What if EVERYONE was an acupuncturist?
"Instead of failing to become the basis for yet another upper middle
class profession...acupuncture could succeed wildly as a humble,
ubiquitous, miraculous modality that nobody owns and everybody uses." -
Lisa Rohleder, Acupuncture is Like Noodles
. . .
I just spent two days at the NADA Conference in Ann Arbor (following five days of Acu-Detox Specialist training in Detroit), and I was planning on writing a nice little linear report about my experience. Maybe I still will; maybe I’ll post it on the Forum somewhere. But everything I heard there – reports from hospitals in Europe; about community-centered projects in the Philipines, VietNam and Cambodia; about refugees in Uganda giving 18,000 treatments in 6 months; Lisa Rohleder’s presentation on class; Michael Smith’s comments about what and who acupuncture is FOR; and just hanging out with folks aged 17 to 71, most learning to do acupuncture for the very first time, taught by the wonderful Lincoln Recovery staff – all that makes me want to ask everybody to consider this RIGHT NOW:
What if we just trained EVERYBODY? What if everyone who was interested learned to do at least *some* acupuncture?
. . .
Okay, let me back up for a minute. So much of what the acupuncture establishment worries about is creating - or preserving - a market for acupuncture. In the guise of protecting the public, it strives to legally protect our turf from MDs, nurses, chiropractors, and ADS folks. It clings to the tiny pie of current demand for acupuncture, and clings to fantasies of increasing the size of the pie by increasing insurance reimbursement, and by trying to increase our cache with a few more credits (and a few more thousands in student loan debt) and a fancy title.
Consider this alternative. Last week I saw several adolescents - young people who had never had acupuncture before - become competent beginning acupuncturists in three days. Was I threatened? No; I was deeply moved, and incredibly jazzed. I woke up thinking: what if every high school sophomore learned the NADA protocol in their health class? What if they had a teen stress clinic, where they took shifts needling their peers – maybe even their teachers, the janitors, the lunchroom staff, their kid siblings, their parents – whoever wanted to come? What if some of them wanted to go on to work in healthcare, including acupuncture; wouldn’t they be the kind of people you would want to hire in your clinics? Detroit teens’ high school graduation rate is currently around 25%. Yeah, you read that right. Wouldn’t ANYTHING that helped keep *them* from giving up be worth whatever pie *we* had to give up?
But here’s the thing: would we really end up with less pie? Sure, some of these NADA-trained youth would go on to become acupuncturists (i.e. “competition”), and would probably be unstoppably awesome - just the kind of folks we'd want to hire in CA clinics, or to start clinics in neighboring areas. Many would want to do other things; getting acupuncture at school might help give them the clarity to figure those things out (a recurring theme in the various reports from the NADA conference was that acupuncture seemed to give people hope, and to enable them to think more clearly and make their own plans for the future). In addition, not only would most of them be healthier, more confident and less-stressed young adults (which would obviously be a major benefit to society as a whole), they would know for the rest of their lives that acupuncture is something they can use to help them maintain their health and sanity. Doesn’t that sound like a way to bake a bigger pie? Sure, sometimes they would treat themselves and their families at home, with ear needles or seeds, just as everyone should be able to cook themselves and their families a decent, healthy meal. But people who know how to cook still go out to eat. And the folks that have decided that they love to cook and feed people will be there, providing nourishment and communion in exchange for a modest amount of money.
. . .
This wouldn't have to stop at high schools, of course; this thought is just one of many jostling around my brain right now, and just somewhere to start. One thing I believe is that we can't protect acupuncture (much less our livelihoods) by hoarding it. As one of the addiction counselors in a wonderful documentary shown at the conference said, “you can’t save your ass and your face at the same time.” Please, let’s stop trying to save (or gain) professional face, and modestly and bravely and steadfastly join the work of trying to save humankind's collective ass.


Great post Nora!
That fear over turf is so strong, it's drilled into us as students, and the difficulty of creating a successful practice keeps the fear alive. Convincing the naysayers that acupuncture should be opened up is going to be difficult. CAN tends to focus mostly on the benefits to patients, and I believe that's the way it should be, but I'm not sure if I would feel that way if I were struggling to support my family, and living in the fear that I wasn't going to make it.
To really reach people we need to be understanding of the fear behind trying to keep the status quo (even though it's not really working). A stuggling acupuncturist is in survival mode. Survival mode is a selfish place by it's nature, the practitioners need to know opening up the profession and CA clinics won't "kill" them and their families financially. It's hard to care about what's good for humanity when you are afraid you won't be able to feed your own family.
A friend of mine took that NADA training, and she posted about her acupuncture certification on Facebook. I have to be honest and say my very first thought was fearful and to counteract that I started thinking "She's not a real acupuncturist, she can't do what I do." That thought came from fear of not earning a living in this profession. The fear came from being told over and over at school that competition would be the reason for failure, and the fact that I have failed as an acupuncturist, twice. It was incredibly painful. My CA clinic is my third attempt at make it as an acupuncturist. Eight years after graduating, on my third attempt, with a few miserable office jobs in between, I'm finally succeeding at making a living and I'm thrilled that it's turning out to be a really good one.
BTW, I am genuinely thrilled that my friend received her NADA certification, it just took me a minute or two to realize it.
.
food again plays a great analogy in this turf battle war: imagine if retaurant owners and chefs launched a campaign claiming that only they, with their training and expertise could cook nutritious and tasty meals. and that to allow anyone else to cook would not only be a sad day for the taste buds, but would endanger the public at large to the possibilities of parasites or salmonella poisoning because of their inability to understand the complexities of proper meal preparation that only they themselves held the deep secrets to. we would laugh our asses off. and then laugh some more. sure, theres going to be bad practionters, but thats a give in no matter how long/what type of training one gets. mcdonalds(whose been at it for 50/60 years?) is down the street from the organic farmers market, it aint illegal to make bad food, yet. maybe the resturant owners need a h.r. 646 bill of their own....
let me sleep all night in your soul kitchen
fear
Thanks Linda for being so open about all this; I think you've expressed really well where most of the fear and resistance originate (before being cloaked in layers of more acceptable, less emotional concerns). It sounds cheesy/new agey to my own ears, but I'm not sure how else to say it: I think we really do have to start thinking in terms of abundance.
Also, I know that if you had been at the training, helping people with their point locations and insertions, you would have been right there with me (i.e. genuinely thrilled as you are, but with no lag time). I might have been more leery myself if it hadn't been for seeing how openhearted and grounded and skillful the trainers were, and how careful and earnest the beginning "pokers" were. It took me right back to how it was to learn to insert needles for the first time, figuring out all the little details of how to position myself comfortably, how to relate (physically, emotionally, verbally) to the "pokee", how to manipulate the needle, how to know how much pressure to apply, etc. Big waves of compassion all around.
And I'm *so* glad that business is going well for you this time around, and that "business going well" means *lots* of people feeling better. Go team!
American Barefoot Doctors anyone?
I practice with the intent of teaching my patients something simple they can do at home to help themselves. I'm big on abdominal self massage, tennis ball self-massage, TCM nutrition, and as soon as I can create the handout proper breathing/microcosmic circulation (REN/DU breathing). My intent is to give as much information away as possible because I can't expect everyone to make it into my office; practicing like this is my way of extending a hand to people who don't have access to information for whatever reason, intentional or not.
The Heart and Kidneys balance each as Fire/Water, Heat/Cold. Right now the profession and our communities have too much Water for the Fire to light the way. If we're not careful, Cold Kidneys will force a contraction we'll find it hard to undo. Let's open our Hearts, light someone else's Fire. Give away the tools others need to create, improve and care for their communities. This goes to all acupunks and to the medical establishment.
It is one of the commonest mistakes to consider that the limit of our
power of perception is also the limit of all there is to perceive. --C.W. Leadbeater
power/knowledge
Hey Mike, thanks for the comments. I like the water/fire bit; CAN certainly has a lot of fire to share! :^)
I think it's great you offer tools like that to your patients. The thing that excites me about more people knowing how to do the needling - the exact thing that excited me about seeing non-acupuncturists learning to needle ears - is that it's a different kind of power for them to have. In this case, it wasn't folks learning ways to take care of themselves (from a professional), it was folks learning to take care of other people. (It was also quite a bit about people learning to use tools, to be able to manipulate objects and affect their real-world environment, which I think is also very healing and empowering in a computer-driven culture.) To me, this seems like a whole different level of empowerment than what we typically think of as "patient education." It really levels the playing field - which obviously changes the game.
Perhaps we could start by supporting
those who are already trained to offer acupuncture...those who are currently engaged in turf-wars with our peers: massage therapists (in Michigan), physical therapists, chiropractors, medical doctors, etc.
I'm all for reducing the educational requirements and training a boatload of punks. But we will have a tough time making the case for janitors to poke people, if other acupuncturists are suggesting that a medical doctor's weekend course is insufficient. Can we begin by supporting other health professionals who want to poke points, and in turn ask for their support in expanding the definition of who can stick a needle? We might not be able to sway the necessary legislators solely as CAN, but with the backing of the AAMA, we might get further in our arguments...
enjoying the food for thought
In December I had a few high school students come an observe in the clinic as part of a training course that they do. They graduate as Nursing Assistants and can get jobs in the health field right after high school and it is a foot in the door if they want to go to nursing school....ect. Reading your post made me imagine these young CNA's going to their jobs, mostly in nursing homes, and giving ear treatments to residents in wheel chairs as part of their daily regime. I have seen several nursing homes and I often leave with feelings of depair over how the elderly are treated to decay in their rooms and wheel chairs. With daily treatments they may actually have the qi to dress themselves, feed themselves, and continue to interact and LIVE out the last of their days. I may share your post with the coordinator of this class, perhaps some of her students will get inspired to go take a NADA training course.
That's the Whole *Point*
-Disclaimer: I do not speak for WCA here!-
This, in essence, is what we should be working towards. I feel it is the next evolution of acupunture in this country and this should be the goal of the Community Acupuncture Movement (not necessarily CAN).
Within a generation people should think no differently about using acupuncture at home to heal their loved ones than we do about taking vitamin suppliments or OTC stuff like asprin. Is asprin potentially dangerous in untrained hands? Sure, actually it's dangerous in trained hands as well, just look of the mortality statistics on this. Is acupunture WAY safer than asprin? Again, there isn't much, but data so far indicates as long as you're using single use needles, there's almost no risk. So why is it legal to buy a whole bottle of asprin and a class c felony to practice acupuncture without a license? Stupidity and greed.
We need to start empowering anybody that wants to be able to do acupuncture in any way that we can. Working with currently licensed healthcare providers is an excellent way to start, but in the end, we need to make acupuncture--both treatment and practice--available to everyone. This will make us highly unpopular with a bunch of people who don't really matter much, but I think of it as a duty to our fellow suffering human beings.
Let's save a bunch of asses!
I wish everyone could use needles to help each other. For instance, my old lady works doing in-home care for some disabled adults. They would benefit greatly from even simple ear acupuncture, but they have a hard time getting around and can't really get into the clinic. If we could teach ear acupuncture to her and all the other folks doing that work, imagine how much more we could help a bunch of folks that could really use it.