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AMTA sent out the following email to Illinois members bashing ABMP:
Friday, April 15, 2011
Urgent Call to Action
Call Your Illinois House Representatives TODAY!
Ask Them to Support SB 153
SB 153 (Extends the Massage Licensing Act, or ?MLA?) passed in the Senate (55-0) on Friday, April 8th, 2011. On Tuesday, April 12th, the bill was assigned to the House Healthcare Licensing Committee and is sponsored by Rep. Angelo ?Skip? Saviano.
To get to this point, The Massage Licensing Board (MLB) met on February 28th for a regularly scheduled open board meeting. All stakeholders in the profession are highly encouraged to attend and the AMTA always has representation at these meetings. Here, the MLB voted unanimously to increase the minimum education requirement for licensure to 750 hours effective January 1, 2016. This does not affect current massage therapy licensees and is only applicable to those entering the profession on January 1, 2016 or later.
There is now opposition from the Association for Bodyworkers and Massage Professionals (ABMP). ABMP will oppose Senate Amendment #2 which allows for the increase in the minimum hours of education. There was a last-minute effort to oppose SB 153 in the Senate, which failed. Therefore, the ABMP has hired a high-profile and well recognized lobbyist to oppose the bill.
Please consider that:
? The MLB and the AMTA Illinois Chapter supports an increase in education as this is the National trend. Currently 14 states exceed the 500 hour requirement.
? As Illinois licensees, we should respect the mindful deliberation and decision of the MLB as they are the governing body of our profession and, as massage therapists, are best equipped to determine the needs of public protection.
? The AMTA is a not-for-profit organization with a state chapter structure. The AMTA Illinois chapter fights to protect the rights of the licensed massage therapist, fair practice rights and the profession. Our chapter, and it?s volunteers, has a distinguished history of being invested and engaged in the profession and guiding it forward. The ABMP is a for-profit organization located in Colorado that, until now, has not participated in this state legislative process or other issues impacting your profession. It is ABMP staff that has inserted their voice into the governance of Illinois practitioners.
The AMTA Illinois Chapter supports SB 153 as written in its entirety, which includes the recommendation of the Massage Licensing Board to increase the number of educational hours and which passed the Senate unanimously by the Illinois Senate.
Therefore, we urge you to take these steps:
............
Basically, Illinois licensees have to shut up and just go with what AMTA and the licensing board say, and ABMP, although it is the largest association in the country, should not be involved because they are from Colorado?
Is this the height of arrogance or what? Who wrote this letter? Is this for real? Can someone from AMTA come out and say this is a fake??
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I'm also going to weight in here because I passionately value transparency and equally passionately dislike efforts to be dismissive of stake holders within the profession.
I'm with Emmanuel that the memo from AMTA-IL was an attempt to make ABMP seem less than credible. ABMP is definitely a stakeholder in the profession. It has a large number of members - members who could and would vote with their feet if they felt that ABMP did not listen to their concerns and represent their interests.
A massage board should not engage in advocacy. It is a government agency whose responsibility is to protect the public from harms of dangerous incompetency and crimes of malfeasance as set forth in the statements of law creating it. It the law has inherent conflicts, inconsistencies, or ambiguities, then a massage board should inform the legislature and the profession of the same. Unfortunately, and far too often, the roles of regulation and of advocacy are confused.
I don't necessarily agree with Rick Rosen that a law should not be changed during a sunset reauthorization. I do, however, strongly agree with him of the seriousness of the situation. If one is to change a law, then it should be with the foreknowledge (i.e. with transparency) and with the consensus of all major stakeholders. If things are not done this way, then it is to be expected that a intra-profession disagreement will be played out in full view of the legislature. You hash out differences within the profession or you hash them out in public.As Rick stated well, to take the latter course is to risk the credibility of the profession in the face of the the legislature and to risk the entire reauthorization. Lack of transparency and trying to move with lack of consensus is extremely self-destructive. Trust is extremely easy to lose and, once lost, very very difficult to regain.
In the larger picture, sticking to an agenda that helps the FSMTB to create portability between states is, I believe, the priority. We do not, in general, have well defined outcomes of training (i.e. guarantees of what tasks a graduate will be able to do and in what contexts) for 500 hours, let alone more. Les Sweeney made a statement at the recent ABMP schools meeting (which I learned of via a Tweet from Jan Schwartz) and with which I entirely concur: "More is not better. Better is better". In other words, you work on content and conversion of training into practice before adding on.
Thank you all who posted here, I would also like to echo Rick's recommendation for the MLB to remove the amendment and table it for further discussion.
I received several private emails from people who said, as Angela suggested, "why don't you become more active in AMTA-IL and bring change from inside rather than posting such a confrontational blog?"
The answer is simple, that it is all about core beliefs. For example, I strongly believe that there is a distinct difference between licensure, which has a goal of public protection, and the development of our profession which, hopefully, far exceeds the minimum requirement for public protection. Professional development can be accomplished in many different ways from within the profession. AMTA's actions show a core belief that uses state licensure as means of advancing the profession. I disagree with that point of view. AMTA's actions also show a core belief that they speak for all therapists in Illinois. I disagree with that too (only 1/3 of IL licencees are AMTA members).
It is difficult to change people minds when the core beliefs are different. That is why, at times, discussions on a public forum, whether it is Tahrir Square or massageprofessionals.com, become necessary.
Once again, I would very respectfully ask the MLB to reconsider Amendment 02 and table it for further discussion.
To My Esteemed Colleagues:
This blog post, started by Emmanuel Bistas, has generated a significant amount of interesting discussion. The one point that matters most -- and that seems to have gotten lost in the sea of words -- is that the purpose of Senate Bill 153 is to authorize continuation of the Illinois Massage Licensing Act.
You might ask: What does that mean? Illinois is among those states with sunset provisions in their licensing laws. That means each law is only good for "X" number of years. When the time is up, the Legislature must pass another bill to keep that regulatory process and licensing board in existence.
Bottom line here: if Senate Bill 153 does not pass in this session, massage licensure in Illinois will be sunset. End of discussion. Party's over.
Given what's at stake, it is highly questionable to be using a "continuation" bill like this to try and make substantive and potentially controversial changes to Illinois Massage Licensing Act. We can see the chaos that has been created here. Legislators take an extremely dim view of intra-family squabbles (like what's happening between AMTA and ABMP right now). The dissent within our own field on this bill could jeopardize it's chance of passage.
The best thing to do here is for the Illinois Massage Licensing Board to request the immediate removal of the amendment that would increase minimum hours of education to qualify for a license, and for all interested parties to support the passage of Senate Bill 153. Don't throw the baby out with the bathwater! Remember that without state licensure, regulation will revert back to the local level. Nobody wants to see things go back to an unpredictable mess of ordinances that stigmatizes the practice of massage therapy.
AMTA's stated intention to "advance the profession" is a noble cause, but this bill is not the place to be tinkering with the standards in the Land of Lincoln. That should be part of a broader industry discussion left for another day.
Hi Emmanuel, Thanks for the clarification. I've responded below.
"I agree that licensees should not shut up. "Respect" does not equal "do not question". They should be respectful of deliberations while at the same time moving their feet and researching. For that to happen, transparency has to exist. But how?" I could not agree more. Respect does not equal "do not question." It does bring up a question for me though...(irony at it's finest)...before you posted "Arrogant Massage Therapy Association" did you question them directly? I can certainly understand how they would respond in a defensive posture if they were not given the opportunity to explain the situation rather than be forced to respond "officially" to a post such as this one. Perhaps you did speak directly to Tracy or Mike, or even to a member of the licensing board asking for an explanation---and if you have and you were not given an answer that was transparent, forthcoming, etc., then I can understand your response. If you haven't.....I'm not sure that you'll get the response you're looking for. You and I have one thing in common. We can respectfully disagree with each other, and we can certainly have productive dialogue that when we understand each other we can say so. It's one of the things I like most about you---you're challenging and when I was a board member/President of the chapter, you certainly kept me on my toes. But our relationship didn't start out that way-it took time and I believe we've developed a mutual trust and respect for each other based on our ability to communicate. I do hope you feel the same way.
Angela, everything you presented leaned towards explaining there needs to be more hours and you said you were for a tiered system. I have argued that I am against these things and I have expressed it across many discussions. Most feel more hours are not needed for entry level. Those wishing to enter the CAM aspects have many avenues to do so and other therapists should not have to meet their desires.
This push is being driven by a small portion of therapists and IT is fracturing. I read your responses and they changed nothing. I don't disagree that CAM and the massage therapists that choose this avenue face many challenges. That does NOT mean ALL massage therapists should have to face these challenges because of the few that choose to.
Call yourself CAM Massage Therapists or CAM Therapists. We are Licensed Massage Therapists and we want it to stay that way. A tier system will strip someone of their title and that I resist. Canada did this foolishness and I do not want it here.
Hi Angela,
Thank you for taking the time to address this.
1. After reading and re-reading the information provided by the AMTA-IL Chapter, I'm not seeing anything that appears to be "bashing ABMP." Rather, I see that they are informing their members that ABMP has opposed amendment 2 of the bill. The high profile law firm based in Chicago is one of the most expensive law firms and by hiring such a firm, it infers that ABMP has taken a very serious position against increasing the minimum number of hours in Illinois. Can you point out where you see that AMTA-IL is actually bashing ABMP, or are you simply in disagreement with the chapter supporting the IL-MLB recommendation of increasing hours?
Please remember that my post was not about the hours, but about the tone of the “urgent call-to-action” email that was sent out by AMTA. I felt that the letter was arrogant and I still stand by that statement. Every one of my colleagues who read it felt the same way.
2. You've highlighted two sections: One referring to the chapter supporting the MLB (are you stating that the chapter should not?) and one regarding AMTA-IL structure that includes info re: the ABMP's participation in the process. I'd like to break this paragraph in two... 2a) The Chapter's support of the MLB in my opinion is important for many reasons. It's also important to note that the unanimous decision to raise the minimum education standards in Illinois was made up of a board that is comprised of AMTA members as well as ABMP customers. I wonder if the MLB members who are affiliated with ABMP consulted with and/or were contacted by ABMP prior to the hiring of a lobbyist? Do you know if this happened?
With the email blast, AMTA members were called to action based on the rationale presented in the email.
The email did not give the reader access to the licensing board deliberations or understanding of how this came about. Even if a reader went online to research the topic, she would find nothing related to Amendment 2 on the agenda of the 2/28/11 MLB meeting, and no minutes from that meeting.
If the reader sought reference in the AMTA position statement they would find one bullet item regarding the 750 hours in a two page document.
So, AMTA members were asked to call their senators based on the following rationale: a) a brief reference to a “trend” for more hours (which we know to be false), and b) an emotional appeal to “respect the mindful deliberation of the licensing board...” followed by the writings about the differences between AMTA and ABMP.
If writings about not-for-profits... with a distinguished history in Illinois in the same paragraph with for-profit.. from Colorado… who until now have not participated in the legislative process or any other issues in this state and finished with It is ABMP staff that has inserted their voice into the governance of Illinois practitioners is not intended to create a certain emotional impression upon the reader, what purpose does it serve in the “urgent call to action” letter? It has nothing to do with the justification behind Amendment 2.
3. You say "Basically, Illinois licensees have to shut up and just go with what AMTA and the licensing board say, and ABMP, although it is the largest association in the country, should not be involved because they are from Colorado?" Here are my thoughts....of course Illinois licensees do not have to shut up, nor should they. They should choose whether or not they are impacted by this legislation---and in fact, EVERY one of them are as SB153 is the sunset bill. I do want to offer the fact that ABMP is not an association, but rather an organization-which is structurally different than a professional membership association. Theoretically, professional membership associations are beholden to their membership whereas for-profit organizations are not---at least in the same way. That being said, I have no issue whatsoever with a company being for-profit but what I think would be helpful is to consider that while decisions made by AMTA-IL are made by the membership, decisions made by ABMP do not have to go through that process.
I agree that licensees should not shut up. "Respect" does not equal "do not question". They should be respectful of deliberations while at the same time moving their feet and researching. For that to happen, transparency has to exist. But how?
From a transparency standpoint, this sounds a lot like when Utah AMTA went behind ABMP's back to include “recreational massage” on their licensing bill. There is no openness, so how can one even respect the process?
As far as who makes the decisions in member-based not-for-profits vs. for-profit associations, I think that overtime, organizations develop a culture. The older and larger the organization, the more rigid the culture. New members fit in, leave, or are molded into the culture. Depending on the size of an organization, change can be slow. Can members bring change? They would need to be exposed to a different thinking and this is what these conversations are about.
Sometimes, the culture of organizations is based on paradigms which may be outdated. They are like the myths that we make fun of in massage therapy. A relevant myth is that more hours (all other things being equal) is better.. or that accreditation (all other things being equal) is better... or that a not-for-profit association listens to its members better than a for-profit one... There are many myths.
Change happens the moment the AMTA volunteer who gave up the weekend with his kids to help with an event truly realizes that the Director of his non-for-profit makes close to 300,000 per year on his back.
It is no coincidence that AMTA went from being the larger organization to being a smaller one. Even with the support of the corporate schools which produce a vast number of graduates, AMTA is still number 2.. Why? I think that a look at the underlying myths will help answer that. What some of the organization's beliefs, and are they based on facts?
4. True, ABMP is located in Colorado, and no-I do not believe that excludes them in any way to offer their opinion. What I am interested to know is that while you feel slighted because you feel that AMTA-IL or IL-MLB did not ask or include you in the decision making process to increase the minimum education hours, do you feel equally as slighted that ABMP did not ask or include you in their decision making process to oppose it?
There is a difference between not being consulted for a change that has tremendous impact on the market dynamics vs. not being consulted for a non-change.
This is what I see from where I stand: when NCBTMB was taking 3-4 months to process applications and AMTA kept turning a deaf ear to complaints of school owners, school owners turned to ABMP. The result, as you know, was the seed capital for FSMTB and the MBLEx (which, by the way, were initially rejected by AMTA). When school owners talked about the need for professional development and academic success, ABMP developed a success curriculum which distributed to school members free of charge. When the topic of teaching quality came up, a book was published on “Teaching massage”. There is a long list, which I am not going into here.
I am confident that if ABMP were to support a 50% increase in minimum education in Illinois, it would be more than a bullet item on a position statement.
Okay Mike-you win. I give up. If you're comfortable with stating what most therapists want, then it's your right to say it. You've yet to respond to my initial questions, which I asked in hopes to more fully understand your position. Note I said to understand and at no time did I say that I agreed with or disagreed with the position taken by the AMTA-IL Chapter and/or the IL-MLB. You've made that assumption and in turn denied me the opportunity to have a better understanding of where you are coming from. I used to participate in this group when I felt I had something to contribute or if I had a question about something and wanted a deeper understanding or another perspective. I had hoped that given the importance of this conversation I would be able to do the same again. Perhaps you are operating under the assumption that I am engaging in this conversation as a representative of the Chapter, which is false. I have not been on the AMTA-IL board since August 1, 2009. Like yourself, I am an AMTA member and as such it signifies that in large part I agree with and support the organization. That doesn't mean that I support and/or agree with each and every decision. In fact, there have been a few times in the not so distant past that I contemplated ending my membership.
There are many areas when I agree with Les, Rick and Mike as well. There are some areas that are still unclear to me and I posed questions so that I could understand where they were coming from, and perhaps learn something, and some where I can respect their opinion, yet disagree. I tried to do that with you as well. If you're able to see that and would like to continue the conversation, that's great. If not, that's fine as well.
Rather than going into it all again. I will state facts not in print.
Most therapists want 500 hours to be the norm. I think six years of polling across the states at least proves that fact to me. Those wishing to furthewr themselves have the opportunity to do so in the existing parameters. Further pushing hours in states as AMTA is doing is "fracturing" all efforts to have reciprocity between states. Is AMTA against state to state licensure, because they keep pushinmg the envelope. As Gordon says below, Rick Rosen has said it. Michael McGillicuddy has said it. Stop increasing the hours and get a set standard in schools. You can site articles that say more hours are and that is fine. They can be accomplished in continuing education classes. Schools can always individually raise hours as they see needed.
I want to see continuing education providers and schools doing continuing education make more money. We do not want to front load the courses and hurt enrollment in schools because the entry fees or cirriculum is too much. Schools doing this just cause they are going to get more grant money for 750 hours are some of the problems.
I agree with Lew Sweeney and the ABMP approach towards this issue. And that's what really proves my point. I am an AMTA member and I do not agree with the AMTA stance on this issue. Many in Illinois do not either. No polls are being taken, small groups are deciding and the members are not being informed. Those that disagree with this need to speak out.
http://www.massageprofessionals.com/profiles/blog/show?id=2887274%3...
Increasing hours will simply increase the level of incompetence and further shorten the career span of a massage therapist. Its more the obvious if people stop thinking and just look. Increasing hours will just increase intellectual dumbness. Indeed it has already. We are massage therapists...They need to start teaching massage. I mean damn..If you want more hours..Go to medical school, then after you graduate, be a Massage Therapist.
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