To further restrict chiropractic, the AMA pressed for legislation requiring prospective chiropractors to pass statewide basic science examinations written by allopathic-controlled boards. Ironically, this requirement strengthened rather than weakened chiropractic by forcing the field to raise its previously low edu- cational standards. (As with early allopathic and osteopathic schools, early chiro- practic schools accepted essentially all who could pay tuition and offered only a few months of training.) Standards improved most dramatically during the 1940s when the National Chiropractic Association established accrediting standards for schools and tuition money from veterans studying chiropractic under the federal GI Bill provided the funds schools needed to meet those standards. Since 1968, all chiropractic schools have required two years of college for admission, and most states require four years of chiropractic schooling for licensure.

Similarly, chiropractic in the end benefited from allopathic medicine’s legal war against it. When Medicare first began in 1965, Congress bowed to pressure from the AMA and voted that Medicare would not cover services by chiroprac- tors (or by clinical psychologists, social workers, physical therapists, and others in competition with doctors). Outraged chiropractic patients responded with a mas- sive public letter-writing campaign that led Congress in 1972 to pass legislation extending Medicare coverage to chiropractic services despite the lack of scientific research available at the time on its effects. This set the stage for state legislatures to require other insurance plans to reimburse for chiropractic care, at least in certain situations.

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