Controversial: Socialized Medicine/Dentistry in future

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Mudduck

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First of all, congrats to all of us who have been accepted thus far. For those who have not yet been, don't give up hope... it is still early in the game.
The topic of socialized medicine is one of great importance to me, as I have some strong political opinions. The future of dentistry is very exciting to me. But despite the great aspects of dentistry, such as providing a health-care service, opportunity to own and operate a small business, job security, flexibility, etc.etc.etc...., I am hesitant to believe that WE are going to have the same fair opportunities as the previous generation of dentists did. Don't get me wrong... I am ecstatic with the career choice I have made, especially now that the application process is finally over. But the threat of losing a good portion of the benefits of being a health-care provider somewhat overshadows my optimism. This topic has been discussed to some degree on other threads, but I would like to hear more opinions from some fellow 2008 students (and any others).
I know what a few of you may be saying right now: "All he cares about is making money." Let me assure you, I did not go into dentistry solely to make good money. But let me be honest, also. Wages earned was on my list of considerations when considering a career, although it was not at the top of the list. A career choice is something you have to live with for the next thirty +/- years, so I chose a career that I thought would be challenging, dynamic, and exciting enough that I would not get bored with it at age 40. Dentistry rocks as far as day in/day out routine. Other major pluses for me are the ability to spend time with my wife and kids (not working 50+ hours/week to pay off mortgage and car), ability to put my kids through college/religious endeavors, and the opportunity to have a positive impact on many people's lives in a single day. I really enjoy meeting and interacting with new people, and hopefully I will have the chance to make their life a little bit better than before we met.
With that little bit of background, the chance that someday we may all be forced to work for the government, lose control of our practices, earn a fixed wage (socialism), and pay upwards of 65% income tax (this is called sucking the will to excell out of any person with integrity) along with the rest of the country to pay for this "free health care" is somewhat discouraging to me. Yes, I will admit there are problems with our current health care system, albeit not serious as Dan Rather and Petee Jennings would like us to think. But I could NOT disagree any MORE with socialism as the answer. When government gets this involved and this authoritative, America ceases to be free.
I understand that this is a controversial topic, and I may offend some of our fellow SDNers. But my opinion is that socialized health care would be the destruction of any health care profession, as it would greatly decrease the level of patient care because the profession would be less appealing to those who would be otherwise great health care professionals, and because we all know that private industry is about four times more productive than government as far as money invested/work produced. I would like to know how you guys feel about this.
Almost every one of us will be involved with ASDA/ADA in our futures. They have some good information on the subject, and they are actively involved in lobbying against this trend. I believe you have to be a member before you can gain much access to their information, and I plan on getting involved in D-school with the ASDA on this matter.
Let me know your thoughts! :cool:

BTW: President Bush/Congress just passed a health care bill that I fear just put us one step closer to working for Uncle Sam. I believe he simply gave in to political pressure. At least the bill has some private industry incentives.

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good question ! I wanna hear the opinion from Canadian people.
 
Agreed,

The harder/smarter you work, the better your rewards should be. The thought of having to see 100 patients/day to keep my practice running due to fixed payments makes me ill.

A patient is a person, not a number. The more time and effort you're allowed to allocate to a patients needs, the better they are taken care of. A better dentist should reserve the right to charge more, in fact every dentist has the right to charge whatever they want...the way of Capitalism.

Solution : Stick together in any future events that may negatively affect our area of the healthcare profession.

PA
 
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Agreed, paulallen. We need to stick together and never allow this to happen. In my original post, I was not asserting that Prez Bush was purposely leading us to socialism. The only other man (let us be politically correct: PERSON) I would rather have in the White House to fight against socialism is Prez Reagan (eat my shorts, CBS). I know Prez Bush realizes the dangers of the Socialist movement, but it is unfortunate that politics must get in the way of America's freedoms.
 
well....you wanted a canadian opinion and you're gonna get one. In canada, all essential health services are socialized, including optometry, but excluding dentistry. Everyone on this board knows my views on this, and I really think that essential dental care should be included. Essential is the key word here! Knowing that some people cannot afford care that is deemed essential sickens me and is ethically wrong in my books.

And to the OP.....you said that private industry is much more productive than government.....does that mean to give up on govt programs and privatize everything?? With this attitude, my kids are gonna goto school where their math classes are sponsored by Taco Bell.......should we privatize the education system?? No.....instead of taking the easy road out and privatizing things, we should work on improving the efficiency of government programs......yes, it takes time, but I honestly believe over time, the system will work.

But dont worry.....there will still be non-essential services out there that people will always be willing to pay for, so we can pay off our debts, and buy our boats, cottages, and lexuses!
 
I see you are from IDAHO. Does this not say it all? LDS ( not that this is bad but it speaks miles about a persons political views ) ? Not trying to insult you if your LDS you could hold socially progressive views but it is extremely UNLIKELY. So forgive my generalizations for now.

I think if you go into dentistry for money you are going to be unhappy. Personally, I think some type of universal coverage is neccessary.

I hardly think those canadian dentists are starving considering how they come to this board and brag about their high gpas ( even though they are on a 4.5 instead of 4.0 scale ). Why would it be so hard to get in if it was so bad in Canada???

I would think in many ways you would have less patients and would be able to go slower and possibly offer a higher quality of service kinda of like military dentists currently have it if we had some sort of universal coverage. Think they have it bad? They make decent money and often work in nicer more high tech facilities than many of us ever will.

And yes keep voting for W to ensure more job growth at TACO BELL. Thats about all your going to get out of right wing socially scarry bunch like that ( excepting Powell of course, he is a moderate ).

and btw, REAGAN was a BOZO who spent an inordinate amount of time pandering to low iq neanderthals like Pat Robertson and Jerry Falwell.

And dont ever forget that when right wing nuts like John Ashcroft and Orin Hatch get involved then this country ceases to be free. Hope their power can be curbed. They are the truly scary ones. There is no extreme left in this country anyways so I always laugh when I hear people bashing "liberals". Anyone who holds any sort of CENTRIST view is labeled a "liberal". Thats why I love those northeast "liberal" republicans who are their to curb the power of the nuts in their own party.

Also its not like people in OTHER PROFESSIONS dont bust their ass as well. Hey, some people prefer not to enter health care, maybe they dont like to make thier money with their hands in a strangers mouth all day. More power to em. Lots of people who work long hours make a hell of a lot LESS money than Dentists.
Is your work more important than them? do you DESERVE more money than them per hour? Geez look at how many years in school some PHD scientists have and the number of hours they work. They arent paid poorly by any means but they certainly dont make what say an endodontist pulls in by a long shot.

Of course I'm not a canadian but since I got your political commentary you can remember that there are many who hold different political views.
 
I hardly think those canadian dentists are starving considering how they come to this board and brag about their high gpas ( even though they are on a 4.5 instead of 4.0 scale )

Sorry buddy.....in Canada, we are on the same GPA scale as you guys....cant get higher than 4.0......without a 3.8 GPA and a 19+ DAT, dont even bother applying to any Canadian dental school

Its not that we are smarter....only 2 dental schools in Ontario alone....sole reason
 
To Muddock,

You said that Bush recently passes a bill that gets us closer to socialized healthcare. What bill are you refering to? If you are taking about the new bill where private companies have a shot at bidding for medicare, how is that leading us to socialized healthcare? If anything, it is a step away from it. Now more private companies are going to be involved and less government involvement. I would think that is a step towards privatization.
Also, in general, I would not lose sleep over the possibility of healthcare becoming socialized. Doctors have a strong lobby in government. Moreover, lawyers and insurance companies would not want socialized healthcare because they are making too much money with the system being the way it is right now. And if they want it to stay this way, it will stay this way. They have a very powerful lobby, and they can make things happen. So I wouldn't worry too much about this happening.
 
The thought of having to see 100 patients/day to keep my practice running due to fixed payments makes me ill.

Me too:mad:
 
Every post I've seen on here thus far is idiotic to a greater or lesser degree.

I'll throw my hat into the mix (and chances are it will turn up idiotic in somebody else's book).

Socialized medicine is for the birds. Socialism/Communism (take your pick) were VERY close to being some great stuff, but ultimately they fell short.

Dentists do NOT deserve to make more money than anybody else, but currently we are in a position of excellent supply and demand. That is, there is a HUGE demand for our services and very little supply out there. Dentists who gripe about not making enough are lazy. There isn't anything more to the story. Lazy. LAZY.

My advice to them is to get off their lazy asses and put forth some effort. At school today, Dr. Farran (creator of DentalTown [http://www.dentaltown.com]) was our Grand Rounds speaker. I don't agree with ALL of his political viewpoints, but he sure makes a helluva speech. I do agree with MANY of his points.

He spoke on the topics of volunteerism, working hard, socialized medicine, and stupid ignorant dentists.

The latter part was what really intrigued me. The guy spent 30 minutes calling golfing dentists '*****s,' not because they golf, but because they typically golf on Saturdays. He pointed out that if they stayed in the office on Saturdays they would pull the revenue he does, and then have all day Monday to golf if they wanted. Afterall, it is MUCH easier for 99% of the population to come in for dental work on Saturdays then it is on Mondays.

But back to the point: Johndental, your views are 100% skewed (more power to you), but you are blatantly ignorant if you believe there isn't a far left voice in our country. For every staunch conservative there is a liberal lefty matching him stride-for-stride. Let's not fool ourselves with that. Your comments in that regard were a three-ringed bunch of hullaballoo.

Universal coverage is NOT necessary. Rewarding idiotic behavior with healthcare doesn't do anything but appease the masses until they can find something else to bitch, moan, or complain about.

"Hey doc, I eat 4 lbs of sugar each day and never brush, much less floss. Wanna fix my 9 cavities for me?" Hell no! I'm not fixing JACK on that patient. Why would I? So I can reward their *****ic behavior?

Bring me somebody who needs the work and who will respect the work I do, and I'll work on them. Heck, if they don't have the means for payment then I'll work WITH them to ensure that we are both satisfied. All I know is that I don't want to work on people who refuse to become educated about their own oral health. And yes, my job as a dentist IS to educate them--but once they turn a deaf ear I'm finished with them.

Universal coverage makes an already lazy American people even more lazy.
 
Originally posted by rsweeney
The thought of having to see 100 patients/day to keep my practice running due to fixed payments makes me ill.

Me too:mad:

Slight exaggeration though. It isn't even POSSIBLE to see 100 patients a day.

Your point is well taken, however.
 
Originally posted by johndental
I see you are from IDAHO. Does this not say it all? LDS ( not that this is bad but it speaks miles about a persons political views ) ? Not trying to insult you if your LDS you could hold socially progressive views but it is extremely UNLIKELY. So forgive my generalizations for now.

Wow, classic lines. I think that says volumes about how we should all treat your posts.

Geographical bias AND religious bias, all in one paragraph.

But you are right, people from Idaho (and the Dakotas) are nothing but a bunch of inbreeding hicks. Even worse if they are LDS. In that event, they'll be lucky if they ever get out from underneath the trailer and make it inside. Only then will they truly be trailer trash.
 
I doubt that dentistry will be covered by government anytime soon, even in Canada. Just look at the Canadian health system and it's apparently in financial mess. Now if they can't even satisfy the physicians, how can they expect to take over dentistry?? it will never happen unless taxes go up, which i doubt will happen as they're high already, or physicians/dentists take a cut in paycheque, which will not happen either given the amount of whining by physicians already, and the skyrocketing costs of canadian dental schools. There is just not enough $$ to go around, unless Canada sells one of its provinces or something. healthcare is a bottomless pit- it'll take them forever just to make sure every canadian has a family physician, let alone providing such expensive procedures as teeth cleaning. (i believe family doc get $54CND for a 1h physical examination. while a 1h teeth cleaning is about $170CND)

however i believe that subsidized preventive dentistry for certain populations may be beneficial. It won't cost the government as much, and more deserving people will come for hygiene services, which could be a win-win situation.

btw...i never knew that optometry is free in canada. at least not in alberta or b.c., after you've past a certain age.
 
"Hey doc, I eat 4 lbs of sugar each day and never brush, much less floss. Wanna fix my 9 cavities for me?" Hell no! I'm not fixing JACK on that patient. Why would I? So I can reward their *****ic behavior?

Gavin Ive said this to you before.....so as a doctor, you wouldnt treat a heart attack because the fat a$$ eats hamburgers and steaks all the time? Or what about a kid who jaywalks in rush hour traffic and gets hit? Or a smoker who gets lung cancer? As a healthcare provider, your job, like you said is to educate....that is all you can do and where your job stops. All you can say is, "Cut down on the hamburgers, stop smoking, etc."

You wouldnt treat kids who eat candy all day, especially after Halloween? Geez Gavin...lighten up! You're paternalistic approach to healthcare is a bit too extreme and disturbing.

btw...i never knew that optometry is free in canada. at least not in alberta or b.c., after you've past a certain age

Well in Ontario, I know you can get eye examinations every two years....it used to be all the time, but I guess people were abusing it and they changed it....you see?? Its a learning process...give it time.....unfortunately, with a bureaucracy, patience is necessary.
 
Originally posted by avingupta
Gavin Ive said this to you before.....so as a doctor, you wouldnt treat a heart attack because the fat a$$ eats hamburgers and steaks all the time? Or what about a kid who jaywalks in rush hour traffic and gets hit? Or a smoker who gets lung cancer? As a healthcare provider, your job, like you said is to educate....that is all you can do and where your job stops. All you can say is, "Cut down on the hamburgers, stop smoking, etc."

You wouldnt treat kids who eat candy all day, especially after Halloween? Geez Gavin...lighten up! You're paternalistic approach to healthcare is a bit too extreme and disturbing.

I'm gonna cover Gavin's back on this one. If, as a physician, some 400-pound 30-year-old comes into my ER having a heart attack, you bet your gluteals I'll treat him, and you can equally bet I'm going to charge him every cent I ethically can. Ditto any kid (if old enough to know better) who darts out into traffic and gets creamed, ditto any child who comes in with 18 carious lesions after Halloween, and ditto any smoker with Stage IV lung cancer.

You know why? Because their problems are nobody's fault but their own. You say our job is to treat anyone who presents, and I'll agree with you that far; but along with that treatment will come a commensurate bill, because nobody coerced these people into the poor decisions they've made, and we're doing them a huge service by halting or preventing the disease processes robbing them of health, or even of life itself.

Now, this is far too limited a space to be all encompassing, so there are exceptions to the broad strokes I've painted above. For the overwhelming majority, however, freeing people from the consequences of foolish decisions will accomplish nothing except inviting more foolish decisions.
 
In hindsite, I should have not politicized the topic so much, given the forum.


To avingupta,

You wrote:
"Everyone on this board knows my views on this, and I really think that essential dental care should be included. Essential is the key word here! Knowing that some people cannot afford care that is deemed essential sickens me and is ethically wrong in my books."

I can appreciate your compassion in wanting to ensure essential care to everyone. That would be feasible in a perfect world, with plenty of tax money to go around. What makes me "sick" is the fact that a portion of people in this country, whether American-born or not, wish to tell me that in addition to being responsible to provide health insurance for my wife and daughters, I also must provide it for the "less fortunate" in the country. Why must I be placed with that added burden. I am doing my part to ensure the health of my family. Why should I be punished for that?

You wrote:
"And to the OP.....you said that private industry is much more productive than government.....does that mean to give up on govt programs and privatize everything?? With this attitude, my kids are gonna goto school where their math classes are sponsored by Taco Bell.......should we privatize the education system??"

No I do not think we should get rid of all government programs. But we should definitely allow the option to attend private education along with the public education rebate. Why is a portion of the government so afraid of private education? Because they know that the level of learning is much more efficient at less of a cost to the student. The option should be available to all Americans. It is up to each individual whether they will attend public or private.

You wrote:
"But dont worry.....there will still be non-essential services out there that people will always be willing to pay for, so we can pay off our debts, and buy our boats, cottages, and lexuses!"

So what procedures do YOU consider essential dentistry? Will you be able to give the same preference for the required essentials as you would for the non-essential services?

When I was a kid, my parents were very poor. My siblings and I were raised on welfare, so I have seen first hand how that system works. None of us have any irreversible condition or severe trauma from not getting medical attention when needed. My Dad was an auto mechanic with no education and worked very hard to pay the bills. We recieved eviction notices a couple of times, and food was scarce. But he never gave up, and was always able to pay the medical/dental bills, although it was a struggle. Now he has worked himself into a good management position at a Federal facility. My point in telling this is that MOST of us have a fair shot at life. We can come from meager beginnings, like myself, and decide that we are going to improve our current situation by working hard and being persistant. I did not wish to rely on the government my whole life, and I never expected someone else to pick up the tab.

We had a great family dentist who was willing to work out special payment plans, and provided some procedures to us at a discount rate because he was aware of our situation. He did this out of compassion for a family struggling to make ends meet. I want to be able to do that also, but I want to do it out of true compassion, not because I am forced to by my government. I think welfare programs play an important role in our country. There are people that honestly need it. Unfortunately, there are many who abuse the system, too. But all-out socialism is not the answer.
 
To johndental,

You said,

"I see you are from IDAHO. Does this not say it all? LDS ( not that this is bad but it speaks miles about a persons political views ) ? Not trying to insult you if your LDS you could hold socially progressive views but it is extremely UNLIKELY. "

Yes, john I am from Idaho, and I am LDS. I do not hold very many "progressive views" because I am pretty pleased with my country's Constitution, and do not wish to rewrite it. So... since I AM LDS and I DO NOT hold progressive views, now do you wish "to insult me?" Hey, where are the tolerance police when a religious boy from Idaho needs them???

You said:

"I think if you go into dentistry for money you are going to be unhappy. "

Actually, I thought I did a good job of describing WHY I love dentistry. I completely agree: if you go into any profession solely for the $, then you are in for a long ride. I think it would make dental school so much tougher, too. But I included many reasons why I am going to be a dentist. Obviously, I was not clear enough on the subject. I chose dentistry (rather it chose me) because it intrigued me. I know it is going to be "challenging, dynamic, and exciting enough that I would not get bored with it at age 40. Dentistry rocks as far as day in/day out routine. " I love serving others and making a difference in people's lives. I simply love dentistry.

You said:

"...higher quality of service kinda of like military dentists currently have it if we had some sort of universal coverage. Think they have it bad? They make decent money and often work in nicer more high tech facilities than many of us ever will."


But I do not wish to work for the government. I wish to work for myself. I was not aware that this is a crime in our country. I have some good friends that are, and some who are considering, doing the military thing. Excellent. More power to them! But that is not the road I wish to go down, and I absolutely do not wish to be forced down that road.

You said:

"Also its not like people in OTHER PROFESSIONS dont bust their ass as well. "

Exactly my point!!! Once the "CENTRISTS" succeed in socializing medicine, they will not even pause to breath. They will commence to make the argument that it is not fair to the health care professionals that they be the only ones forced to work for the government. If doctors have to work for Uncle Sam and be placed under a salary cap, then why not CEOs. And if CEOs must be, then why not restaurant owner/operators? They will simply make the argument that since doctors have to live by this rule of government, it is only fair that ALL workers in every profession be placed under this rule. The result = Agenda Accomplished: the beacon of democracy is now a Socialist nation.

I never said that only I, as a dentist, will work my butt off, and so I should be the only professional exempt from socialism. Not at all!!! I think every able-bodied person in this country has the capability of working just as hard, or even harder than, myself and therefor every person in this country should be exempt from socialism. I simply kept the topic narrowed on dentistry because this is specifically a dental forum.

You said:

"Lots of people who work long hours make a hell of a lot LESS money than Dentists.
Is your work more important than them? do you DESERVE more money than them per hour? Geez look at how many years in school some PHD scientists have and the number of hours they work. They arent paid poorly by any means but they certainly dont make what say an endodontist pulls in by a long shot."

I NEVER even suggested that only I should be paid well, and that only MY work is valuable to this country. Please do not put words in my mouth/keyboard simply to suppliment your rants. Look, for me this is much more about who I am going to be working for the rest of my life. I do not want to be the government's gimp!

But I do agree wholeheartedly with you on the issue of PHDs. They deserve much more recognition and compensation for their efforts. But please make note; the PHDs who work under the government are compensated much less than most of the PHDs working for private industry. Just an observation.
 
Wow gavin, pretty adamant with your views? I like that.
Tough topic though, here?s my take. Canada has good ideas, the United States has good ideas. Both systems could stand to be improved. Socialism is not the answer, and would likely never work in the US. Dentistry is a great profession, and one of it?s best benefits is the ability to do whatever you want with your degree.
 
Just wanted to through in my two cents.

First think about the difference between government provided services and government produced services. By providing the government pays for the services i.e. medicaid/care. Producing entails owning/employing the means of production i.e. the dentist. Which is better is a not an argument that has been settled that I know of, and so is really a personal/national preference.

In the gov. production case there can be a few problems that I haven't heard mentioned prior. Shirking. When you own your buisness any misspent money, down time, waste of supplies comes out of your paycheck. When you are employed, unless your paycheck is tied to prefromance (which is doable) and use of supplies (seems a little harder), the incentive to be thrifty is reduced. Price. Think of price as not just money but time, quality of work, and anything else you value. It would be nice if somebody from Cananda could confirm or rebut this but are there wait times in Cananda to have certain medical procedures done? I have heard that there are but have not seen any hard evidence.
Another thing to consider is abuse of a free service. If there is no cost to you to see a health care provider it is likely that you will seek health care more often. On the other hand this might be counteracted by a copay system.

In the end this post sounds like I'm against care for people who can't afford it. Actually I am for it even if the cost is high. I don't think people are entitled to much including dental care, but as a person and a dentist I think it would be valuable to have access to basic care for everyone.

Just for entertainment what about this solution.
Price discrimination. Doesn't sound good at first but keep reading.
When you fly home for the holidays or to Cancun for the break look at the person sitting in front of you. Did they pay the same price as you for thier ticket? Not likely. Does it make you mad? Probably not. Why not have a similar pricing scheme for people who can't afford the standard fee?
 
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