Uncategorized

Today’s featured Medicaid service: Chiropractic care

 This is part of a series examining the Medicaid benefits that the radical right wants to cut.

Chiropractic services are probably the most commonly attacked benefit available through Medicaid. In the dream world of the far right, low-income people are lining up in droves to get weekly taxpayer subsidized massages.

In reality, however, the benefit is extremely limited.

In North Carolina chiropractors are essentially used to relieve pinched nerves or sharp back pain. Maintenance programs to treat chronically bum backs or to prevent deterioration are not covered. Ongoing corrective care to prevent the recurrence of a patient's condition is not covered. Preventive care, massage therapy, and rehabilitation are not covered. Spinal manipulation to help pain associated with rheumatoid arthritis, muscular dystrophy, multiple sclerosis, or scoliosis is not covered.

The patient can get one X-ray covered by Medicaid to demonstrate that a medical need exists and then two weeks of treatment. After the initial two weeks, if no improvement is shown, the chiropractor must modify the plan of care. If no improvement is documented after 30 days of modified treatment then Medicaid cuts off funding.

A review of the scientific literature on chiropractic services conducted by Massachusetts officials found evidence that chiropractors can effectively treat uncomplicated low-back pain, which is primarily what the North Carolina Medicaid program covers. Chiropractic care provides similar results to other treatments for back pain and enjoys high patient satisfaction.

In cases where chiropractic care works as a substitute for expensive surgeries the treatment can actually save money.

So much for the poor getting massages on the public dole.

One Comment


  1. […] Chiropractic care is an extremely limited benefit used only in certain situations. […]

Check Also

Context is key for understanding Insurance Commissioner’s Affordable Care Act comments

Many people were surprised to see a story ...

Top Stories from NCPW

  • News
  • Commentary

The U.S. Supreme Court ruled Monday that the North Carolina GOP drew unconstitutionally racially ger [...]

As the N.C. House puts together its budget this week, the same thought is on the minds of representa [...]

Wednesday was the 63rd anniversary of the Brown v. Board of Education ruling, the milestone U.S. Sup [...]

The most shameful thing about the disastrous budget passed by the Senate two weeks ago is not the vi [...]

Court setbacks, public opinion, progressive activism and Trump bode ill for NC conservatives Profess [...]

So, the question as always comes down to one of vision. The elected chieftains who decide how much m [...]

2.8 billion---amount in dollars of needs in communities across the state for rebuilding efforts from [...]

Featured | Special Projects

Trump + North Carolina
In dozens of vitally important areas, policy decisions of the Trump administration are dramatically affecting and altering the lives of North Carolinians. This growing collection of stories summarizes and critiques many of the most important decisions and their impacts.
Read more


HB2 - The continuing controversy
Policy Watch’s comprehensive coverage of North Carolina’s sweeping anti-LGBT law.
Read more