WAUSAU - During a national push to prescribe fewer painkillers, a new Wisconsin proposal appeared that it would let chiropractors prescribe prescription drugsâ€"including painkillers.
After speaking with one of the bill's authors, that notion is not at all true.
John Murray, the executive director of the Wisconsin Chiropractic Association, which supports the bill, said it was never the bill's intention to include narcotics, or any drugs not related to neuro-muscular skeletal healing. The bill is in its early stages, having had a co-sponsor hearing on Tuesday, and future drafts of the bill will not have that broad language.
"It is the position of the WCA that going forward that was never the intention and that's not the intention going forward to have opioids and highly addictive schedules to be part of this," Murray said.
What the bill is meant for, he said, is to allow chiropractorsâ€"with 60 credit hours of additional education and hours of clinical trainingâ€"to be able to prescribe non-narcotic pain medication, such as muscle relaxants or steroids. This they could do instead of referring their patients out to a medical doctor for such prescriptions, as all chiropractors do now. He said this would make it more convenient for the patient and better that they see the same doctor for a medication instead of two.
"It's not that we think referring out to other providers is a bad thing," Murray said. "But there are situations in which a patient comes in and has something that a chiropractor with proper training could treat in the short term with some pharmaceutical intervention."
Not all chiropractors agree with this bill despite its clarifications.
Dr. Scott Bautch, D.C., of Bautch Chiropractic in Wausau, wants to stay true to being "the non-drug option" to health care.
He would rather continue referring his patients out to medical doctors. He presented on behalf of the Chiropractic Society of Wisconsin, which does not support the bill, at the bill's hearing in Madison on Tuesday.
"I'm going to counsel people on what they eat, I'm going to counsel people on how they move, I'm going to counsel people on what they think," Bautch said. "But if we need to have help with something your body can't heal, I'll refer you out. In my 33 years plus of practice, I've not had a problem. And if I've had to send a patient out because the pain was so unretractable, it's not been a difficult situation at all. If I call them that day, I've had patients that we call, and they get them in in an hour."
Murray says it's up to each chiropractor in the state to decide how they want to practice.
"We have great respect for chiropractors who want to work that way," Murray said. "But there are chiropractors in the state who want to have those extra clinical tools and practice that way. It's about freedom of practice."
The bill still has a few legislative steps before, and if, it becomes law.