A leading voice in a fight over whether doctors
should be allowed to recruit physical therapists into their practices has
withdrawn herself from the campaign.
The stated -- and rumored -- reasons for her doing so have ignited a
hullabaloo on the Medical University of South Carolina campus and
beyond.
The controversy surrounds Lisa Saladin, president of the
South Carolina Physical Therapy Association, who in recent months
had become a national figure in the dispute over doctors' ability to
employ physical therapists.
The dispute pits therapists against doctors. Physical therapists, who
need doctors' orders to get paid for their services, believe they would
lose business because doctors would use only their own therapists. That
would put many independent therapists out of business.
Doctors want the ability to employ physical therapy services, viewing
them as a possible new revenue source.
Saladin is an associate professor at MUSC and was opposed to a bill
that would allow the doctors to hire therapists. She suspended her effort
earlier this month after being told of concerns about her lobbying
campaign by Danielle Ripich, dean of the university's College of
Health Professions.
Physical therapists believe Ripich was acting on orders from Dr.
Donald Johnson, chairman of the MUSC board of trustees. He also is an
orthopedic surgeon.
Saladin wouldn't return phone calls. But her association's vice
president, Jim Stoker, said Saladin was given no choice but to stop
lobbying.
Moreover, the association believes Johnson's role represents a conflict
of interest because orthopedic surgeons stand to gain as much as any other
specialty, given they are the doctors most likely to employ physical
therapists.
Johnson and other university officials have a different view. First,
they say Saladin's decision to stop lobbying was voluntary.
Johnson said he got involved because of concerns expressed by more than
a half-dozen people who called him to ask why MUSC was backing the bill.
The university stays neutral on legislation that pits one health
profession against another.
Johnson said Saladin and other physical therapists were using the MUSC
name in lobbying for the bill. They also were using MUSC e-mail to pitch
their positions. Johnson said he talked with both Ripich and the medical
school dean, Dr. Jerry Reves, about the issue.
The bill passed the House earlier this month but has yet to be heard by
the Senate.