The AMA seems to be at it again. Despite their near monopoly on health care funding and their protests that they have no interest in combating other healing arts, new legislation being proposed make it amply clear that they are willing to risk possible restraint of trade problems in an attempt to limit the scope of practice of non-MD health care providers such as chiropractors, naturopaths, psychologists, nurses and acupuncturists.

The Health Care Truth and Transparency Act would make it illegal for any licensed health care provider who is not a medical doctor (MD), doctor of osteopathic medicine (DO), doctor of dental surgery (DDS) or doctor of dental medicine (DDM) to make any statement or engage in any act that would lead patients or the public to believe that they have the same or equivalent education, skills or training as an MD, DO, DDS, or DDM.

Now, I'll be the first to agree that I've met a few wacky naturopaths and chiropractors in my time. I've also met a few MDs, dentists and osteopaths who were even crazier and more dangerous than even the nuttiest naturopath. I'll even agree that naturopaths don't have the same education as MDs --NDs have more clinical nutrition training, for one, while MDs typically receive more surgical and emergency room training. So what benefit would there be in drawing specific conclusions about a single individual from the particular letters after their name?

On June 27, representatives John Sullivan (R-OK), Charles Bass, (R-NH), Michael Bilirakis, (R-FL), Michael Burgess, (R-TX), Joe Shwarz, MD (R-MI) and Pete Sessions (R-TX) introduced in the House the Healthcare Truth and Transparency Act of 2006, (H.R.5688). This proposal is a direct result of the AMA efforts to limit scopes of practice for health care providers who are not medical doctors. You want to contact your representatives and request that they limit any serious consideration of this misguided legislation.

Truth is a funny thing, as Pontius Pilate once noted. We should be wary when professional and governmental institutions purport to wrap themselves up in it.