Episode 23 | May 4, 2026

The Three Tiers of Subluxation with James Chester

Synopsis

James Chester, host of the Cairo Hustle podcast, joins The Squadcast to discuss the biggest subluxations holding back individual practices and the chiropractic profession as a whole, drawing on lessons from nearly nine years and 1400 interviews. The conversation covers team culture within the profession, the rising cost of chiropractic education, and the case for a declaration of independence from ineffective leadership, giving practitioners a subluxation-focused look at where the profession stands and where it needs to go.

James Chester lays out a clear framework for understanding subluxation beyond a single definition, introducing three distinct tiers that shape how chiropractors think, communicate, and apply care. He explains how staying at a surface-level interpretation limits both clarity and impact, while a deeper grasp connects philosophy, clinical application, and long-term vision. The discussion brings attention to how gaps in understanding at any tier can lead to inconsistent messaging and confusion for both doctors and the public. What becomes clear is that depth of understanding directly influences depth of communication, and without it, even strong intention can fall short.

Key takeaways

1
The Profession's Biggest Subluxations
After nearly 1400 interviews, James Chester identifies the recurring flaws holding back individual practices and the chiropractic profession at large.
2
Education Costs Are Breaking Chiropractic
Roughly 75 percent of schools now teach medical manipulation without philosophy, and the ballooning cost of education is pushing new graduates away from true subluxation-based practice.
3
A Declaration Of Independence From False Leadership
Chester argues the profession needs to formally break from leadership that has failed to defend subluxation and chiropractic philosophy, and lays out a path forward.

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