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'while there may be Osteopaths in all 50 states, they are more prevalent in some areas than others. There is, or was at least back in the 1970's, a fairly good-sized hospital of them in the Miami, FL area. They were, and I assume still are, well-respected down there. Here In New Jersey, it's a bit of a different story. There used to be a Osteopathic Hospital in Bergen County, which is just this side of the George Washington Bridge. Back in the early 1970's one of the senior Doctors on the staff was discovered by another Doctor to have an unusual amount of the drug Curare in his locker. To make the story short, he was found to have murdered 12 or 30 or some high number of patients. The New York Times broke the story and it became national news. Then the hospital, a small one, shut down. This all hurt that profession's reputation in this state. Looking through my health plan's provider directory, it looks like there is one D.O. out of about 170 neurologists and neuro surgeons. Some specialties have about 5% D.O.'s, but neurology isn't real big with them here. One specialty where you do find them is Orthopedic Surgery, which would be hard to fake. I also notice at least a few on the staffs of most of the states major medical centers.