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Latest From the Blog

As I was perusing through the different job opportunities on chirorecruit.com I couldn’t help but be intrigued by the Philippines.  The only experience I ever had was as a kid.  My first stepfather was a marine and he was stationed in southern California. I remember our next door neighbors were another military family and the wife was Filipino.  At the time, this was not so uncommon.  Between my stepfather’s friends and my friends at school, there were a lot of marines who had been stationed in the Philippines and then would come back to the states newly married. In the summers when I was home from school, the neighbor marine would go off to the base for work and his wife would proceed to grill fish all day while listening to Celine Dion song my “Heart Will Go On” from the movie Titanic over and over again in Filipino.  In my adulthood I figured there is probably way more to the Philippines than the US marines finding their next wife. I went on the hunt to figure out why we as chiropractors need to pack their bathing suits, get on a plane and move to paradise immediately.   Here are the top 6 reasons to practice in the Philippines.   The Market is Not Saturated   The most recent stat I could find came from 2013 which stated that there was only 24 chiropractors in the entire country.  I’m going to assume that number has gone up in the last five years but based on the clinics I could find, it has not gone up substantially.   English is the Second Language   If your coming from the States, UK or Australia this one makes living in paradise even simpler.  Yeah sure Italy has great wine, food and a chilled lifestyle but there is that learning a brand new language thing that you don’t even have to mess with in the Philippines.   Cash is King   At least from what I could find and from the job listing posted on chirorecruit.com , the Philippines seems to be very cash oriented. I’m not saying there isn’t the possibility of insurance being in the picture, I just couldn’t find it.    It is Totally Legit   In 1997, the Philippine government passed the TAMA act and out of that came the creation of the Complimentary and Alternative health care division.  In 2006, the Asian Pacific Federation of Chiropractic Doctors was formed.  In 2009 came the governing body to certify chiropractors.  At that time, only 22 doctors were certified to practice in the Philippines and they all had graduated from US colleges.   It’s all Set up   If your looking to be an associate, it appears the handful of clinics that are already in operation are killing it.  Cash only practices and they take care of your visa, paperwork and get you all situated when you enter the country.  What could be easier than that?   https://chirorecruit.com/job/54694/associates-needed-in-philippines/     Check out the Pictures   I knew that the Philippines are a pretty tropical place to be but I didn’t have a clear image on what it looked like.  Holy moly…if you don’t either than do what I did and google it.  Just reading the description from lonely planet was enough to question my life choices. Beautiful white sandy beaches, crazy rock formations, big thriving cities to small seaside communities seems like the perfect combination of ease, language and the ability to make a living in paradise. ****Bonus Reason to Live Here***** Cost of Living   It’s 109% more expensive to live in the US than the Philippines! A movie ticket is just over $3.00, a pint of beer is $.94 and to make $1000 per month (not a week or a day) goes a long way to living the good life.  It’s almost hard to fathom.  If your coming from Europe, the Euro has been kicking the dollar’s butt for a long time so cost of living will be even more economical for you.     For more information on the Philippines check out:   https://www.investopedia.com/articles/personal-finance/041315/retiring-philippines-pros-cons.asp   https://circleofdocs.com/the-chiropractic-industry-in-the-philippines-perspectives-from-a-chiropractor-in-makati-manila/   https://www.docmikeblog.com/about-docmike/     Kassandra Schultz D.C          
In the last blog, the discussion was about how countries around the world view chiropractic. If you currently live in the states, UK, Canada or Australia chiropractic is clearly defined and regulated.  This is not the case in many countries.  I commandeered the legend below from Part 1 of this blog series to catch us all up to speed.  Below the legend describes countries from “a-d” in how chiropractic is viewed according to that countries government and/or regulating health care overlords.  Please review the chart below (especially if there is a specific country you are interested in) and then following the chart the discussion will lead into what the fancy legend is actually talking about.   Legend : a Legal pursuant to legislation to accept and regulate chiropractic practice b Legal pursuant to general law. c Legal status unclear, but de facto recognition. d Legal status unclear and risk of prosecution African Region Botswana a Ethiopia b Ghana b Kenya b Lesotho a Mauritius b Namibia a Nigeria a South Africa a Swaziland a Uganda c Zimbabwe a Asian Region China c Hong Kong – SAR China a India c Indonesia d Japan b Malaysia b Philippines a Singapore b South Korea d Taiwan d  Thailand a Vietnam c Eastern Mediterranean Region Bahrain a Cyprus a Egypt b Iran a Israel a Jordan b Lebanon b Libya b Morocco c Qatar a Saudi Arabia a Syria c Turkey a United Arab Emirates a European Region Austria c Belgium a Croatia b Denmark a Estonia b Finland a France a Germany b Greece c Hungary c Iceland a Ireland b Italy a Liechtenstein a Luxembourg b Malta a Netherlands b Norway a Portugal a Russian Federation b Serbiaa Slovakia b Spain d Sweden a Switzerland a United Kingdom a Latin American Region Argentina b Bolivia a Brazil b Chile b Colombia b Costa Rica a Ecuador b Guatemala a Honduras b Mexico a Panama a Peru b Venezuela b North American Region Bahamas a Barbados a Belize b Bermuda b British Virgin Islands b Canada a Cayman Islands a Jamaica b Leeward Islands a Puerto Rico a Trinidad & Tobago b Turks & Caicos a United States a US Virgin Islands b Pacific Region Australia a Fiji b Guam a New Caledonia a New Zealand a Papua New Guinea b Tahiti a     So now what exactly is the legend talking about?   Legend : a Legal pursuant to legislation to accept and regulate chiropractic practice b Legal pursuant to general law. c Legal status unclear, but de facto recognition. d Legal status unclear and risk of prosecution “A”= Fully Legal   There are at least 35 countries that have gone through legislation defining exactly what chiropractic means and how it can be practiced.  Through that process that also encompasses scope of practice, what sort of training/education a person needs to be qualified and so forth.  “Full legal status” also can back a DC with access to malpractice insurance and possibly being covered under insurance companies and/or recognized by universal/single payer and/or socialized health care systems. The laws can change quickly so it’s important to check back periodically and see what your country of interest is up too. I remember when I was a student at Palmer (in the US), the school was recommending that all entering students have a bachelor’s degree and then take all four sets of boards plus the PT section because in the future most states would be moving towards those requirements.  Sure enough, six years later I have been looking at possibly relocating from Ohio to Florida and Florida licensure wants a 4 years degree before Chiropractic College plus passing all sets of boards.  Hurray for listening when I was in school!   “B”= Somewhat Legal   As we move down the list, the licensing portion will continue to get sketchier.  “Somewhat legal” means a country does recognize the chiropractic diploma, which entitles a person to practice chiropractic however it can also be used for natural healers, drugless practitioners, physical therapists and/or massage therapists.   “C”=Not Legal   This one now gets really tricky. The country does not recognize chiropractic however there are also no laws to prevent you from practicing. The exception would be countries that are still part of the Commonwealth which have a “common law” that does make it legal to practice chiropractic in those countries.   Side note: In case you were like me and couldn’t remember what Commonwealth meant, this is what Google had to say about it:   “Commonwealth —is a voluntary association or confederation of 52 independent sovereign states, most of which were once part of the British Empire.”  Thanks google.com…always appreciate your wealth of knowledge.   Back to somewhat illegal, you still may need a work visa or possible citizenship to practice chiropractic in this type of country.  The easiest way to potentially skirt around this issue would be to work for another DC.  To run your practice as foreigner may prove to be very difficult.   “D”=Illegal (somewhat tolerated)     All leave this one up to you and your best judgement… Chiropractic is generally completely illegal and in most cases only MDs are allowed to treat patients for any conditions.  In some Eastern Europe countries some MD’s have converted over to a DC and then limit their scope of practice to just chiropractic. And in some cases, the government can prosecute you for practicing without a license. This certainly is not a new concept (the MD vs DC fight continues to rage in the US even after chiropractic is a portal of entry healthcare profession) but that doesn’t mean in the future the laws will stay that way.   The moral of the story is, before you up and move to a foreign country always check with the governing bodies to see where chiropractic is legislatively.  For more insight, google.com is an easy resource to figure out what the chiropractic board is (if they have one) for that country.    Kassandra Schultz D.C    
  Part 1   I think there comes a point in everyone’s life where we are open to the possibility of leaving behind the familiar and ushering in the different aspects of a new country, customs and maybe new language.  Opening your eyes to a unique landscape filled with people who have musculoskeletal complaints common to all humans and unusual afflictions that many of us have only read about in textbooks.  When I was in chiropractic school, I was fortunate enough to do a clinic abroad trip in one of my final trimesters to Brazil.  It was a beautiful country with amazing food, lush forests and the patients I saw, have no doubt helped shape me into the doctor I am today.  The cases my classmates and I witnessed were not for the faint of heart.  Before you pack your bags, check out to the list below to see where your favorite country is on the chiropractic issue.   The likelihood that your reading this, has me to assume that you are probably living in and/or practicing in one of the “big three’s.” I’m not talking religion here.  The top three countries with practicing chiropractors as of 2015 were; US 65,000, Canada 8,300 and Australia 4,845. I would also like to mention the UK is a very close fourth with 3,013. These countries see chiropractic as totally legal with legal rights protecting doctors (yah for malpractice insurance), coverage under insurance companies and the majority if not all of the population at least have heard of chiropractic. The amount of chiropractors continues to grow as more colleges pop up in different countries, governments recognizing chiropractic as legit and as risk takers like you take the plunge to bring chiropractic to some of these remote (and not so remote) countries.   According to the wfc.org, besides the countries mentioned above, here is the rest of the list of the top countries where chiropractic is currently being utilized and recognized by governments:   800  Brazil, France, Japan, Sweden 750  Norway 700  Denmark 600  South Africa 500-100  Belgium, Ireland, Israel, Italy, Mexico, The Netherlands, New Zealand, South Korea, Spain, and Switzerland 100-50  Argentina, Chile, Finland, Germany, Hong Kong SAR China, Iran, Singapore   Now, I think it’s a safe bet to assume that just because you are legally allowed to practice in the above countries doesn’t mean the citizens of those countries won’t need some educating on the benefits and mechanics of chiropractic.  Heck, I can only speak on behalf of Americans most of my patients need to be re-educated from the clutches of traditional medicine and big Pharma anyways…on that note the difference now is, you have the difficult task of trying to do that in a foreign language.  I was talking with a fellow colleague who has been interested in practicing in Italy for years.  He heard that many practices would furnish a translator until the new doctor has a better grasp of the language.  The translators we had in Brazil were a lifesaver!   If none of the above countries are of interest than take a look at a more comprehensive list.  Below is a list taken directly from the wfc.org.  If you want even more details please feel free to go to them directly. Legend : a  Legal pursuant to legislation to accept and regulate chiropractic practice b  Legal pursuant to general law. c  Legal status unclear, but de facto recognition. d  Legal status unclear and risk of prosecution African Region Botswana a Ethiopia b Ghana b Kenya b Lesotho a Mauritius b Namibia a Nigeria a South Africa a Swaziland a Uganda c Zimbabwe a Asian Region China c Hong Kong – SAR China a India c Indonesia d Japan b Malaysia b Philippines a Singapore b South Korea d Taiwan d  Thailand a Vietnam c Eastern Mediterranean Region Bahrain a Cyprus a Egypt b Iran a Israel a Jordan b Lebanon b Libya b Morocco c Qatar a Saudi Arabia a Syria c Turkey a United Arab Emirates a European Region Austria c Belgium a Croatia b Denmark a Estonia b Finland a France a Germany b Greece c Hungary c Iceland a Ireland b Italy a Liechtenstein a Luxembourg b Malta a Netherlands b Norway a Portugal a Russian Federation b Serbia a Slovakia b Spain d Sweden a Switzerland a United Kingdom a Latin American Region Argentina b Bolivia a Brazil b Chile b Colombia b Costa Rica a Ecuador  b Guatemala a Honduras  b Mexico a Panama a Peru b Venezuela b North American Region Bahamas a Barbados a Belize b Bermuda   b British Virgin Islands b Canada a Cayman Islands   a Jamaica b Leeward Islands a Puerto Rico a Trinidad & Tobago   b Turks & Caicos a United States a US Virgin Islands   b Pacific Region Australia a Fiji b Guam a New Caledonia a New Zealand a Papua New Guinea b Tahiti a   If you’re a little confused by the terms used in legend than come check out my next blog which will delve into more detail on what legal, somewhat legal, somewhat illegal and totally illegal means in terms of practicing chiropractic. Kassandra Schultz D.C
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