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“… the National Quality Forum lists 28 ‘never events’ healthcare mistakes that should never happen and need to be reported. Death or serious disability from spinal manipulation is listed as no. 16. But chiropractors do not have to report this because they have a loophole. The National Quality Forum demands it of clinics and hospitals but no reporting is mandated for individual doctor’s offices where 99% of spinal manipulation is done. Chiropractors generally do not practise in hospitals or clinics. Therefore, there is no accurate reporting for injuries that occur as a result of spinal manipulation. Yet we have hundreds of victims who have suffered needless injuries due to a stroke as a direct result of a chiropractic manipulation, and they are horrible, permanent injuries and they happen to mostly young healthy people under the age of 45 years.” Focus on Alternative and Complementary Therapies (March 2010)