, 2020)

According to an article written by Joe Rivet, Esq, the rapid healthcare changes over the past few months (ex. Telehealth) have increased the likelihood of errors, misapplication of the rules, and more. “Nearly all health care providers have experienced a financial hit. Avoid prematurely and unnecessarily returning any overpayment by confirming all overpayments before you accept audit findings. Qualified staff or third-party vendors should re-audit records identified as having overpayments. Parameters of the confirmation process must include all appropriate regulations and/or

payer policies that were applicable on the date of service.” stated Mr. Rivet. His article explains that many rules went through several changes, putting healthcare providers at higher risk for audit errors. (Joe Rivet, 2020)

As we slide into 2021, we will see an uptick in audits around the country, predicted to be at levels we have never seen. There has never been a better time to bring in a third-party compliance officer to maintain compliance in the practice and help shoulder the burden of records requests and audits. Do you know where your risks are? Are you confident that you are doing everything, right? Do you want to shoulder the burden of keeping your office compliant? I sure don’t. It is time to shed our lone wolf mentality of doing it all on our own and focus on doing what we do best, treating our patients. Request your free Gap Analysis to see where your compliance program may be deficient today.

Dr. Ray Foxworth is a certified Medical Compliance Specialist and President of ChiroHealthUSA. A practicing Chiropractor, he remains “in the trenches” facing challenges with billing, coding, documentation and compliance. He has served as president of the Mississippi Chiropractic Association, former Staff Chiropractor at the G.V. Sonny Montgomery VA Medi-cal Center and is a Fellow of the International College of Chi-ropractic. You can contact Dr. Foxworth at 1-888-719-9990, info@chirohealthusa.com or visit www.chirohealthusa.com. Join us for a free webinar that will give you all the details about how a DMPO can help you practice with more peace of mind.

Shop SmartThis newsletter gets your message to the Idaho chiropractic community effectively and inexpensively. Advertising rates on the last page or email Steve at C&S Publishing, candspublishing@gmail.com

November 2020 | The IACP News | Page 17

Page 18 | The IACP News | November 2020

Chiropractic News

The International Subluxation Summit DL II

The International Subluxation Summit DL II: A Distance Learning CE program that is a combination of the 2018 & 2019 International Subluxation Summit. Total CE Hours: 28 hours; TOTAL FEE of $450.00. 2020 Promo! Receive up to 28 Hours of CE credit for $99 dollars Offer open through 2020 – Credits to be submitted by 12/31/2020.

Subluxation Summit 2018 offers 14 hours of CE from amazing speakers such as: Scott Rosa, Julie Mayer Hunt, John Maltby and several others. Topics cover: Advanced Considerations of the Craniocervical Junction (CCJ), Full spine analysis as the gold standard assessment, Neuroscience of Addictionology and the Vertebral Subluxation among much more.

Subluxation Summit 2019 offers 14 hours of CE from amazing speakers such as: John Minardi, Ian Bulow, Eric Jasezewski and several others. Topics cover: Brain Body Subluxation Science, Chiropractic in 3D, Neuropathophysiology of the Vertebral Subluxation Complex among much more.

Learn More & Register Here

Advances in the Management of Traumatic Injuries (AMTI) Module 3 – Available on Demand

Module 3 will be a detailed overview of the traumatic injuries to the cervical, thoracic and lumbo-pelvic spine. These are the most common injuries that present to the chiropractic office and are often described as “sprain/strain” injuries. Under representing these injuries is perhaps the most common mistake made in chiropractic clinical practice. This course will teach doctors to look beyond the muscle strain and neck pain diagnoses to more thoroughly determine the true extent of soft tissue damage including ligamentous instability, disc injury, facet joint injury, etc., that occur from motor vehicle collisions. Participants will learn proper imaging techniques including analysis for ligamentous instability on X-rays, as well as when to refer for the various types of MRI and CT scans. Proper documentation and a review of applicable clinical practice guidelines will be reviewed to help bolster the clinical decision-making process.

Learn more and register

ACA’s Annual Meeting andConference Is going virtual

Engage 2021 will feature a mixture of formats to suit different learning styles. Connect with attendees from across the country as you learn from the top thought leaders in chiropractic, and hear from industry and association leaders about what’s on the horizon. ACA Engage 2021 will feature:

• Seven pre-recorded CE presentations worth 1 CE credit each, to be launched January 28 for viewing at your pace.• Three live CE presentations with speaker Q&A worth 1 CE credit each.• Two live lunch-and-learn presentations with speaker Q&A.• Three 30-minute live, expert chat sessions with the opportunity to interact with speakers.• Two 45-minute live, moderated discussion panels with the opportunity to engage with speakers.

Live sessions will be recorded and available after Engage in case you can’t make it to a live session. Attendees will have access to the conference platform and each of the session recordings for 30 days after the conference. Doctors may earn up to 10 CE credits for attending.

Click here for more informaiton or to register.

ACA, coalition take action to stopMedicare physician fee cuts in 2021

Chiropractors urged to contact members of Congress in support of H.R. 8505

The American Chiropractic Association (ACA), along with a coalition of more than 45 specialty provider groups, has taken decisive action in recent weeks to oppose proposed reductions in Medicare reimbursement for chiropractic and other specialties slated to begin in January 2021.

The coalition, which ACA was instrumental in establishing last year, features a diverse range of physician and provider groups such as the American College of Emergency Physicians, the American Occupational Therapy Association, the American Physical Therapy Association, and the American Psychological Association.

November 2020 | The IACP News | Page 19

Continued on next page

On Oct. 5, the group penned a letter to CMS Administrator Seema Verma, MPH, urging her to prevent cuts to the Medicare Physician Fee Schedule (PFS), which are intended to achieve budget neutrality. “[The cuts would] cripple the recovery of the nation’s health care system by exacerbating revenue shortfalls that are already jeopardizing the financial viability of physician and non-physician providers across the country,” the coalition writes. This in turn could potentially impact patients’ access to medically necessary specialty care.

Rep. Michael C. Burgess (R-Texas) recently introduced a legislative remedy, H.R.8505, a bill that would implement a one-year waiver of the required budget neutrality adjustments under the PFS, preventing the cuts from going into effect on Jan. 1. Broad congressional support for such a solution was made clear last week when 229 Members of Congress sent a letter to House leadership urging them to avoid the “excessively steep cuts.”

Now it is time for doctors of chiropractic to join the effort to stop the Medicare Physician Fee Schedule cuts. Congress is listening to its constituents on this critical issue. Take a moment to send a letter to your member of Congress, urging them to cosponsor H.R. 8505 and ensure Medicare patients receive the care they need. Visit www.acatoday.org/HR8505 to make your voice heard on this important issue.

ACA’s new website aims to educatepublic about chiropractic services

The American Chiropractic Association (ACA) has launched a new website to educate the public about non-drug pain relief and the chiropractic profession’s holistic approach to health and improved function. HandsDownBetter.org is a resource for those who seek alternatives to pain medications and surgery for common musculoskeletal conditions such as back pain, neck pain, joint pain and headaches.

In addition to information on the chiropractic profession, www.handsdownbetter.org offers ergonomic and injury-prevention tips to help people avoid aches and pains while doing everyday activities such as gardening, shopping, working at a desk, sports, and more. Visitors also can learn about important federal legislative initiatives to increase patient access to chiropractic services and can search for an ACA chiropractor in their area.

According to a Gallup-Palmer College of Chiropractic survey, more than 35 million Americans visit a chiropractor each year. Interest in chiropractic is increasing as a response to the opioid epidemic and the release of guidelines by the

American College of Physicians and other respected health care groups that promote non-drug treatments for low back pain before riskier options such as prescription opioid pain medications and surgery.

Covid and the FluCo-infection now being reported

As winter arrives, people are now beginning to test positive for both the flu and the coronavirus. So far, such co-infections have been rare, but experts are now warning that if Covid-19 cases remain high as flu season begins, the U.S. could face a “twindemic,” with both viruses circulating at high levels.

With the likelihood of both Covid-19 and seasonal flu activity this winter, contracting either disease would weaken the immune system and make people more susceptible to the other disease.

Much of the mounting anxiety is focused on health care systems, which could be overwhelmed with a surge of both Covid-19 patients and flu patients. In some areas, hospitals are reporting they are at or near full capacity, and some worry that people who have other medical emergencies, such as being in a car accident or having a heart attach, may not be able to get the fast medical care they require.

Flu activity in the U.S. remains low, according to the Centers for Disease Control and Prevention, though that is not uncommon this early into flu season.

Unfortunately, Covid-19 activity remains high, with infections and deaths rising yet again. More than 9 million cases have been reported in the U.S. since the start of the pandemic, and more than 230,000 Americans have died.

Life University launchesJohn Robert Lewis Scholarship

Life University’s (LIFE) Office of Diversity, Equity and Inclusion (ODEI) and the University Advancement Department hosted the John Robert Lewis Scholarship for Social Justice and Leadership Luncheon. John-Miles Lewis, the son of the late John Robert Lewis, was the guest of honor. The luncheon marked the announcement of LIFE’s $100,000 endowment for this new scholarship that will be awarded annually as a cash and tuition award of $10,000.

LIFE President Rob Scott, DC, PhD, said, “Our success as an institution depends on how well we welcome, value, engage and advance the rich diversity of our students, staff

Page 20 | The IACP News | November 2020

Chiropractic News

Continued from last page

and administration. John Lewis was the embodiment of a servant leader and an individual who served a purpose much greater than his own. He was, by definition, a shining example of Lasting Purpose.”

In June, LIFE announced the launch of ODEI to its campus. ODEI strives to make LIFE a leading institution for inclusive excellence where people of all identities, perspectives and experiences find a welcoming environment where multiplicity, parity and inclusiveness are unwavering values.

Two requirements for student candidates applying for the John R. Lewis Scholarship for Social Justice and Leadership include belonging to one or more socially marginalized groups (i.e., ethnic/racial minority, member of the LGBTQIA+ community or have a documented disability) and having a commitment to social justice as demonstrated through their leadership, scholarship or service. Other requirements and further information on the scholarship can be found here.

Donating to a LIFE scholarship program is one of the more immediate ways to support students. A scholarship directly impacts LIFE’s students and is an excellent way to relieve some of the burden of educational expenses while also rewarding hard work and academic excellence. Those interested in supporting LIFE with a gift toward the John R. Lewis Scholarship for Social Justice and Leadership, or any other endowed scholarship, may click here.

What we need to know about face masks

Since COVID-19 turned our lives upside down, scientists have been scrambling to learn as much as they can about this deadly disease. There is still a lot of research to be done. But earlier this year a team at Duke University set out to answer a question that was on everyone’s minds (and still is): How effective are face masks at reducing the transmission of respiratory droplets that carry the coronavirus?

The researchers, who released their results in early August, found that a fitted N-95 mask (without a valve) and a three-layer surgical mask are the most effective at preventing the spread of aerosol droplets that might carry COVID-19. This study is one of the first to focus on the effect of a mask at

stopping its wearer from spreading potential coronavirus aerosols (rather than protecting the wearer from those nearby).

“All the testing in the past had to do with protecting the individual wearing the masks, not considering protecting other people,” Eric Westman, one of the study’s authors, told HuffPost. “So, for example, the N-95 mask with a valve is the best [at protecting you], but the valve allows you to exhale unfiltered air, so it’s not the best mask when looking at whether it protects other people from you if you’re sick.”

The team avoided assigning a definitive ranking to the masks in the study — which has significant limitations and faced criticism when the results were published — but agreed that a fitted N-95 mask (one without a valve) is one of the most effective face coverings currently available.

Are there masks we should avoid?

The gaiter — a type of face covering often used by outdoor exercisers — that the study tested was the least effective of the 14 masks. In certain circumstances and depending on the fabric it’s made of, a gaiter might be more dangerous than helpful.

“The more porous the fabric, the more you can see through it or blow through it, the less it works,” Westman said. And you might want to think twice about covering your face with a bandana, bandit-style: They didn’t perform particularly well within the constraints of this study.

Though the study is far from perfect, Jack O’Horo, an infectious disease specialist at the Mayo Clinic, noted that the research has gotten experts closer to understanding that a mask’s material — rather than the type of mask — should be examined to determine its efficacy. “We may ultimately find out what materials should be acceptable and not acceptable,” he said. “I have been giving the advice that if you can hold up the material through the light and see the points of light throughout it, then it’s probably not going to work as a mask.”

Being safe and healthy is better than rolling the dice and getting COVID-19. There is little downside to wearing a mask, and the upside is huge, perhaps life saving.

November 2020 | The IACP News | Page 21

IACP Marketplace

Get your display advertisement into the IACP Marketplace and save BIG! Less than a dollar a day gets your ad going — $29 a month.

Email Steve today at: CandSpublishing@gmail.com

The IACP News, this monthly newsletter of the Idaho

Association of Chiropractic Physicians, reaches 600-800 chiropractors

across Idaho every month.Build your business right here!

Producing modern, digital magazines and newsletters exclusively for non-profit associations.

www.CandSpub.com

Enjoy more compliance, peace of mind, and simpler financial options that help your patients combat rising health care costs, increasing co-payments, and skyrocketing deductibles

ChiroHealthUSA is one of the simplest and easiest solutions to counter potentially illegal dual-fee schedules and improper time-of-service discounts offered by doctors in an effort to make care more affordable for patients. The great news is that when your state association partners with ChiroHealthUSA — as IACP does — not only do you and your patients benefit, but the entire profession wins through our donation to IACP.

1-888-719-9990 www.chirohealthusa.com info@chirohealthusa.com

Only $29 a month

Page 22 | The IACP News | November 2020

Chiropractic College News

Historic enrollment at CUKC College of Chiropractic

The Fall 2020 enrollment at Cleveland University-Kansas City (CUKC) was historic for the institution’s College of Chiroprac-tic, as 103 students began the Doctor of Chiropractic (D.C.) degree program. It is the largest class of chiropractic stu-dents to start the program in 38 years.

As a group, the students are academically sound and ready for the challenging curriculum that lies ahead over the next three-plus years. With incoming students hailing from Cali-fornia to West Virginia, the group represents a geographic cross-section of the nation. Some made the trek to CUKC because of its solid scores on chiropractic board exams; oth-ers found the unmatched quality of life in the heartland was a good fit for them.

The record enrollment was made possible by the collective efforts of many at the University. Melissa Denton, director of admissions at CUKC, was pleased with the large class size, but she wasn’t surprised, since the interest in chiropractic continues to rise.

“Fall enrollment is consistently growing as more college graduates enroll in doctorate programs immediately after receiving their undergraduate degrees in the spring,” Den-ton said. “Students are beginning to realize that the Doc-tor of Chiropractic degree is attractive to those seeking to help others stay healthy. People want to be proactive in maintaining proper health, and chiropractic is an affordable healthcare option that is essential in achieving that goal.”

D’Youville ranks as topprivate university in Western New York

For the second consecutive year, D’Youville was ranked as the top private university in Western New York in recogni-tion of its academic excellence, according to the 2021 U.S. News and World Report rankings. It is the second-highest nationally ranked university in Western New York. Lorrie Clemo, PhD, president of D’Youville, cites the dedi-cated efforts of faculty, administration, and staff in achiev-ing this distinction, through their diligent, interdisciplinary work toward the strategic vision envisioned by the Board of Trustees.

“U.S. News and World Report continues to recognize the ex-cellent quality of D’Youville’s academic programs, as well as the exceptional experience we offer our students through our updated learning spaces, latest technology, and in-creased scholarship opportunities,” she says. “We are grati-fied to once again receive this significant recognition as a national university.”

Last year, U.S. News moved D’Youville from the “Regional Universities – North” to the “National Universities” catego-ry, following its placement in the university category by the Carnegie Classification of Institutions of Higher Education. The Carnegie system, the nationally recognized source used by the U.S. Department of Education, classifies D’Youville as a National University for meeting one or more of its criteria: a full range of undergraduate majors, master’s, and doctoral programs, faculty research emphasis, and awarding of pro-fessional practice doctorates.

D’Youville currently awards eight different doctorate de-grees, the most of any private institution in Western New York, including Chiropractic (DC), Educational Leadership (EdD), Family Nurse Practitioner (DNP), Health Administra-tion (EdD), Health Professions Education (EdD), Pharmacy (PharmD), Physical Therapy (DPT), and Psychiatric Mental Health Practitioner (DNP).

Life University again hosts Lights of LIFE

The Life University (LIFE) campus is being decorated for the annual Lights of LIFE seasonal celebration. The 2020 edition will begin on Thanksgiving evening, Thursday, November 26, and run every night, rain or shine, through New Year’s Eve, Thursday, December 31.

LIFE introduced Lights of LIFE to the local community in 1989. It has now grown to be one of the most popular light shows in the Southeast, attracting nearly half a million spec-tators from the surrounding region. Cars, trucks, vans and buses cruise through the spectacularly illuminated campus each year, often stopping along the 1.5-mile drive to enjoy an array of seasonal entertainments.

The admission price is $10 for cars and trucks and $20 for buses. The display opens at dark every night and runs until 9:00 p.m. Sunday through Thursday and 10:00 p.m. on Fri-

November 2020 | The IACP News | Page 23

Continued on next page

days and Saturdays. Families are encouraged to come during the week to avoid the busier weekend traffic.

Each year, the Lights of LIFE display is a little different, mak-ing the experience unique from one year to the next. With more than one million LED bulbs, combined with the low admission cost, Lights of LIFE is the most affordable, quality light display in the metro Atlanta area.

As in year’s past, pony rides, train rides and the petting zoo will also return, as will our concession stand, offering sea-sonal drinks and snacks for purchase. Each of these vendors is independent of the Life University Lights of LIFE opera-tion, and therefore their schedules and fees are at their dis-cretions and can change at any time.

Founded in in 1974, Life University is a health sciences insti-tution most known for its Doctor of Chiropractic program, the largest single-campus chiropractic program in the world. Undergraduates can pursue 15 undergraduate degrees as well as a pre-chiropractic, degree-seeking pathway. Three graduate degrees are available, encompassing areas of sport health science, clinical nutrition and positive psychol-ogy. Some degree programs are offered to distance learners through the College of Online Education.

Click here for more information about Lights of LIFE.

Logan University and ACA present the2nd Annual Women’s Health Symposium

Logan University, in conjunction with the American Chiro-practic Association Council on Women’s Health, is proud to present the 2nd Annual Women’s Health Symposium. Open to all health care professionals who want to learn more about treating the female patient, this year’s event features respected speakers providing enlightening and practical in-formation on women’s health, from meditation, yoga and

stress relief to labs, radiology, pain reduction and so much more. The 12-hour program will be available on-demand October 17 through December 18, 2020.

Click here to view the program schedule and topics, as well as speaker bios and information on sponsors, pricing and registration.

Open to all health care professionals who want to learn more about treating the female patient, this year’s event features respected speakers providing enlightening and practical in-formation on women’s health, from meditation, yoga and stress relief to labs, radiology, pain reduction and so much more. The 12-hour program, presented in conjunction with the ACA Council on Women’s Health, will be available on-demand October 17 through December 18, 2020.

Attendees must register online, by phone or mail by Decem-ber 15, 2020, to access the symposium; to receive the Early Bird Tuition Rate, attendees must register by October 3, 2020. Please email postgrad@logan. edu or call 1-800-842-3234 with questions.

New York Chiropractic Collegevirtual open house November 17

Join New York Chiropractic College for a Chiropractic Virtual Open House from noon to 1:30 p.m. on Nov. 17, 2020. Click here for more information and register.

Palmer College of Chiropractic Floridaexpanding to meet rising enrollment demands

Construction has officially started on the expansion of Palm-er College of Chiropractic Florida’s campus through the ad-dition of a new academic building. In 2022, Palmer Florida will celebrate 20 years in Port Orange, Florida, as well as a fourth academic building that will help the college meet the demands of rising student enrollment. More than 800 stu-dents are currently enrolled at Palmer Florida.

The $12 million space will provide 33,000 square feet over two floors, and will feature four classrooms with space for up to 130 students, additional technique rooms for students to learn and practice the hands-on care they’ll deliver after graduation, a larger anatomy learning environment, and vir-tual- and augmented-reality learning tools.

“At Palmer Florida, we hope to grow the chiropractic profes-sion not only in the southeast, but across the country,” said Palmer Florida President, Peter Martin, D.C. “This new aca-

Page 24 | The IACP News | November 2020

Chiropractic College News

Continued from last page

demic space solidifies our commitment to the students and faculty who will make that happen. The building will address both the immediate and long-term needs of the College’s expanding student population.”

The new labs will be designed specifically for students to apply what they’re learning about movement science and rehabilitation in an ideal, technically-advanced setting. The building will be filled with windows that let in natural light, and it will feature an extended patio alongside the campus pond for students to relax and study.

“Palmer is chiropractic,” says Palmer Florida student, Ava-lon Liscio. “Here, I know everyone wants me to succeed. We also push one another to be the very best. It’s awesome to know my college wants to invest in my future through new academic spaces.”

Construction is expected to be complete in fall of 2021. This project is made possible by generous donations from alumni and friends of the College.

Chiropractic Pinning Ceremony Goes Virtual

The pinning and white coat ceremony at University of West-ern States (UWS) is a celebratory event where chiropractic students take their first big step toward becoming chiroprac-tic physicians. It signals the start of working in the Campus Health Center (CHC) with a clinician to help treat patients and pulling all of the knowledge learned the previous two years into practice. Working with a clinician in the CHC helps

to solidify a student’s knowledge and shape how they’re go-ing to treat their future patients.

“The pinning ceremony is a rite of passage and represents the student’s physical entry into the clinic and the continu-ation of this journey to provide health care,” said Dr. Stan-ley Ewald, associate dean of clinical internship. “It is time to take an oath to oneself to advance the health of every pa-tient equally and recognize the goodness and value of every single human being.”

The pinning ceremony is more than just the first step into the clinic, it’s a big event where families can celebrate the student’s accomplishments thus far. By this time, students have earned a bachelor’s degree in science and have taken their first national board exam, which is a feat. It’s also a great excuse to get dressed up with your pinned white coat and take pictures with family and friends!

“As a clinician, it is exciting to have fresh new faces in my treating group,” said Dr. Amanda Armington, attending chi-ropractic physician and associate professor. “They grow so much over the course of the clinical internship and it is in my opinion the best part of the program (but maybe I’m bi-ased). The clinic intern will begin to piece together all the preclinical knowledge and build on that to provide evidence-informed, quality patient care!”

COVID-19 has affected the school in many ways, including transferring the pinning ceremony from a big, in-person event to a virtual one. While it is unfortunate that students aren’t able to celebrate in person together, it does still allow for family members to participate and celebrate virtually!

November 2020 | The IACP News | Page 25

Page 26 | The IACP News | November 2020

OfficePosters

We have created a FREE printable PDF of the

Be Safe, Stay Safe

poster on the following page, and the following posters are available online:

Do the right thing Ways to keep moving with join pain

Basic Coronavirus protective measuresThe drug-free approach to pain reduction

Get up and move!STRETCHING for better joint health

Yoga and pilates may help with chronic back painWere you pain free this morning when you got out of bed?

Tips for safe stretchesDon’t let pain keep you from enjoying life

Go outside and get the benefits of vitamin D7 simple steps to a longer, healthier life

Please feel free to print out and use any or all of the flyers. Or, make them available as handouts to your patients.

They are available on the website, www.IACPnews.com in an easy to print format.

Each has the following tagline:

This healthy living information is provided byyour Doctor of Chiropractic and the

Idaho Association of Chiropractic Physicians (IACP) .

November 2020 | The IACP News | Page 27

This healthy living information is provided byyour Doctor of Chiropractic and the

Idaho Association of Chiropractic Physicians (IACP) .

Be safe, stay safe

• The CDC recommends that people wear masks in public settings, like on public and mass transportation, at events and gatherings, and anywhere they will be around other people.• Masks may help prevent people who have COVID-19 from spreading the virus to others.• Masks are most likely to reduce the spread of COVID-19 when they are widely used by people in public settings.• Masks should NOT be worn by children under the age of 2 or anyone who has trouble breathing, is unconscious, incapacitated, or otherwise unable to remove the mask without assistance.• Masks with exhalation valves or vents should NOT be worn to help prevent the person wearing the mask from spreading COVID-19 to others (source control).

Masks are recommended as a simple barrier to help prevent respiratory droplets from traveling into the air and onto other people when the person wearing the mask coughs, sneezes, talks, or raises their voice. This is called source control. This recommendation is based on what we know about the role respiratory droplets play in the spread of the virus that causes COVID-19, paired with emerging evidence from clinical and laboratory studies that shows masks reduce the spray of droplets when worn over the nose and mouth. COVID-19 spreads mainly among people who are in close contact with one another (within about 6 feet), so the use of masks is particularly important in settings where people are close to each other or where social distancing is difficult to maintain. CDC’s recommendations for masks will be updated as new scientific evidence becomes available.

Page 28 | The IACP News | November 2020

The Idaho Association of Chiropractic PhysiciansThe IACP News

Display Advertising Policy, Rates and Information

The Idaho Association of Chiropractic Physician’s IACP News is a full-color digital newsletter, published monthly and distributed to member doctors of chiropractic across Idaho as well as out-of-state members and student members.

Format: The IACP News is produced in a state-of-the-art digital format. It can be opened and viewed online from both the IACP website at https://iacp.wildapricot.org/ and also from the publication site: www.IACPnews.com. The publication site has both current and back issues of The IACP News. Questions about the digital format, the website, or display advertising should be directed to C&S Publishing at CandSpublishing@gmail.com.

Classified Ads: IACP accepts classified ads. They are published without cost for IACP members, but can also be purchased for $100 by non-members. For additional information about placing a classifed ad, contact Caroline Merritt, IACP Executive Director at (208) 515-6263 or caroline@idahotruenorth.com.

Ad Sizes and Rates: IACP reserves the right to determine position and placement of all advertising. Special positioning may be purchased for an additional 20% if space is available. Inside Cover and Back Cover are charged additional 20% for special positioning. 15% off these rates for IACP Members.

Ad Type Ad Size 1 run 3 runs 6 runs 12 runs

Full page (bleed) 8 5/8” wide by 11 1/4” tall $450 $414 $378 $330

Full page (boxed) 8” wide by 9 3/4” tall $450 $414 $378 $330

Half page 8” wide by 4 3/4” tall $267 $264 $224 $190

One Third (V) 2 3/8” wide by 9 3/4” tall $190 $174 $159 $140

One Third (H) 8” wide by 3 1/8” tall $190 $174 $159 $140

Quarter Page 3 7/8” wide by 4 3/4” tall $160 $146 $134 $115

One Sixth 3 5/8” wide by 2 7/8” tall $105 $97 $88 $75

Rates are for full color ads per insertion. Ads published under a multi-run contract can be changed for each issue at no additional cost. Flash animation (.swf files), animations (.gif format) and video clips can be added to any ad. There is no extra charge for video clips or multi-media in ads unless “assembly” of the ad is required. Some file size limitations apply. For details contact CandSpublishing@gmail.com. Email camera-ready ads in high resolution Adobe Acrobat (.pdf) format to: CandSpublishing@gmail.com. Ad creation and graphic design services are available through C&S Publishing at no additional cost.

Acceptance of Advertising: IACP reserves the right to refuse any advertisement with or without reason or explaination including any ad that, in the opinion of IACP, is unethical, makes extravagant claims, misrepresents, is unfair or harmful to other advertisers; violates postal, anti-trust or U.S. currency regulations; or is deemed inconsistent with the objectives of the IACP.

The IACP News is produced for the IACP by C&S PublishingPhone: 916-729-5432 • Email: CandSpublishing@gmail.com