From a slightly different perspective, where fee for service is an issue with your question, in Ontario there is no provision for lower-income people to access chiropractic care and have it funded, since funding was withdrawn in 1994. That makes it difficult when you're looking after a population stuck at home, perhaps in poverty.
There are experimental clinics in many loci, as Dr. Haggie mentioned, where we're doing a salary-based approach that is covered by local associations, and you have a multi-disciplinary approach. That has had terrific reviews from the seniors and chronic-care patients. We're in the midst of work on a project in Nunavut as well--a multi-disciplinary project for that community. But again, the projects are not interconnected, they have not yet become the norm, and fees are a problem.