Two new bills just got voted on in the Colorado legislature. And vets all over the country have been watching carefully to see which way the pendulum would swing. At stake is our ability to remain the exclusive providers of animal health services in cases where physical therapy and alternative treatments (like chiropractics and acupuncture) are concerned.
One bill would give licensed physical therapists the ability to legally provide services to pets in need of rehabilitation after injury or in the case of chronic diseases (like arthritis)—with the supervision of a veterinarian. The other would allow alternative practitioners of various stripes to practice on pets—without a license and without vet oversight.
The first one passed, in March. The other failed, this month, by a slim 3-4 margin. And though I’m pleased about the physical therapy bill, the near-miss on the alternative medicine bill scares me; it doesn’t bode well for the future of vet-guided care for animals. By design, both bills would effectively take responsibility away from vets. So what’s the difference? Why support one and decry another, as most vets did?
Here’s a little history to help you with that:
Most vets get hopping mad when human practitioners try to get in on our game. We say things like, “I went to school for eight years and now some yahoo, community college flunkie uses my patients as pincushions—and makes more money at it than I do!” Or what about, “I just spent $80K on new rehab equipment and now every physical therapist who cares to can vie for my pool of potential patients.”? And so most bills like the two above have historically been considered losers in the face of the vet lobby.
To be sure, I have some sympathy for my fellow vets who feel this way. But I see it more from the point of view of quality and safety—not income. My tech may be better able to neuter a dog than I do but that doesn’t mean her certification should allow her the right to set up a spay and neuter clinic. And that has much more to do with quality, education and consumer safeguards than it does with my income.
You may think that surgery is a poor example. But trust me on this: physical therapists, acupuncturists, chiropractors and traditional Chinese medicine practitioners can do more harm than good if they’re not trained to work on animals—not to mention the in-house emergencies that can arise from their care. This is my biggest reservation.
Still, I wouldn’t bar licensed professionals (who secure pet-specific certification) from practicing their art and science on animals. As long as they stick to the role they’ve been trained for and as long as there’s an in-house vet to deal with any fallout, I firmly believe pets can find better care this way.
After all, my community doesn’t offer enough of these services. And most of us aren’t about to seek special training in these areas. So why not expand pet owner choices with different therapeutic modalities?
The physical therapy bill does just that. It specifies certain licensing parameters and how vets would interact with these adjunct, animal-care providers. In the second Colorado bill, though, these practitioners would be granted the right to work on their own—with no vets around and nary a license in sight. I wouldn’t trust that situation and I certainly wouldn’t refer my patients there.
Call me a conservative protectionist if you like, but I think there’s something to be said for vet school, board examinations and multiple years of experience with animals before the state should sanction your non-licensed shingle way clear of veterinary oversight. It’s hard enough to know what you’re getting when you choose a professional. Add the lack of specialized training, licensing and supervision into the mix and animal care will doubtless suffer.
I’m in favor of an expanded menu of offerings for our pets, and so are most vets. That’s why the Colorado Veterinary Medical Association supported the first bill. But I’m totally opposed to handing over the reigns to anyone who wants to call himself an animal health practitioner. Where would we be if we allowed the same for humans? Our pets deserve as many safeguards and stopgaps as we do.
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Hmmm..this is something I would really have to think about before saying "Yay" or "Nay".
Part of me says it would be wonderful that pets had access to physical therapy with people that specialize in the field. The other part of me ( the not so pleasant side) wonders just what exactly the intentions are. Do these people really want to become involved for the animals sake or is this just their way of injecting themselves into vet medicine, hence fattening their wallets?
I've never been a fan of human medicine being mixed in with vet medicine for no other reason than I have more faith in my vet than my own doctors most of the time. As petty as that may be, I can't help but wonder is the best intentions are being put forward with this bill.
Stacy May 30th, 2007 04:55:00 PM
I totally agree with you, Dr. K. I used integrative medicine on my guys ... under the supervision of a DVM who's an acupuncturist and in "another life" ran a critical care vet practice.
Best of both worlds.
Gina May 30th, 2007 09:10:00 PM
Maybe the opposition to the bill was "all about the animals", but something about it strikes me the wrong way. If I can walk into a chiropractor's office to seek care for myself or my child, why can't I seek care for my cat from a D.C. who is AVCA-certified? The same for physical therapy, for example - some states require a referrel to see a p.t., but in others, you can just request an appointment if you desire one. I definitely feel that providers need to have special training in working on animals, but I don't think I'm a fan of veterinary-oversight in this case. And I love vets :)
I'd much rather see more training/certification needed, as well as state licensing, before a person can practise in a particular field. If we made these specialty fields into "real jobs", they'd attract dedicated people who were forced to meet specific educational requirements.
And I know you didn't say it, but I shudder to think that any DVM would call a chiropractor or a physical therapist a "community college flunkie". My brother-in-law graduated from a chiropractic school in Portland, where tuition (without room & board), is almost $30000 per year, for four years. Plus three years of undergrad work. There must be DVMs with smaller loan burdens than he's got.
Leigh-Ann May 31st, 2007 05:08:00 AM
In Florida PTs are extremely well trained and highly respected. Their programs are very competitive and they're consequently very much in demand. "Alternative medicine" providers run the gamut, though. I've seen highly trained, super-dedicated providers and I've seen some yahoos. Acupuncturists are on the higher end of the scale but I've met middling masseuses and less-than-dedicated herbalists. But, no, the general community is well trained. I do worry about licensing standards in these fields since I don't know the licensing bodies well.
Dr. Patty Khuly May 31st, 2007 10:13:00 AM
Personally, regardless of what bills pass, I would still only take my pets to a licensed vet. My vet is certified in chiro and acupuncture and has studied (outside of vet school) canine rehabilitation, nutrition and other things such as herbs etc. No need for me to seek out advice from someone who really knows nothing about veterinary care. That's scary.
Great Dane Addict June 1st, 2007 01:54:00 AM
Yes, naturopathic practitioners run the gamut, as you put it... but so do some vets.
The problem we face as pet owners is that many of our DVMs are villified for practicing "alternative" medicine. I've been through three holistic vets here in Ontario who were literally run out of business by their governing body for using methods not sanctioned by the CVMA or OVC. Sometimes these offences constitute the mere use of homeopathics or herbal remedies, other times it's reflexology or reiki, laser therapy or even rife treatments.
While these treatments may be considered quacky by some, having personally seen how much good they can do (when used PROPERLY), the problem then becomes determining which practitioners are qualified and which aren't. Many of these treatments are not recognized in any fashion by the veterinary profession, which in my opinion leads to even more "quackiness." I would certainly prefer to see a DVM certified in these practices, however this certification doesn't exist.
I would suggest instead of allowing just anyone to practice these methods and condemning DVMs who do the same, the powers that be should be investigating the benefits of these treatments and not only providing certification but ENCOURAGING their veterinary professionals to expand their practices to include alternative treatments.
We've come a long way (I'm now able to go to certified DVM chiros or acupuncturists) but we've got a long way to go.
In the meantime, I will continue to see my DVM who practices these methods in secret. A sad state of affairs, yes, but my pets reap the rewards of our civil disobedience. We are crossing our fingers for the day when our vet no longer has to fly under the radar, but is embraced and celebrated for the incredible work she performs.
And credit to you, Dr. Patty, for recognizing that some of these treatments do have merit!
Kim June 9th, 2007 09:54:00 PM
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