Johnson Claire D, Green Bart N
J Chiropr Educ. 2021 Sep 1;35(S1):45-54. doi: 10.7899/JCE-21-24.
This is the third paper in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated antitrust law by restraining chiropractors' business practices. The purpose of this paper is to provide a brief review of the history of the growth of chiropractic, its public relations campaigns, and infighting that contributed to the events surrounding the Wilk v AMA lawsuit.
This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 papers following a successive timeline. This paper is the third of the series that explores the growth the chiropractic profession.
By the 1930s, the AMA was already under investigation for violation of antitrust laws and the National Chiropractic Association was suggesting that the AMA was establishing a health care monopoly. Chiropractic schools grew and the number of graduates rose quickly. Public relations campaigns and publications in the popular press attempted to educate the public about chiropractic. Factions within the profession polarized around differing views of how they thought that chiropractic should be practiced and portrayed to the public. The AMA leaders noted the infighting and used it to their advantage to subvert chiropractic.
Chiropractic grew rapidly and established its presence with the American public through public relations campaigns and popular press. However, infighting would give the AMA material to further its efforts to contain and eliminate the chiropractic profession.
本文是系列论文中的第三篇,该系列探讨了围绕威尔克诉美国医学协会(AMA)诉讼案的历史事件,在该诉讼案中,原告认为AMA、美国医院协会及其他医学专业协会通过限制脊椎按摩师的商业行为违反了反垄断法。本文旨在简要回顾脊椎按摩疗法的发展历史、其公关活动以及导致威尔克诉AMA诉讼案相关事件的内斗情况。
这项历史研究采用现象学方法对常规医学与脊椎按摩疗法之间的冲突以及脊椎按摩疗法专业化现代化时期法律纠纷之前、期间和之后的事件进行定性探究。我们的方法包括获取一手和二手资料来源。最终的叙述性记录按照连续的时间线编写成8篇论文。本文是该系列中探讨脊椎按摩疗法发展的第三篇论文。
到20世纪30年代,AMA已因违反反垄断法而受到调查,全国脊椎按摩师协会则暗示AMA正在建立医疗保健垄断。脊椎按摩疗法学校不断发展,毕业生数量迅速增加。公关活动以及大众媒体上的出版物试图向公众普及脊椎按摩疗法知识。该行业内部围绕对脊椎按摩疗法应如何实践以及向公众展示的不同观点形成了两极分化。AMA领导人注意到了内斗,并利用这一点来达到其颠覆脊椎按摩疗法的目的。
脊椎按摩疗法发展迅速,并通过公关活动和大众媒体在美国公众中站稳了脚跟。然而,内斗给了AMA进一步遏制和消除脊椎按摩疗法行业的口实。