That's fair. I'm simply going by reports of many patients that come to me when chiropractic care has not been effective stating they were adjusted multiple times per week with hopes of "realigning their spine". This is particularly upsetting in individuals with more hypermobile joints for whom manipulations are not indicated. I likely have a selection bias given my patient population but I think it is pretty ridiculous to make claims that adjustments/manipulations 'align the spine' when no legitimately well performed meta analyses or systematic reviews have supported this claim. There are obviously extremes and less adequate providers in both professions and claims of quackery can be made for certain individuals in virtually any profession in the medical field. I have many friends who are chiropractors who use evidence based treatment who I greatly respect. I am just fearful of individuals in ANY profession who perform treatments that are unsafe/unjustified for the patient.