Barriers to expanding primary care roles for chiropractors: the role of chiropractic as primary care gatekeeper

I find it reassuring to see that the interest in chiropractic primary care continues to develop. Gaumer et al1 address the issue pertaining to barriers of chiropractic primary care. They find perceptions from the profession, consumer, and third party organizations, as well as scope of practice laws, as obstacles for the practical provision of chiropractic primary care. Initially, they introduce 2 concepts related to the topic that I would like to address.