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Alternative Care - Medicine for the New Millennium
From Dr. Lydia & Connie D’Astolfo

   As the greater part of our population is reaching middle age, the risk of developing age related diseases such as heart disease, stroke, cancer, arthritis and diabetes are on the increase. The medical profession in Canada and the U.S. has carefully created a monopoly over the last 100 years. This means that most of us have become drug and doctor dependent. Both doctors and the public have been "brain washed "to believe that modern medicine has the answer for all ills and anything outside modern medicine is deemed as quackery. However, many of us are sicker than ever due to medicare cut backs, medically induced illnesses and injuries, and for some, the inability to access a more natural alternative form of health care. 

   The medical profession, having considerable leverage, have dramatically cut services, such as certain diagnostic tests and treatments; and they have closed hospitals and clinics. In addition, according to a study published in the Journal of the American Medical Association, 100,000 hospital
patients die every year from bad reactions to legal prescriptions. Another 2.2 million suffer side effects so severe they are permanently disabled or require long hospital stays. Adverse drug reactions rank as the fourth leading cause of death in North America and an unnamed number of deaths go unreported. (USA Today, April 24 1998)

   As we have become increasing aware of this health crisis, interest in complementary and alternative medicine (often called CAM) among regulators, health professionals and consumers are higher than it has ever been. Examples of the growing interest in alternative medicine include: 
 - One-third to one-half of the American people use at least one unconventional treatment in addition to their regular medical care, according to a 1993 study, which estimated that Americans spend $13.7 billion on alternative health each year. Their estimates were based on a 1990 telephone survey of 1,539 English-speaking adults. The respondents most often described the use of exercise and prayer, but, even excluding these activities, one in three of them said they had used at least one form of alternative care during the year. Forms of CAM cited during the survey were chiropractic, massage, imagery, spiritual healing, commercial weight-loss programs, lifestyle diets (e.g., macrobiotics), herbal medicine, megavitamin therapy, energy healing, homeopathy, acupuncture, and folk remedies. 
 - Investigators projected that in 1990, 61 million Americans used at least one of 16 CAM therapies and that about 22 million Americans saw a CAM provider. About 425 million visits were made to alternative providers, exceeding by about 47 million the number of visits made to all primary care physicians combined. 
 - In 1996 Washington State required all health insurers to add coverage of alternative treatments to their coverage of standard medical care.
 - In 1996 and 1997 several health plans with millions of members added the services of CAM practitioners to their coverage. 
 - The budget of the Office of Alternative Medicine of the National Institutes of Health increased from $7.4 million in fiscal year 1996 to $12 million in fiscal year 1997. 
 - Several academic medical centers have established centers to study alternative medicine, and some prominent teaching hospitals offer therapies like massage, stress reduction, acupuncture, chiropractic and homeopathy. Patients frequently seek alternative medical treatments for persistent chronic conditions including low back pain, stress, migraine headaches, and arthritis. Some also seek alternative care for treatment at the end of life, especially after being told that conventional medicine cannot reverse the course of their disease. The surveyed group used alternative therapy most often for ten troubling conditions, including (in descending order of frequency) back pain, allergies, arthritis, insomnia, sprains or strains, headache, high blood pressure, digestive problems, anxiety, and depression. Thirty-six percent of people who reported back problems relied on alternative medicine, most commonly chiropractic or massage. Since most alternative treatments are not fully reimbursed by health plans or insurance companies; they are usually paid for by the patient out of pocket. Although the charge for a single visit may be lower than one to an MD-DO, often the treatment requires more visits before it is completed since the aim of the therapy is often to remove the cause of the disease instead of just masking the symptoms. 
There has also been a significant rise in the use of alternative health care for prevention and maintenance of health, especially in the U.S. Some people are finally starting to realize that investing in their health by seeking alternative care prior to acquiring a major disease or illness can result in a better quality of life, reduce the need for expensive medical treatment or surgeries and offer peace of mind. You don't wait for your car to break down completely before you take it in to the mechanic. You get regular oil changes, tune ups, wheel rotations and alignments to prevent a major breakdown that can become very costly.
Therefore, likewise you should seek alternative health care, which can offer nutritional and supplemental advice, or offer a maintenance therapy that can either halt or prevent the progression of a serious illness or disease.

   In the Portland study, a focus group of survey respondents who were asked about their motivations for using CAM listed as the main reasons: "to prevent illness or injuries" (30 percent), for "wellness" (44 percent), and to treat a specific health problem (79 percent). Among their health problems were back pain, headache, anxiety and emotional problems. Other problems, mentioned by 11 percent of the patients, were infections, neck pain, and various musculo-skeletal problems. More than a third (36 percent) of patients in the Portland study were also seeing a physician for the problem they were treating with alternative medicine. They believed that combined treatment would relieve symptoms faster. Others who solely used alternative medicine believed it to be more effective than traditional medical care (36 percent), but they also felt that their problems were not serious enough to require the care of a physician, or else they did not want to rely on pills and surgery. Slightly more than half (53 percent) of those who used alternative therapies told their family physician that they were doing so.

   Complimentary and alternative medicine is also widely used in other industrialized countries, according to a summary published in the British Medical Journal in 1996. In Britain, one person in ten consults an alternative practitioner each year, and the most popular therapies are acupuncture, chiropractic, osteopathy, homeopathy, herbal medicine, and hypnotherapy. In France, one-third of the population uses CAM, with homeopathy being the most popular treatment. In Norway, homeopathy is also the most popular CAM practice, followed by acupuncture and aromatherapy. Russia legalized alternative medicine in 1993; the officially recognized practices are reflexology, chiropractic, homeopathy, and a breathing method. In Australia, a third of the population regularly visits a natural therapist and two-thirds regularly take vitamins and use other "natural" treatments, the most popular being chiropractic, naturopathy, massage, herbal medicine, and homeopathy. In Japan, scientific Western medicine and CAM co-exist. Two-thirds of the population of Tokyo report using CAM treatments. The most popular alternative therapies are herbal medicine, acupuncture, and acupressure (shiatsu), and more than 600 herbal medicines are available under the national health insurance system. In Germany and the United Kingdom, the national health payment system covers many complimentary and alternative practices. 
Many of the European countries are very advanced in the area of alternative health care and understand the need for preventative health. Americans have recently developed an interest and are starting to recognize the need for prevention and natural alternative health care. This is evident from the rise of alternative practices in hospitals and the recognition and reimbursements of alternative health care from Health Management Organizations and private insurance. 
Canadians have for too long been dependant on their medicare programs which has been monopolized by the medical profession and pharmaceutical companies. Now as our National Medical Health care system is starting to deteriorate, the need for health reform is more important than ever. There should be an emphasis and shift towards prevention of disease and the use of more non-invasive and natural therapies, which will cut Federal spending and provide better quality of life.

References:

Alternative Medicine: Expanding Medical Horizons. A Report to the National Institutes of Health on Alternative Medical Systems and Practices in the United States. 1994. (NIH pub. no. 94-066). National Institutes of Health: Bethesda, Md.

Complementary and Alternative Medicine at the NIH. 1997. National Institutes of Health, Alternative Medicine Clearing House. (April, Vol. 4, p. 1; July, Vol. 4, pp. 4-5).

Complementary Medicine is Booming Worldwide. 1996. (News.) British Medical Journal 313:131-3.

Eisenberg, David M., Ronald C. Kessler, Cindy Foster, Frances E. Norlock, David Calkins, and Thomas L. Delbanco. 1993. Unconventional Medicine in the United States: Prevalence, Costs, and Patterns of Use. New England Journal of Medicine 328:246-52. 

Sale, David M. 1994. Overview of Legislative Developments Concerning Alternative Health Care in the United States. Research Project under a Grant from the John E. Fetzer Institute. (www.healthy.net/public/legal-lg/regulations/Fetzer.htm) 

Zablocki, Elaine. 1996. Complementary Medicine. Healthplan 37:36-8, 40, 42-3. 

Zwicky, John F., Arthur W. Hafner, Stephen Barrett, and William T. Jarvis. 1993. Reader's Guide to Alternative Health Methods. Chicago: American Medical Association. 

Lydia D'Astolfo , B.A. , DI Hom. has a degree from York University and is a Homeopathic Doctor, CranioSacral Therapist, Applied & Educational Kinesiologist.

Connie J. D'Astolfo, Hons. B.A., DI Hom, has a degree from The University of Toronto and is a Homeopathic Doctor and CranioSacral Therapist. Connie is presently completing her doctorate in 
chiropractic medicine in the United States.

Both Lydia & Connie D'Astolfo have been featured on T.V. stations though out Canada and the United States. They have also published many articles on natural health care in various popular magazines. 
Lydia D'Astolfo can be reached at The Centre For Innate Healing at (905) 738-1948 Email address: innate@istar.ca and Connie J. D'Astolfo can be reached at her Chicago office at 1-630- 495-0564 Email address: cure4all@yahoo.com

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