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The Case For The APCDF

The profession of Chiropractic in Asia is in its prime since its inception in America 120 years ago in 1895. Today there are about 100,000. Doctors of Chiropractic (DC) while in some regions it is practically a handful, in other regions the development of the profession gives every community in their country access to one DC for every 5,000 population; In stark contrast to the 1:4,000,000 ratio in the Philippines.

Similarly, the establishment of professional associations in each country has its own personal history, struggles, and ultimately greater success in meeting the needs of its communities and individual practitioners.

In Europe, as in Asia, when each country had less than 100 DCs, the task of formalizing the profession in its own country was difficult, so the European Chiropractic Union (ECU) emerged and demonstrated the valuable role of collective regional representation.

It wasn’t there in those days World Federation of Chiropractic (WFC) therefore, it was not difficult for ECU to accept the job. The next regional group formed in the shadow of the ECU was the Eastern Mediterranean Chiropractic Association, covering almost all Arabic-speaking countries, later called the Eastern Mediterranean and Middle East Chiropractic Federation. Latin America and SE Asia were next, but only the Latin American Chiropractic Federation (FLAQ) succeeded mainly because of their shared cultures and languages, Spanish and English. The only common language in Asia is English, a second language for most, but more importantly, there are huge cultural differences that make it most difficult to succeed. The SE Asian Association failed in the late 1990s, and it was reorganized, restructured, and expanded to include the “down under” and the Pacific Islands, covering the entire region. Asia Pacific Federation of Chiropractic Physicians (APCDF). The last Federation established in 2013 is for Africa.

As in Europe and Latin America, the tenacity for the development of the APCDF usually rests with a small group of people who have remained stable in their countries for decades in active and supportive roles and, to a lesser extent, support the APCDF. Many of them are worth mentioning here:

Dennis Richards, DC Australia | Laurence Tassel, DC Australia

Patrick Montserrat, DC Bali | Henry Chan, DC Hong Kong

Bruce Vaughn, MsCh Hong Kong | Amit Nanda, DC India

Tony Dawson, DC Indonesia | Kei Takeyachi, DC Japan

Graham Hunt, MsCh Malaysia | Thomas Ong, DC Malaysia

Martin Camara, DC Philippines | Michel Tetrault, DC Philippines

Janet Sosna, DC Singapore | Terrence Yap, Singapore

Taeg Su Choi, DC South Korea | David Chen, DC Taiwan

(Sorry for the oversight)

Since its inception, the WFC has now held an International position for 25 years representing its members, the Chiropractic National Associations (CNAs) of the world, with a small group of dissident DCs in Asia who consider the WFC to be. sufficient to meet their support needs and APCDF is surplus. As an active associate member of the WFC for over 15 years, it is clear that the mandate and capacity of the WFC to provide local assistance to CNAs in Asia is extremely limited in terms of both financial and manpower support.

The WFC’s International role is undeniably important, but in most cases it cannot be very effective on domestic critical issues. His policy of “national self-governance” resulted in the allocation of available resources to focus on education, research and representation in the World Health Organization (WHO), which were truly International spheres of influence.

Countries with a rich 50+ years of professional development in the APCDF region are Australia and New Zealand, which have the most DCs and chiropractic schools and share similar cultures and language with other advanced countries around the world. Asia and the Pacific Islands cannot claim much progress, with most countries having fewer than 100 chiropractors. Survival is a more accurate description of their CNA, if any, and each country faces similar limited manpower and financial resources that severely limit professional development within its borders.

APCDF is also in its nascent stage, so it is dependent on a few key individuals volunteering their time and finances to help build the organization to be more effective in supporting CNAs in their region of the Federation. It continues to be useful to look to the ECU model to guide the organizational development of the APCDF. A small but significant contributing factor to ECU’s progress was the personal wealth and time bestowed by only a few dedicated social status individuals; and therefore today the ECU can boast an annual budget of more than one million Euros, which provides significant support to its member associations.

APCDF will be well served by developing its beneficiaries who are committed to the development of chiropractic in the Asia Pacific region. If your heart and personal integrity are drawn to being one of these few loyal supporters, you can pursue that interest and visit their website to introduce yourself.

The Asia Pacific region has unique challenges that cannot be addressed by the WFC beyond strategic support. It is truly up to each CNA to respond to the challenges within their boundaries. Working alone with little internal presence in their own country is frustrating for DCs who are only focused on their own practice, family and economic survival. Meeting equally dedicated colleagues through APCDF activities brings much-needed moral support, leadership training, and an “out-of-the-box” perspective on problem-solving skills born from the collective mind.

Over time, the APCDF Annual Assembly will reflect the successes of ECU and the recent regional activities of EMMEF and FLAQ, not to be left behind. It cannot be overemphasized how difficult it will be for such a culturally diverse region to function within a common organization and effectively meet common needs.

This is what the state of chiropractic in the Asia Pacific region looks like right now:

2 countries are fully developed with 1 DC per 5000 population in Australia and 1 DC per 10000 population in New Zealand. The other 3 countries have over 100 DCs with their own war stories of forming and maintaining their CNA; namely Hong Kong, Japan and Singapore. All three suffer from internal dissension and too many associations or groups of common interests or ideals. Countries with fewer than 50 DCs may or may not have CNAs operating. These are India, Sri Lanka, South Korea, China, Taiwan, Thailand, Vietnam and Malaysia; Philippines, Indonesia, Papa New Guinea and several Pacific islands such as Cook Island, Guam, Mariana Islands, New Caledonia, Samoa and Tahiti. The remaining countries have yet to attract a single recognized resident chiropractor.

Perhaps taking a counterintuitive view to gain perspective… what would the Asia Pacific region look like in 50 years without the APCDF? This raises many questions:

Will South Korea remove its illegal status that allows chiropractors to avoid jail for choosing to practice their profession? Will Japan consolidate its many associations and overcome the complex conditions that prevail because of chiropractic courses? Will chiropractic schools meet CCE standards, or will we see many hybrid schools like we see today in Indonesia, Japan, and China? What will this look like with many schools denigrating chiropractic education and creating an underclass of chiropractors, resulting in much public confusion and professional development problems in the affected countries, and bleeding into neighboring countries, such as Japan’s intrusion of fake chiropractors into the Philippines?

Will China and Vietnam allow professional organizations to meet freely? Will India finally interest its expatriate chiropractors to return home and set up chiropractic schools to grow DCs in serious numbers? How long will it take for Hong Kong, Japan and Singapore to catch up with the advances of Australia and New Zealand? Will CNAs be driven by goodwill and integrity or by the social class and vested interests of their leaders?

What are the challenges faced by the strength of traditional alternative professions in Asia? Will CNAs still regulate their members or force local government and medical societies to participate in regulating DCs? What challenges will there be when organized medicine decides to challenge the profession in Asia? Will the poorest countries ever have DCs?

ECU now has a fully institutionalized organization that can support ex-USSR access to chiropractic, drawing on the strength of its developing European member states. WFC is equally established in Public Health, Education, Research and representation in WHO. The biennial Assembly offers some logistical support and exchange for countries to air their concerns and request assistance within their own borders.

APCDF has a long way to go to be as effective as these regional organizations; However, the long-term needs of the Asia Pacific region will be achieved more quickly and cross-regional alignment of the profession will be achieved by ensuring the APCDF has the full support and widest participation of its full and active CNA membership. The idea that the chiropractic profession in the Asia Pacific region can manage without the leadership role of the APCDF sounds quite preposterous. What do you think?

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