Wayfinding 01
May 28, 2026

Reckoning the Present, Wayfinding the Future
Danielle Reghi

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The acupuncture and East Asian profession is facing a number of critical challenges as long-established schools close, new federal guidelines on graduate education loans will dramatically change how much students can borrow, and fewer students consider a career as an acupuncturist.  

How to wayfind through these troubled times? That is the question explored in this series with practitioners, researchers, and educators in the field of East Asian medicine.

In this conversation with Danielle Reghi we follow the arc of her career from acquiring and dealing with upwards of 200K in debt, to building a multi-location practice and learning how business acumen is as necessary as clinical skills. 

She is the president of the Oregon Association of Acupuncturists. She played a key role in drafting the Oregon Acupuncture Workforce Sustainability Proposal, which considers the effect of the new RISE and AHEAD metrics from the federal government and how those affect the amount graduate students may borrow. Additionally this proposal looks at other educational options and alternative  pathways that can lead to licensure in the State of Oregon.

Any discussion of the future requires a clear eyed view of the present. You’ll get that in this conversation with Danielle, along with some innovative thinking about what’s up around the bend in the road.

In this episode, we discuss:

  • The Student Debt Crisis in Acupuncture: financial burden on new practitioners, with many graduating with over $200,000 in debt and struggling to repay it.
  • The RISE Rule and Loan Caps: New federal regulations limit student borrowing to about $20,500 per year, making current tuition models for acupuncture programs largely unaffordable.
  • The AHEAD Metrics: Programs will be evaluated based on graduate earnings; failing programs risk losing access to federal student loans entirely.
  • Proposed Bachelor’s Degree in Acupuncture: Introducing a bachelor’s-level entry point to reduce costs, expand access, and align with federal funding structures.
  • Standardizing Education within State Rules: Moving away from full reliance on national accreditors by writing Oregon-specific education standards into law.
  • Integration with Allied Health and Medical Literacy: Emphasizing the need for acupuncturists to function effectively within healthcare systems, including proper charting, billing, and communication.
  • Preserving the Acupuncture Workforce: Concerns that declining enrollment and school closures could shrink the profession and weaken its political and clinical presence.
  • Reimagining Curriculum and Reducing Unnecessary Costs: Streamlining education by focusing on essential competencies and moving non-core subjects to electives or continuing education.
  • Lifelong Learning and Stackable Education Pathways: Encouraging practitioners to enter the workforce sooner and pursue advanced degrees later through modular or continuing education.
  • The Threat of School Closures: Financial and regulatory pressures may force many acupuncture schools to shut down, risking long-term damage to the profession.
  • The Oregon Acupuncture Workforce Sustainability Proposal: A forward-looking initiative aimed at preserving the profession by creating flexible education pathways, reducing financial barriers, aligning training with workforce needs, and ensuring long-term viability of acupuncture in the state.

I’m not worried about the medicine—it has survived for thousands of years. What I’m worried about is our workforce and creating a path for those who dream of being acupuncturists that isn’t harmful or hostile to them.

Danielle Reghi, DAc, LAc

Danielle Reghi, is a licensed acupuncturist in Oregon, small business owner, and current President of the Oregon Association of Acupuncturists. She earned her Bachelor’s degree from the University of Hawaiʻi at Mānoa in 2007, her Master’s in Acupuncture and Oriental Medicine from Oregon College of Oriental Medicine in 2016, and her Doctorate in Acupuncture and Chinese Medicine from Pacific College of Health and Science in 2020.

After completing her master’s degree, Danielle volunteered in Nepal with the Acupuncture Relief Project, providing care in underserved communities. She has since built a thriving private practice in Portland, Oregon, where she specializes in pain management and fertility.

Danielle is passionate about improving access to acupuncture, advancing the profession through thoughtful policy and education reform, and helping patients achieve meaningful, lasting results through individualized care.

Links and Resources

Reach out to Danielle by email.

Read her substack at Holistically Driven.

Read the Oregon Acupuncture Workforce Sustainability Proposal.

Flourish Website this is the website where you can type in your program and see if it passes AHEAD.

 

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