Dear Editor, I’m not affiliated with any of the proprietary chiropractic organizations. My agenda is simple; promote high ethical standards and scientific use of chiropractic medicine. The profession is experiencing a transition – one that I and contemporary chiropractors are in favour of, and one that subluxation- based/”principled” chiropractors oppose. I feel these “traditional” Dcs hinder our professional development, and cultural legitimacy (i.e. acceptance), by continuously resorting to older chiropractic dogma – not philosophy – and refusing to delineate reasonable boundaries in terms of appropriate scope of practice. Spinal manipulation techniques used by Dcs cannot cure/affect everything. Logically, it has its limitations. Also, whether or not traditional Dcs acknowledge it, Dcs are being educated primarily as neuromusculoskeletal specialists. Not that wellness doesn’t have a place in contemporary practice, but high-volume, nondiagnostic, doctor-centered, dogma driven practice is not acceptable to the public, or to allied health professionals and scientists. A credible health care profession understands its limits, and strengths. The traditional chiropractic “one cause one cure” view of subluxation is a significant barrier to full integration into the mainstream. Contemporary Dcs can, and do, celebrate our past, however our history must not become a barrier to our evolution. Physiotherapists are mobilizing to be primary care-givers for musculoskeletal back and neck pain. Chiropractic has 10 years, tops, to reform and evolve before Pts achieve appropriate training in manual medicine and diagnostics, and become the de facto provider for manual health care. The leadership of the chiropractic profession sees this and is acting on it. The fringe view of chiropractic that is endorsed and perpetuated by “principled” chiropractors, and certain chiropractic coaches, may make individual Dcs wealthy, but in the longterm, collectively leaves the profession poorer and weakened. Marc Bronson CK, DC Kirkland Lake, Ontario