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3.2.4 Era 4: Acting through Consortia and Collaboratives (2001–Present)

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The experience of the beginning of inclusion – even if not yet an embrace of these practices and practitioners as potential methods to better treatment or lower the cost of care – stimulated activists in the movement, including the present author, to seek ways to produce a stronger and more influential voice for inclusion and transformation. Between 2002 and 2004, four influential collaboratives were created toward these ends.

Academic Consortium for Integrative Medicine and Health (“The Consortium”) The accomplishments of the Consortium, noted above, included: publishing “Competencies for Integrative Medicine” in Academic Medicine (Kligler et al. 2004); creating sample curricula; holding biennial NIH-backed conferences; and successfully requesting the leading accreditor of hospitals and medical delivery organizations, The Joint Commission, to reconsider its pain standard and more significantly include non-pharmacologic approaches (Weeks 2014).

Bravewell Collaborative Philanthropy plays a major role in all of US medicine and the same was true of the integrative movement. A set of these led by Penny George, the spouse of the former CEO and chair of Medtronic, and Christy Mack, the spouse of the former chair of Morgan Stanley, banded together to jointly invest in strategic projects to accelerated the movement. These projects included: the Consortium, a major public television documentary (The Bravewell Collaborative 2006), a Summit on Integrative Medicine and Health of the Public at the National Academy of Medicine (Institute of Medicine 2009), and multiple reports that highlighted the movement (The Bravewell Collaborative 2020).

Integrative Health Policy Consortium (IHPC) Federal elected officials who were friendly to the movement urged the different fields to come to Congress as one voice. As of 2019, IHPC had 27 partner organizations. The range was broad: integrative medical doctors; chiropractors; holistic nurses, naturopathic doctors; midwives; acupuncturists; homeopaths, and others. IHPC’s most significant work was that it had a hand in crafting 5 segments of the 2010 Affordable Care Act (Weeks 2020a). This historic level of inclusion related to delivery, workforce, payment, research and public health. It included the first recognition of the term “integrative health” in federal statute and an expansion of recognition of “complementary and alternative medicine” practitioners. What was once utterly outside federal law was gaining a presence within.

Academic Collaborative for Integrative Health (“The Collaborative”) The Collaborative aggregated the councils of colleges and other agencies for the licensed “CAM” fields (s. Table 1). Their accomplishments included: production of the interprofessional resource referenced above, the Clinicians and Educators Desk Reference on the Integrative Health And Medicine Professions; taking the lead in a National Education Dialogue to Advance Integrated Care: Creating Common Ground (Weeks et al. 2005) to engage with members of the Consortium; and participating in the movement for interprofessional education and team-based practice. Their most notable work has been in representing the integrative health field in the Global Forum on Innovation in Health Professional Education at the National Academy of Medicine. There, they provided leadership nationally in bringing forward subjects related to shifting focus toward health and well-being.

Two other important organizations were formed roughly a decade later. Integrative Medicine for the Underserved focused on the lack of equity and access to the predominantly cash-funded integrative services among populations that did not have such excess capital. The Academy of Integrative Health and Medicine was created by holistic and integrative medical doctors who invited in their colleagues in the licensed integrative health fields to start the first, inclusive interprofessional professional organization. By 2014, leadership of these organizations were on working terms with each other and were coordinating efforts in multiple areas.

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