A Feasibility Study

Direct access for physical therapists isn't new.  Direct access has been around since 1957.  Can the the decision-makers within 44 states be wrong?   Safety... I would think that could be answered by analyzing claims data.  The only source I am aware of is by CNA. 

I am supposed to be happy about an amendment added to "America's Healthy Future Act" which will allow someone to research direct access for physical therapy services for beneficiaries in rural areas.

Am I allowed to ask... where's the logic?  First of all, research costs money.  Is there money available to adequately research the issue?  Secondly, there is a shortage of primary care physicians.  Researching takes time.  Won't timely access to care continue to be compromised?  Thirdly, why only beneficiaries in rural areas?  And fourth, can 10-15 minute physician visits lead to a reduction in falls, vertebral fractures and joint replacements?

In instances like this, I tend to think, just do it.... direct access to physical therapy services for all Medicare beneficiaries.  Really, what's the worst case scenario?  And with the worst case scenario, what's the potential likelihood or probability of the worst case scenario occurring?  What's the potential likelihood or probability for good to occur?  What really stops direct access from occurring - fear or profit?  Seems as though some change is definitely needed... doing the same old, same old isn't going to change the outcomes.

~Selena