The American Journal of Managed Care published an August 1, 2019 retrospective cohort study of a combination of national data of the conventional medical system for Medicare. The combined data illustrate 84,679 older adults who received chiropractic care and were enrolled in Medicare had significantly lower medical costs for spine conditions than Medicare adults who do not access chiropractic care. Patients who relocated to areas with little or no chiropractic accessibility fared worse with respect to cost of care for spine conditions. The conclusion: Among older adults, access to chiropractic care may reduce medical spending for spine conditions.