A Fixed Star in Health Care Reform: The Emerging Paradigm of Holistic Healing

Michael H. Cohen

COPYRIGHT: ARIZONA STATE LAW JOURNAL. ALL RIGHTS RESERVED. REPRINTED WITH PERMISSION.

CONTENTS

• INTRODUCTION

• I. THE PARADIGM OF HOLISTIC HEALING
  • A. A Hypothetical: The Case of Quicksilver
    • 1. Quicksilver's Dilemma
    • 2. Sagebrush's Peril
    • 3. Their Mutual Refuge
  • B. The Paradigm Shift
    • 1. The Nature of a Paradigm
    • 2. The Medical Paradigm
    • 3. Holistic Healing

• II. THE PRACTICE OF MEDICINE
  • A. State Regulation of Medicine
    • 1. Diagnosis, Treatment, Prevention, Cure
    • 2. Holding Oneself Out to the Public
    • 3. Intending to Receive a Fee, Gift, or Compensation
    • 4. Attaching a Title
    • 5. Maintaining an Office
    • 6. Performing Surgery
    • 7. Using, Administering or Prescribing Drugs
    • 8. Miscellaneous Definitional Provisions
  • B. Regulation of Other Health Professionals
  • C. Limitations on the Regulation of Medicine
    • 1. Free Exercise Limitations
    • 2. Due Process Limitations
    • 3. Privacy Limitations
      • a. United States v. Rutherford
      • b. Andrews v. Ballard
    • 4. Limitations Based on "Informed Consent"
    • 5. Limitations Based on Assumption of Risk
  • D. Prosecution of Alternative Healers

• III. THE "PRACTICE OF MEDICINE" IN HISTORICAL CONTEXT
  • A. Licensing of Healing Professionals
  • B. Consolidation of a Medical Establishment
  • C. Reduction of "Healing" to "Medicine"

• IV. REGULATORY REFORM
  • A. Preventing Fraud
  • B. Promoting Care
    • 1. Respecting Autonomy
    • 2. Acknowledging Caregiving
    • 3. Redefining the Scope of Practice

• CONCLUSION

• APPENDIX I: STATE "PRACTICE OF MEDICINE" STATUTES

• APPENDIX II: REGULATION OF ALLIED HEALTH PROFESSIONALS IN CALIFORNIA

• APPENDIX III: REGULATION OF ALLIED HEALTH PROFESSIONALS IN NEW YORK

• FOOTNOTES (under construction)