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URL http://www.acatoday.org/JacaCollDisplay.cfm?CID=327
Journal JACA Online. 2005 Jan-feb;42(1):Online access only p 29-36
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Abstract/Notes It has happened in California and it may happen in other states in the near future. Under tremendous pressure to rapidly reform California's out-of-control workers' compensation system, the legislature passed Senate Bill 899. Among other draconian changes in this legislation was the adoption of guidelines from the American College of Occupational and Environmental Medicine (ACOEM). The controversy surrounding the interpretation and application of these "evidence-based" recommendations hit its zenith when these guidelines were deemed "presumptively correct" for the evaluation, management, and treatment of injured workers. While most health care professions have felt the bite of these restrictive protocols, doctors of chiropractic in California have been especially hard hit. The following analysis addresses a variety of reasons why the ACOEM Guidelines require immediate modification before they are adopted elsewhere in the nation.

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