This past week I reflected on what is the biggest challenge we, TCM practitioners, face in this current US healthcare system. There are many to be sure. However, I have concluded that the lack of transparency of the field is a huge problem right now. What do I mean by transparency?
Any field that is truly transparent is one where all of the stakeholders are functioning on the same wavelength. They also share the same knowledge regarding all aspects in the field. In healthcare, the major stakeholders include the practitioners, the patients and the administrators. Unfortunately, these parties are nowhere near functioning in a coherent manner.
Why is this? For one, the language of Chinese Medicine presents a challenge. Our field uses clinical terms that no Western medical professional has even heard before. When I ask a typical Western clinician what I mean when I diagnose somebody as suffering from Liver Qi stagnation, he usually gets a little uncomfortable and automatically feels that this terminology has no scientific basis.
The result is that I have to spend a lot of my time educating the Western clinicians on the terminology that I work with. This takes a lot of valuable time. This is not a quick fix either. I have been continually educating these clinicians ever since I started my practice. Though I am seeing some improvement, we have a long road ahead if we are to be functioning on the aforementioned same wavelength.
Another issue we are facing is technical in nature. Coding is a big part of the US healthcare system. When a clinician bills, he has codes that represent the procedures he performed to the insurance company. They reimburse based on these codes. US insurance has only just begun to create such codes for TCM practitioners to use and bill.
The result is that this has only increases our ability to fully integrate into the US healthcare system…