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To take ideas and advance them required organization. In the short period of a half decade starting in the late 1970s, individuals interested in advancing many of the ideas birthed in the cultural amniotic stew of the 1960s produced a remarkable grouping of formally disconnected organizations and initiatives that had in common interlinking values: American Holistic Medical Association (1978); American Holistic Nurses Association (1979); first naturopathic medical schools in 25 years (1978); patient-centered care (1978); pioneering mind body research publications (1977–1978); National Wellness Institute (1977); and the American Association for Acupuncture and Oriental Medicine (1981). These and others began serving as platforms for change.

The founding of many of these organizations led to engagement with self-regulatory responsibilities and regulatory activity. These established the professions of naturopathic medicine, acupuncture and East Asian medicine; massage therapy, and direct-entry midwifery. (Chiropractic claimed its place earlier.) In the United States, licensing is the responsibility of state legislatures in each of the 50 plus states and territories. This legal structure allowed small groups of practitioners, backed often by influential and grateful patients, to make regulatory advances. Table 1 describes some of these advances in development and accreditation of schools, licensing, certification, and growth of each profession’s numbers. At the same time, the period was marked by little collaboration between members of different complementary and integrative professions. They were working hard in separate silos.