Archive for the ‘Sustainability’ Category

Community Musings

Tuesday, June 1st, 2010

Just to the right of the center on the blue green ball, is the Gulf of Mexico, where the now largest oil spill in U.S. history continues unabated. The zone of life on Planet Earth shrinks daily. If you haven’t seen the movie Avatar, check it out. The movie won three Oscars for Best Cinematography, Best Art Direction, and Best Visual Effects. The movie’s director, James Cameron of “Titanic” fame has poignantly captured the madness of the humans – engaged in profit driven resource extraction, utterly disconnected from the sacredness of life.

Things aren’t hopeless here on Earth though.  Far from it! Each one of  us has power – the power to dream, to imagine a different world, and to make that dream reality.  There is no such thing as safe offshore oil exploration – it’s another corporate lie. Meanwhile – despite local variations, the planet is steadily getting warmer. That’s the real danger in our addiction to oil.  Please lobby your elected officials to promote investment in alternative clean energy such as solar and wind.

As a pre-requisite to achieving a sustainable ecosystem that includes humanity, each one of us also needs to walk the path of personal balance, mindful of our physical-emotional-spiritual health. But our window of opportunity is short, the brief candle of this life blown out quickly. Chi tune up anyone? Make an acupuncture appointment.

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Dismantling the Ego Wall

Monday, January 11th, 2010

When I first graduated from school thirteen years ago, I remember joking to a friend about my “ego-wall” where I hung my diplomas, my Washington state license, and my national board certification. I had no experience in business and little preparation from my school. The ego wall was all pretense, puffed up ego hiding a desperate cry to my patients:  “hey, I’m barely making it here and scared-you-know-what-less of facing the economic realities of running a business, but look at my credentials.”

And those diplomas look mighty fine – all the squiggly John Hancock signatures, gold embossed seals, expensive matte, polished glass, and banker’s black frames. The schools who print these impressive looking certificates are not dumb. By throwing their grappling hooks into the ego of the practitioner, they, and the profession, get pulled along for the ride. The practitioner is conditioned to think – it can’t be the fault of the school that my practice is failing, it must be because acupuncturists don’t have enough recognition from the mainstream medical establishment…and so we are told that we need a Doctorate to boost recognition, told to lobby for acupuncture coverage of Medicare….bandaid solutions for a broken system. I stopped buying those story lines when I decided to open a community acupuncture clinic.

Regardless of what social class an acupuncture graduate comes from, students are trained to imitate and appeal to the the codes of power of the wealthy, upper class – ways of dress, speech, professional appearance – hence, the “ego wall” which is fairly standard in most white coated medical practices. Please don’t misunderstand this as a rant against the mainstream. I’ve certainly met compassionate, skilled, and humble doctors. And I’ve made clear elsewhere of my respect for the value of primary care medicine. My reference to the “ego wall” isn’t any aspersion against any of that. Expectations of clientele, and perhaps even professional rules, will dictate such practices. My point here is that too often professionals do get snagged by their egos, and then forget that their original purpose was to help all people, not just those who can afford to pay top dollar.  More specifically, we aren’t trained in cultural competency that is welcoming to people of the working class, diverse cultures and ethnicities. These blind spots take time and re-education to unravel.

Fast forward to 2007. After a successful (profitable) private acupuncture practice (as defined by the wealthy niche mentality), I realized (again) that my definition of success was helping as many people as possible, so I sold my private practice in Ellensburg and, with Serena, opened CommuniChi inside El Centro de la Raza on Beacon Hill – joining community hands with an organization with over three decades of social justice work.  I even scaled down my ego wall somewhat, but not completely.

Fast forward to 2010. In another two weeks, CommuniChi celebrates three years in business and probably over 10,000 affordable acupuncture treatments.  Even after an amicable partnership dissolution, a few bumps in learning to be an employer, and weathering the whims of a sour economy, my confidence in the sustainability of this model continues to grow. Businesses can succeed quite well while paying attention to social ethics, and leaving behind the Gordon Gecko “greed is good” mentality.  So much so that when my brother offered me a new painting, I quickly realized right where I wanted to put it. It was time to dismantle the last vestiges of the ego wall. Down came the remaining bricks paying homage to officialdom. (Okay, I confess, I hung them up in the closet!)

My brother was diagnosed with schizophrenia three decades ago. His brush strokes are bold, unpretentious, and his paintings are full of wild colors. His art pays homage to no one – except God – but welcomes all.  That is who he is, and a role model for me in that regard. It is a fitting tribute to the extraordinarily ordinary unpretentious lives of the 90% of Americans that a community acupuncture clinic aspires to serve. Thank you brother; letting go of the ego wall is a most auspicious beginning to the new Year!

painting image

Untitled, by Henry Van Voast

p.s. Thank you to everyone who signed the petition opposing the development of an entry level doctorate for acupuncture. The ACAOM rules on this issue this Friday. I will keep you posted.

Stop the First Professional Doctorate

Saturday, December 5th, 2009

Acupuncturists should be doctors!? Right? It sounds like a good idea on the surface. The intention certainly seems noble – more training, better interface between acupuncture and the western bio-medical community, and ultimately, benefit to the health care consumer by mainstreaming acupuncture. However, when examined, these promises aren’t realistic. Medical education is ridiculously expensive already and this will add another year to an already questionably long 3 year program. At that point, it will cost $100,000 over four years to train an acupuncturist to place hair thin sterile  needles superficially into people’s skin. Many acupuncturists think a one year program would be sufficient to be competent and safe. The real mastery comes with years of practice, but this need not take place during lengthy academic programs, and in fact, academia may be a less effective environment for this anyways.

The concept of a “First Professional Doctorate” (FPD) is also being advanced as a means for acupuncture to gain parity with doctors in the health care world. We’d have greater hospital privileges and so forth. There are many problems with this argument. An extra year of bio-medical training will not put us on the same knowledge level of doctors. Even if acupuncturists did have greater hospital privileges, would that be a good thing. Is joining the current bloated medical system dominated by corporations beholden to shareholders (not caregivers making decisions about what is best for patients)…is that something we should aspire to?

Who benefits from this proposal before the ACAOM (Accreditation Commission for Acupuncture & Oriental Medicine)? Not acupuncturists certainly – another year of school debt to be paid of, and no additional training in actually learning how to survive as an acupuncturist. The profession has a frighteningly high attrition rate that the acu-bureaucrats seem uninterested in discussing. Not the public. If the costs of education continue to skyrocket, those costs are inevitably passed on to consumers, making it very difficult for practitioners to set affordable fee scales such as in clinics like CommuniChi. The only ones that I can see that benefit from this proposal are school owners and acupuncture bureaucrats who gain their revenue from tuition, association dues, and so forth.

Please come in to CommuniChi to sign our petition opposing the FPD before January 15 (come get a treatment while you are at it – make an appointment.)  Or, if you wish, you can email the ACAOM directly with your comments. Email your comments to: coordinator@acaom.org. The most effective comments will be those that indicate what category of stakeholder you represent (patient, practitioner, student, prospective student, AOM educator, etc), your organizational affiliations, if any, and a BRIEF statement of your reason for opposing the standards. (Feel free to cut and paste anything I’ve written).

For more information, visit the CAN blog.

In health,

Jordan

How the Acupuncture Profession is in Danger of following the Mortgage Bankers of 2008

Wednesday, November 18th, 2009

Acupuncture is relatively simple in my mind – at least, when compared with biomedicine involving surgery or pharmaceuticals. In the hands of a licensed professional, it is safe, effective and vastly underutilized in America. Why is it then, that the Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) is attempting to push a requirement that entry level practitioners obtain a doctorate degree as a condition of licensure?

If implemented, this will result in increased costs for students, significantly higher debt and fewer affordable community clinics like CommuniChi. I’ve been practicing for nearly 12 years now and the proposal, while not fully articulated yet, could well require existing practitioners to “upgrade” their education to the tune of tens of thousands of dollars of increased training – for what?  In order to add more letters after our name?

I’ve come to the conclusion that institutional greed and short sightedness is motivating their decision. The official spin is that by implementing a “First Professional Doctorate” (FPD), acupuncture will become a more mainstream, recognized medical profession, and thus advance the acupuncture profession. Unfortunately, the logic of this assertion quickly breaks down upon analysis.  A chiropractor explains eloquently how this sentiment led that profession down the wrong path. Click here to read his blog.

Less clear is whether the ACAOM is actually asserting that the FPD will advance the needs of the American health care public. A critical examination of the facts easily shows once again, that it will do exactly the opposite: By lengthening the educational requirements for acupuncture students and thereby dramatically increasing the cost, these costs are inevitably passed on to health care consumers, closing the door of acupuncture access for the vast majority of Americans. Furthermore, fewer acupuncturists will be able to afford the cost of an education, inevitably excluding individuals from non-white, middle and working class backgrounds from entering the profession. As a result, fewer options will exist for patients, and again, fees will naturally increase due to simple supply and demand economics.  As for quality of care, it is doubtful whether all of this increased education would do anything to improve upon the wheel. Acupuncture works! It’s not rocket science and doesn’t need to be. Safety and competency does not require us to be doctors.

The Community Acupuncture Network formed three years ago in order to make acupuncture affordable for the vast majority of Americans who cannot afford to receive treatment at $75 to $200 per treatment (the traditional going rate). Therefore, we are opposed to this self serving move by the ACAOM as it only holds short term benefits for the existing crony capitalists who either own acupuncture schools, live off of credentialing fees or otherwise make their money off the existing status quo in the profession.

If the FPD is enacted, eventually these short term benefits will dry up and collapse, much as the mortgage downfall of 2008 crashed down upon the ethically bankrupt financiers (or more accurately, upon the American taxpayer).  Whether one subscribes to the wisdom of the East, the teachings of the Bible, or common sense fairness –  it is clear that poisonous seeds yield only poisonous fruit. Only when actions are implemented based upon an altruistic sense of universal responsibility, can positive results be obtained.

What can you do? Come in to CommuniChi  and ask to sign their petition to the ACAOM. We’re aiming for 300 signatures by the end of the year.  Join our Facebook group opposing the FPD. Make an appointment for an acupuncture tune up and support the affordable acupuncture revolution.

Thanks!

Jordan Van Voast

CommuniChi

“Community is the Heart of Health”

First day of autumn

Wednesday, September 23rd, 2009

I’ll never forget waking up in my wilderness cabin one morning long ago in my late twenties, climbing down the hand carved driftwood ladder from the loft, bowing to the sun rising over the forests of Texada Island and Georgia Strait to the south, sitting down at my desk, picking up a pen, and beginning to write.  At the time, I was taking a writing class with Canadian novelist, poet, and screenwriter, Anne Cameron and her assignment was…”just write”…don’t stop. “If you feel blocked and unsure what to say, just write ‘unsure’ or ‘blocked’ and keep writing that over and over” until your vast and flexible intelligence jars loose your inner Shakespeare.  Watch the blocks disappear like bubbles in the wake of a morning kayak paddle across a placid cove.  Round the point and head out into the open sea of infinity, limitless possibility.

Writing is like cooking is like living. To master these arts, one needs to lose oneself in the act, to let go of rigid adherence to ego go-go-go straight line goal oriented mental bondage. Many thanks and a deep bow are offered to Sylvia Taylor, who posted a great gem on her Twitter page highlighting the top 5 business blogging mistakes of which I have certainly committed all five. Certainly, as a business owner and entrepeneur, the financial balance sheets should never be more than a few clicks away from the desktop of my mind, but who wants Quickbooks icons cluttering up the desktop?  Wouldn’t we all rather float in the screen shot of a tropical lagoon, or attune our mind with an image of the Dalai Lama, Gandhi, Mother Theresa, or whatever great spiritual leader we admire? To these great beings, there is only one overarching concern – helping others. As the Dalai Lama often says, “be wisely selfish, care for others.” What does he mean by “wisely selfish”? If we take care of others, we will be happy. The cramped egocentric me-me-me mind will evaporate like a dark cloud into the brilliant blue sky of an autumn day.  Furthermore, we’ll create skies of good karma which will bring us good fortune in the future. Something to tuck away in your pocket of magic for the coming gray days in the Northwest.

I think I lost myself a couple of times there. Feels really good after several blog posts that were maybe just a wee bit overly rectilinear. And sorry, can’t help myself here, it’s all coming from a place of wanting to share the feeling of being in the mind-space of inner freedom – there’s an energetic parallel here to what happens in the community acupuncture room. Anybody who’s tilted a recliner back and rode the inner Chi waves to the Sea of Aculand knows exactly what I’m talking about. Getting lost in the rise and fall of one’s own breath and vibrating waves of energy is to dive beneath the chaotic surface of the push-pull-money-schedule-success-failure dualities. Sinking below our struggles on the surface for a while, we see light rays fanning out into the depths. We see diamond sparkles shimmering above. We float along effortlessly, at one within the sea of life. And when we return to the surface in order to focus single-pointedly on our chosen tasks of service, that focus is held within a vast container of open hearted compassion and awareness of interdependence and unity.

All of this is to say, don’t give up on your search for meaning and fulfillment in this sometimes strange and irrational world we live in. If you feel like you’ve been rushing forward too fast for too long – slow down and do nothing for a while.  Summer’s riotous energy blooms are now fading. Soon the parks will be empty of all but raindrops, cold puddles and decaying leaves.  Listen to the heartbeat of mother nature as we move into autumn. Maybe even skip your morning espresso one morning a week as  a reminder. What matters in the long run is not how many hits we get on our blog, the size of your paycheck, or whether your life is going as planned. What matters is how much space you create in your heart – for yourself and all others.