Did the health care law give 'elevated legitimacy' to alternative medicine? - PolitiFact

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Beata and Alex Karaszi, left, watch as their son Alex Karaszi gets an acupuncture treatment from Dr. Laura Weathers in Tampa. (Kathleen Flynn/Tampa Bay Times)


Editor's note, Feb. 25, 2015: One of the core principles of our work, and the work of all journalists, is to contact the subjects whom we are writing about. In this fact-check, we didnโ€™t meet our high standards. While we emailed Jonah Goldberg five days before publishing our fact-check, we never followed up with a phone call or another email to see if he had seen our questions. And while we also attempted to contact Goldbergโ€™s source, Kevin Williamson, we did so only by Twitter. Thatโ€™s not good enough in our book. Goldberg has since responded to this fact-check via a column on NationalReview.com. While there is nothing in his response that changes our Half True rating, we should have made every attempt to reach him so he could make his points prior to publication. For that, we are sorry.

PolitiFact has published literally hundreds of fact-checks on President Barack Obamaโ€™s signature health care law, the Affordable Care Act, so itโ€™s always a surprise when a reader stumps us with a fresh claim theyโ€™ve run across.

Recently, a reader sent us a column from the conservative National Review that said the law gives preferred treatment to non-traditional forms of medicine. The column was from Jonah Goldberg, citing the work of another National Review writer, Kevin Williamson.

"As my National Review colleague Kevin Williamson notes, โ€˜Everybody wants to know what Scott Walker and Sarah Palin think about evolution, but almost nobody is asking what Nancy Pelosi and Barack Obama think about homeopathy, acupuncture, aromatherapy and the like.โ€™ Even though such remedies have been given elevated legitimacy under the Affordable Care Act."

We wondered: Is Goldberg right that the law gives "elevated legitimacy" to such non-traditional techniques?

It turns out thereโ€™s a solid core of truth to the claim, but also some important caveats. (Neither Williamson nor Goldberg returned inquiries for this fact-check.)

Where the claim has a point

In recent years, the use of "complementary and alternative medicine" (also called "integrative health care") has grown substantially.

A survey by the National Institutes of Health found that roughly four of every 10 American adults and one of every nine children uses at least one form of alternative medicine. That category includes such fields as acupuncture, chiropractic, diet therapies (such as the Atkins, Ornish, South Beach or vegetarian diet), homeopathy, hypnosis, massage therapy, tai chi and yoga.

Following a lobbying campaign by alternative-medicine practitioners, and assistance from then-Sen. Tom Harkin, D-Iowa, several provisions favorable to non-traditional forms of medicine were inserted into the health care law.

Here are provisions that stand to benefit complementary and alternative medicine:

โ€ข Section 3502 establishes grants for medical homes. The law says that the interdisciplinary teams supporting such homes may include "licensed complementary and alternative medicine practitioners" and "doctors of chiropractic."

โ€ข Section 4001 establishes the National Prevention, Health Promotion and Public Health Council and, in turn, an advisory group on prevention, health promotion, and integrative and public health issues.

โ€ข Section 4206 creates a pilot program to provide at-risk individuals who use community health centers with "individualized wellness plans" designed to reduce risk factors for preventable conditions, including integrative health techniques.

โ€ข Section 5101 creates a National Healthcare Workforce Commission and expands the definition of the health care workforce to include integrative health care practitioner, licensed complementary and alternative medicine provider, and doctors of chiropractic.

โ€ข Section 6301 establishes the Patient-Centered Outcomes Research Institute to fund research that determines which medical techniques work best. Some of the instituteโ€™s research addresses alternative medicine, including a study of "non-pharmacologic strategies to reduce pain and depression," as well as efforts to compare acupuncture and cognitive behavioral therapy for insomnia among cancer survivors. The institute is also funding studies of "relaxation and mindfulness exercises," massage, yoga, meditation, and breathing exercises.

All told, the institute is spending $4.1 million for studies involving alternative medicine, or about 3.5 percent of its funding to date on this type of study. Findings from this research could become significant, since many alternative medicine therapies have not yet faced rigorous scientific testing -- a key prerequisite for getting insurance companies to pay for them.

Potentially the most far-reaching provision, however, is Section 2706. Alternative-medicine advocates say this section stipulates that as long as an alternative-medicine practitioner is fully licensed by a state, insurance companies must reimburse them just as they do medical doctors. (Literally, the section says that "a group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable state law.")

Put all of these elements together and Goldberg has a point.

Where the claim overstates the case

That said, itโ€™s important to note some limitations in how the health care law is treating alternative medicine in practice, rather than in theory.

For starters, the first four provisions cited above are heavier on symbolism than practical impact. They involve things like pilot programs, advisory committees and optional extensions of definitions to include alternative-medicine practitioners. The research being conducted could ultimately make a difference, but itโ€™s still a small portion of the instituteโ€™s portfolio.

Most importantly, the most sweeping of the half dozen provisions -- the changes to reimbursement policy prompted by Section 2706 -- hasnโ€™t yet turned into a boon for alternative-medicine practitioners.

In states like California, Hawaii, Montana and Rhode Island, lawmakers have offered bills that would enshrine the language of Section 2706. But they have not become law yet.

Meanwhile, the federal Department of Health and Human Services has thrown cold water on advocatesโ€™ most sweeping visions. Perhaps influenced by pushback from traditional medical disciplines, HHS issued guidance that says, in part, "This provision (2706) does not require plans or issuers to accept all types of providers into a network."

Alyssa Wostrel, executive director of the Integrative Healthcare Policy Consortium, calls the HHS guidance "faulty," and Harkin (whoโ€™s now retired from the Senate) and other advocates have sought to reverse it. But for now, the HHS guidance seems to be having a chilling effect on the expansion of alternative-medicine coverage.

Our ruling

Goldberg wrote that homeopathy, acupuncture and aromatherapy "have been given elevated legitimacy under the Affordable Care Act."

The law does provide a leg up for alternative therapies (although itโ€™s unclear whether homeopathy and aromatherapy would ultimately benefit). In practice, though, itโ€™s important not to oversell the impact. Most of the provisions in question are modest, and the one with potentially the biggest impact has been curbed by a subsequent guidance from HHS.

The statement is partially accurate but leaves out important details, so we rate it Half True.

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    โœฐ PINK FLOWER SPA โœฐ 416 299 5515๐Ÿ“ 3300 McNicoll Ave #A8, Scarborough ๐Ÿ”ฅ Todayโ€™s Beauties: ๐Ÿ”ฅ ๐Ÿ’– Amira ๐Ÿ‡ฑ๐Ÿ‡ง (22, Lebanese) โ€“ Elegant & soothing โœจ ๐Ÿ’– Mika ๐Ÿ‡ป๐Ÿ‡ณ (19, Vietnamese) โ€“ Petite, radiant & precise ๐Ÿ’†โ€โ™€๏ธ ๐Ÿ’– Linda ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡ฒ๐Ÿ‡พ (22, Viet/Malay) โ€“ Skilled & professional ๐Ÿ’ซ ๐Ÿ’– Mady ๐Ÿ‡ต๐Ÿ‡ญ๐Ÿ‡ฆ๐Ÿ‡ช (19, Filipina Arabian) โ€“ Refreshing & energetic ๐ŸŒบ ๐Ÿ’• Unwind in elegance, expert hands & pure indulgence! Call now! ๐Ÿ’•
  33. Dreaminn:
    Available Girls Working Today: Miho (new) Olivia Eva Miho Japanse 5โ€™2 ,100bs, C+cup, super open-minded(bbbj ,sf2,wf,dfk,69daty. 100% real Japanese , welcome to try Olivia(new) She is Spanish, 5โ€™3, 120bs, Natural D cup , fair skin sensitive, always smile happy girl, firm ass . Fluent in English Summer (new) Chinese 5โ€™2 , 34C , very good personality , (bbbj 69 SF2 wf girl friend experience)
  34. Q Spa:
    ๐ŸŽ‰๐Ÿ’Q SPA๐ŸŽ‰๐Ÿ’ โœ…4465 SHEPPARD AVENUE EAST UNIT #27โœ… SCARBOROUGH - BRIMLEY & SHEPPARD โ˜Ž๏ธ(647)727-2577โ˜Ž๏ธSPA LANDLINE โ˜Ž๏ธ(249)874-2628โ˜Ž๏ธ โœ…OPEN 10am to 9pm MONDAY to SUNDAYโœ… ๐Ÿ’ฏโœ…TWO NEW ASIAN GIRLS EVERYDAY ๐Ÿ’ฏโœ…EXCELLENT MASSAGE+ ๐Ÿ’ฏโœ…EXTRA SERVICES AVAILABLE ๐Ÿ’๐Ÿ’Q SPA IS YOUR IDEAL MASSAGE + SPECIAL EXTRA NEEDS SPA WITH YOUNG ASIAN SEXY PETITE GIRLS๐Ÿ’๐Ÿ’ ๐Ÿ’ฏ๐Ÿ’ฏREAL PICTURES OF GIRLS WORKING IN OUR SPA EVERYDAY๐Ÿ’ฏ๐Ÿ’ฏ Available Girls Working Today: Cici๐Ÿ’- A sexy young skinny girl 5โ€™6โ€ and 110 lbs ful
  35. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ (905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ (437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅSEXY NEW YOUNG GIRLS ALWAYS WORKING - Todayโ€™s Schedule isโ€ฆ๐Ÿ”ฅ Mimi๐Ÿ”ฅ๐Ÿ˜˜A captivating and alluring new massage girl from Korea whose elegance and c
  36. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅTODAYโ€™s ROSTER INCLUDES: Jenny๐Ÿ˜˜ - An exotic tall and slim Vietna
  37. New spring spa@:
    ๐Ÿ’‹๐Ÿ’‹๐Ÿ’‹sexy hot Indian ๐Ÿ’– Japanese๐Ÿ’–Singapore girls๐Ÿ˜›๐Ÿ˜›working at Nu spring spa โ˜Ž๏ธ416-669-8508๐Ÿ’‹๐Ÿ’‹๐Ÿ’‹
  38. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน3 girls ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ New girl Mia big boobs 36DD ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜Hot and sexy body, super body slide, very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธYou are welcome to make an appointment at any time or walk in the back door with plenty of parking spaces
  39. wonderspa:
    ๐ŸŒบ wonder spaโ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒwe have 4young beautiful girls working everyday ,Ensuit shower available ๐Ÿ…,service queen Sunny,she is very friendly nice girl,deep tissue massage and nice body slide๐Ÿ…,new girl Lily is very good looking,long long hair,she got a lot experience,deep to relaxing sensual touch release stress๐Ÿ”ฅJessica super Q,great service,friendly amazing touch ๏ผŒnever forget ๐Ÿ”ฅ๐ŸŒนmust try๐Ÿท๐Ÿท๐Ÿท
  40. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: MINA : is a tall slim former model from Taiwan, with B Cups, pretty face, strong massage, bbbj fs, (special service), great services. KITTY (12:30am-9pm) : is a new Korean girl, super busty, small body, new to the business. Very friendly, no rush, dfk, bbbj, cim.
  41. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Fedi,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…
  42. Moneylee:
    Full season wellness center: young girl pretty face nice figure Thai deep massage Vivian , pretty face nice figure Thai deep massage Yuki ,Young girl big breasted beautiful buttocks charming temperament big boobs Anjoo ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต๐Ÿ‘„๐Ÿ‘„๐Ÿ‘…๐Ÿ‘…
  43. HollywoodSpa:
    Thursday at ๐ŸŽญ๐—›๐—ข๐—Ÿ๐—Ÿ๐—ฌ๐—ช๐—ข๐—ข๐—— ๐—ฆ๐—ฃ๐—”๐ŸŽญ, 4578 Yonge St, Unit 100, North York, ON: CINDY, JENNY & SISI. โ˜Ž416-222-5554โ˜Ž When you visit ๐ŸŽญHollywood Spa๐ŸŽญ, you will be treated with tender care and your visit will be a fulfilling one. Nice Massage, Young Pretty Girls. We have Chinese, Japanese, Korean & other attendants. CINDY is a slim & pretty lady with long dark hair and a pleasing personality. JENNY is slim, attractive
  44. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild & her cfs finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass.
  45. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: LUCY, YOYO & CINDY. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. YOYO is a very beautiful slim Chinese lady, 165Cms & 116 Lbs with natural D Cups & a VERY sexy figure. She provides the best versatile PSE services. (Shhh, donโ€™t tell anyone: YOYO is a hidden GEM, total SUPERSTAR
  46. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Suki๐Ÿ˜is beautiful short petite tiny sexy student from Cambodia. Exotic features and model looks, Suki has a nice bum, slim waist, flat stomach and very good massage skills and has a great playful personality. Suki has a beautiful
  47. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: JENNY, LUNA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž JENNY is a sweet & young Korean girl with C Cups. Very versatile services. LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. TIFFANY is an amazing slim petite doll with natural 34C melons
  48. bnwellness_wilson:
    We have 4 girls are working today.๐Ÿ’•Young girl big boobs beautiful face deep massage Ivy๐Ÿ’• ,Young beautiful buttocks charming temperament Tina,๐Ÿ’• funny,nice, big boobs deep massage Lina, ๐Ÿ’•Young beautiful sexy body and good deep massage Vivian๐Ÿ’‹pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available. 350 Wilson Ave North York
  49. OrchidSPA:
    Today is Mia & Tiffany ๐Ÿซฆ Mia has Lovely Sexy Body ~ Provides a Smooth Full Body Massage ๐Ÿ’„ Tiffany is Young and Very Sexy Girl with natural 34C boobs. Open: 10am to 10:00pm ~ Call/Text โฉ๏ธ (437) 220-6963 ~ 3601 Highway 7, Unit#103, Markham
  50. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga Kiki and Suki work
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