When comparing different types of health care programs, one must always consider how "patient friendly" it is. A recent comparative survey found these discrepancies between Fee for Service and Managed Care:
| Complaint | Fee for Service | Managed Care |
| Not getting treatment you and your doctor thought was necessary | 13% | 22% |
| Unable to see specialist when needed one in past year | 15% | 21% |
| Unable to get needed diagnostic tests in past year | 17% | 24% |
| Care not appropriate or correct for situation | 5% | 12% |
| Not able to get appointment without waiting a long time | 7% | 17% |
| Not able to see doctor without waiting a long time at office | 18% | 26% |
| Doctor did not explain what he/she was doing | 6% | 12% |
| Doctor did not tell when and how to take medications at home | 4% | 10% |
Until managed care becomes more patient friendly, it won't be the health care provider of choice for most patients.
SOURCE: Survey conducted by The Robert Wood Johnson Foundation
Many relevant diagnostic signs are not performed deliberately by the examiner or by the patient at the examiner’s direction. They are observed as the patient reacts to their condition. Fortin’s finger sign, Minor’s sign, and Vanzetti’s sign are three examples of this principle.
Spearheaded by burgeoning scientific and clinical research literature, psychedelics have reached a level of media coverage and popular interest that has not been seen for over half a century. By “psychedelics,” we are referring to the unique class of substances that includes psilocybin (the active compound found in so-called “magic mushrooms”), LSD, dimethyltryptamine (DMT), ayahuasca, 5-MeO-DMT, and mescaline – each of which occurs in the natural world (except for LSD, which is a semi-synthetic compound).
While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.
