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The American Medical Association called chiropractic an "unscientific cult" in 1966 and boycotted it until losing an antitrust case in 1987. Chiropractic has had a strong political base and sustained demand for services.

The ICA, along with the American Chiropractic Association, is listed as a national chiropractic association representing the United States at the World Federation of Chiropractic, [3] with representation on the executive council. [4] It has individual members all over the world who pay dues, and in that sense they remain "international". [5]

In 2001, the largest chiropractic associations in the U.S. and Canada were reported to have distributed patient brochures which contained unsubstantiated claims. Chiropractors, especially in America, have a reputation for unnecessarily treating patients. In many circumstances the focus seems to be put on economics instead of health care.

This is a 3-year postdoctoral American program consisting of 36 weekend seminars provided through an accredited American Chiropractic college and is affiliated with the American Chiropractic Association. Having completed the required coursework, individuals become board eligible for a nationally administered board certifying examination.