Medicare claims to be reforming some of its rules in order
to get rid of unnecessary or burdensome regulations. This would revise the
requirement that a therapeutic diet be prescribed only by the practitioners
responsible for the care of the patient—a revision we agree with, since few
physicians know anything about nutrition. But it would allow only Registered
Dietitians (not Certified Nutrition Specialists, many with Master’s degrees and
PhDs, or other highly qualified nutrition professionals) to prescribe a
There is no need to create an exclusive scope of practice to
one private credentialed agency. Instead, it should be based on education and
experience. The US Department of Labor places hospital diets under the control
of both dietitians and nutritionists.
Medicare rules should follow the same guidelines.
Tell the Centers for Medicare and Medicaid Services to allow
all qualified nutrition professionals
to prescribe therapeutic hospital diets.
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Dear [Decision Maker],
Sincerely,[Your Name] [Your Address] [City, State ZIP]