dental ethics question...

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

SMW83

Membership Revoked
Removed
15+ Year Member
Joined
Dec 17, 2003
Messages
355
Reaction score
0
Points
0
Age
42
Website
groups.yahoo.com
  1. Pre-Health (Field Undecided)
Advertisement - Members don't see this ad
I know that at a hospital, they cannot legally turn you away and refuse treatment because of a patients inability to pay upfront or the patients situation that renders them with no insurance.

So can an oral surgeons office legally refuse treatment of wisdom teeth removal and turn away an individual simply because of the inability to pay for the costs upfront or the situation of having no dental insurance?

I would like to know in case they try to say I hafta pay upfront so I can call them on their bluff or not?? I tried asking the receptionist, but got the same reply of having to pay upfront for the costs....??????????
 
SMW83 said:
I know that at a hospital, they cannot legally turn you away and refuse treatment because of a patients inability to pay upfront or the patients situation that renders them with no insurance.

So can an oral surgeons office legally refuse treatment of wisdom teeth removal and turn away an individual simply because of the inability to pay for the costs upfront or the situation of having no dental insurance?

I would like to know in case they try to say I hafta pay upfront so I can call them on their bluff or not?? I tried asking the receptionist, but got the same reply of having to pay upfront for the costs....??????????

like many other privately owned businesses, the owner can refuse service.
 
SMW83 said:
I know that at a hospital, they cannot legally turn you away and refuse treatment because of a patients inability to pay upfront or the patients situation that renders them with no insurance.

This is for emergency care only. They will not give you a free prescription for your cialis. What you're talking about is socialized medicine.

SMW83 said:
So can an oral surgeons office legally refuse treatment of wisdom teeth removal and turn away an individual simply because of the inability to pay for the costs upfront or the situation of having no dental insurance?

Yes, as a dentist or specialist you can refuse to treat anyone who is not a patient of record, even if it is an 'emergency'. In addition, third molar extractions are generally not emergent, and if they are it's not going to be done in a dental office.

SMW83 said:
I would like to know in case they try to say I hafta pay upfront so I can call them on their bluff or not?? I tried asking the receptionist, but got the same reply of having to pay upfront for the costs....??????????

Yes, you pay up front.
 
SMW83 said:
I know that at a hospital, they cannot legally turn you away and refuse treatment because of a patients inability to pay upfront or the patients situation that renders them with no insurance.

So can an oral surgeons office legally refuse treatment of wisdom teeth removal and turn away an individual simply because of the inability to pay for the costs upfront or the situation of having no dental insurance?

I would like to know in case they try to say I hafta pay upfront so I can call them on their bluff or not?? I tried asking the receptionist, but got the same reply of having to pay upfront for the costs....??????????

It's funny you named this thread "dental ethics." What about the ethics of trade? Of course you have to pay for services rendered. Would you walk into a store and expect free goods simply because you can't afford them?
 
This forum really isn't for handing out medical advice. You really should call and dicuss this with your dentist/oral surgeon.

There may be options available if you can not afford the upfront costs of having your 3rd molars extracted. Your dentist/oral surgeon should be able to help you make financial arrangements appropriate to your situation.
 
lgreen_aci said:
This forum really isn't for handing out medical advice. You really should call and dicuss this with your dentist/oral surgeon...


True, SDN is not a place to seek medical advice, but the OP is seeking clarification if dental practitioners can refuse service based solely on ability to pay.

Unfortunately for the OP dentists and other dental specialists can refuse treatment based on a patient's ability to pay.
 
Why would you ask this if you actually intended on paying? How is it different from walking out of a restaurant without paying? If you don't pay, your bill is usually turned over to a collection agency.
 
toofache32 said:
Why would you ask this if you actually intended on paying? How is it different from walking out of a restaurant without paying? If you don't pay, your bill is usually turned over to a collection agency.

So true, so true. I'm shocked at how many of my own patients in school try to weasel me into a better price, or giving them their services for free. As if I have anything to do with that.
 
SMW83 said:
I know that at a hospital, they cannot legally turn you away and refuse treatment because of a patients inability to pay upfront or the patients situation that renders them with no insurance.

So can an oral surgeons office legally refuse treatment of wisdom teeth removal and turn away an individual simply because of the inability to pay for the costs upfront or the situation of having no dental insurance?

I would like to know in case they try to say I hafta pay upfront so I can call them on their bluff or not?? I tried asking the receptionist, but got the same reply of having to pay upfront for the costs....??????????
Yes, everybody in America is required to give you (not everyone, just you) anything you need and/or want, and they have to do it for free if you don't feel like paying for it. You lucky devil.


🙄
 
aphistis said:
Yes, everybody in America is required to give you (not everyone, just you) anything you need and/or want, and they have to do it for free if you don't feel like paying for it. You lucky devil.


🙄

beat me to the punchline!ha
 
Advertisement - Members don't see this ad
any doctor can refuse treatment if the PT cannot pay for it. the only exception is with emergencies. and it sounds like you dont have an emergency or else u wouldnt be asking us. so yea u have to pay or u can look for another OS.
 
burmafrost said:
any doctor can refuse treatment if the PT cannot pay for it. the only exception is with emergencies.

You do not have to treat an emergency patient (or any other) unless it is a 'patient of record'. In addition, once treatment is begun, you cannot discontinue treatment (with some exceptions) until it is finished. (These are California rules. They may be different in other states.)
 
drhobie7 said:
You do not have to treat an emergency patient (or any other) unless it is a 'patient of record'. In addition, once treatment is begun, you cannot discontinue treatment (with some exceptions) until it is finished. (These are California rules. They may be different in other states.)
Generally, patients of record can be dismissed from your practice but there are some medicolegal steps to prevent a claim of "abandonment." I think it involves things like notifying the patient in writing and still offering emergency treatment for 30 days while they find another place to go. At least that's what I've read in some of those throwaway Practice Management journals that have somehow gotten my address.
 
what exactly is a "patient of record"? and how may it apply to me?

Also where would I look up the other states laws on the subject matter?
 
SMW83 said:
what exactly is a "patient of record"? and how may it apply to me?

Also where would I look up the other states laws on the subject matter?

don't be a weasel!!! 👎

if you get dental service PAY for it. If you cannot afford it ask for a payment option. If you don't want to go to a dental school clinic or community clinic.

but don't try to get out of paying for professional services.
 
A "patient of record" is someone who has already been to the office before. This is different from the low-lifes and crack-****** who only show up when they have a problem, but never return for maintenance care. Does this description include you?

Do you also drive off from gas stations without paying for your gas? Or walk out of restaurants without paying the bill?

Just out of curiosity, what line of work are you in now?
 
SMW83 said:
what exactly is a "patient of record"? and how may it apply to me?

Also where would I look up the other states laws on the subject matter?

You are not a patient of record. Oral Surgeons don't typically have "regular" patients. They cut you open, grab what they're after and send you packing.

But what is it you're after? Are you looking for a way to get out of this without paying? There are dentists who are open to more uhhhh... unconventional payment methods. Click Here
 
In California a patient of record is someone who has been examined or advised regarding his/her condition. This can happen before you present them with a treatment plan and have them sign any documents. In fact, if you are at a social event and give someone advice about a tooth, and they take that advice and something negative results, you can be held liable even if you never saw the person in your office. Giving advice about a person's condition can be sufficient to establish someone as a 'patient of record'. Therefore, it's a good idea to not give specific advice unless you perform a thorough examination like you would with any new patient. You can however say general things about indications for a crown, extraction, and whatnot.
 
toofache32 said:
A "patient of record" is someone who has already been to the office before. This is different from the low-lifes and crack-****** who only show up when they have a problem, but never return for maintenance care. Does this description include you?

Do you also drive off from gas stations without paying for your gas? Or walk out of restaurants without paying the bill?

Just out of curiosity, what line of work are you in now?

no I am not a low life or a crack ***** that only shows up when I have a problem, I pay for my gas for my car, and I pay for my food, I also pay my bills and a $400 mortgage payment per month, all on a $7.50/HR job....

anything else you would like to know in your personal attack?
 
I was thinking of different ways I could pay for the procedure anyways. Maybe I can get some credit cards with beginner credit and max them all out to pay for the procedure.....
 
Advertisement - Members don't see this ad
SMW83 said:
no I am not a low life or a crack ***** that only shows up when I have a problem, I pay for my gas for my car, and I pay for my food, I also pay my bills and a $400 mortgage payment per month, all on a $7.50/HR job....

anything else you would like to know in your personal attack?

If you have a house, why don't you take out an equity line and pay for the procedure with that? It'll be cheaper than maxing out your credit cards. Also, if there any dental schools in your area, it'll be cheaper there as well. They might even have a student discount.
 
crazy_sherm said:
If you have a house, why don't you take out an equity line and pay for the procedure with that? It'll be cheaper than maxing out your credit cards. Also, if there any dental schools in your area, it'll be cheaper there as well. They might even have a student discount.

would I be able to do that even if the loan isn't in my name? (its a VA loan so its in my BF's name)

and what if I have no credit? (which is the worst credit to have, even with bad credit you still have credit)
 
SMW83 said:
would I be able to do that even if the loan isn't in my name? (its a VA loan so its in my BF's name)

and what if I have no credit? (which is the worst credit to have, even with bad credit you still have credit)

Are you seriously asking us to answer these questions for you? 🙄
 
WildcatDMD said:
Are you seriously asking us to answer these questions for you? 🙄


well I am new at this and never had the procedure done, so cut me some slack
 
SMW83 said:
well I am new at this and never had the procedure done, so cut me some slack

Don't sweat it. Next time you have your wisdom teeth out you will be better prepared.

I have seen wisdom teeth grow back in as little as 9 months so it is possible you will need them extracted again within a year or two. You might want to account for that in your planning.
 
All we can do from a dentist's perspective is to tell you about the procedure you need, risks & benefits of having it done, and the cost. After that, it is up to you on how you want to pay for it, and there are many options - cash, check, credit card, or a patient financing program like CareCredit or CitiHealth.

We are dentists, not bank loan specialists. The office didn't do anything wrong when they asked you to pay upfront. They told you the cost, how you come up with the money is none of their concern. Whether you borrow the money from grandma or refinance your house or max out your credit card is your financial situation, it is not a problem of the dental office.
 
http://www.carecredit.com/

That may be a really great option for you. I just got a job at a dental office and they offer that method of payment to their patients, I had never heard of it before.
 
Sk8aBull said:
http://www.carecredit.com/

That may be a really great option for you. I just got a job at a dental office and they offer that method of payment to their patients, I had never heard of it before.


do you know of any patient financing options out there that will grant you a loan for dental work regardless of credit?
 
SMW83 said:
do you know of any patient financing options out there that will grant you a loan for dental work regardless of credit?

No. Remember, a loan must be repaid, and credit is a measure of one's ability to repay a loan. Banks and lending agencies are there to make money, period, and they take a risk when they loan money out to you. Your credit score is basically an assesment of your risk for defaulting on a loan.
 
There is a natural payment plan you have available...extract 1 tooth at a time. 🙂
 
Advertisement - Members don't see this ad
SMW83, when it was time to have my wisdom teeth extracted, I couldn't afford it either. We had insurance but it only covered about two-thirds of the cost. I made payments toward my procedure for about 7 months before actually having the procedure done.

If you can wait to have it done you can pre-pay for it like I did.
 
La Miraflorina said:
It's funny you named this thread "dental ethics." What about the ethics of trade? Of course you have to pay for services rendered. Would you walk into a store and expect free goods simply because you can't afford them?

That's an incomplete analysis of the issue. Do you really want free trade? Be careful what you wish for. The fact that dentists have a state protected monopoly over the profession is antithetical to truly free trade.

Do you owe anything to the people for granting you a protectionist a license to exclude others? Why not get rid of governmental licensing altogether? You'll probably say that it's for the good of the people. But it's certainly NOT good for their wallets (but it's good for yours). And it's pretty clear that private sector verification and endorsement schemes could arise. The ADA already exists, and companies that endorse you based on some set of criteria would pop up all over the place. People who wanted to be taken care of by certified/endorsed/whatever dentists could pay more. People who wanted to be taken care of by uncertified dentists could pay less.

What are the people getting in return for insulating dentists from increased competition? If they're not getting anything, maybe they should take back what they gave you. And those sorts of scenarios aren't entirely far-fetched. Nurse anesthetists have been creeping up on anesthesiologists' territory for a while. Clinical psychologists are mounting a challenge to psychiatrists in terms of prescription writing capabilities. And some industries that are critical to health and safety (e.g. car brake system mechanics) don't have to be licensed at all.

So, no, I would not walk into a store and expect free goods simply because I can't afford them. However, if I gave that store a license that excluded competition and drove up prices such that some people could no longer afford them, I would ask what I'm getting out of the deal.
 
crazy_sherm said:
If you have a house, why don't you take out an equity line and pay for the procedure with that? It'll be cheaper than maxing out your credit cards.

Look at her age: 22. How much equity could there be? And you're forgetting points and fees. It would be incredibly expensive to establish a line of credit for some dental work.
 
SMW83 said:
do you know of any patient financing options out there that will grant you a loan for dental work regardless of credit?

Banks will sometimes give you a signature loan. That's a loan that's an unsecured loan. Typically they have somewhat high interest rates and require reasonably good credit over a few years.

Some employers have emergency loan programs.
 
mdub said:
That's an incomplete analysis of the issue. Do you really want free trade? Be careful what you wish for. The fact that dentists have a state protected monopoly over the profession is antithetical to truly free trade.

Do you owe anything to the people for granting you a protectionist a license to exclude others? Why not get rid of governmental licensing altogether? You'll probably say that it's for the good of the people. But it's certainly NOT good for their wallets (but it's good for yours). And it's pretty clear that private sector verification and endorsement schemes could arise. The ADA already exists, and companies that endorse you based on some set of criteria would pop up all over the place. People who wanted to be taken care of by certified/endorsed/whatever dentists could pay more. People who wanted to be taken care of by uncertified dentists could pay less.

What are the people getting in return for insulating dentists from increased competition? If they're not getting anything, maybe they should take back what they gave you. And those sorts of scenarios aren't entirely far-fetched. Nurse anesthetists have been creeping up on anesthesiologists' territory for a while. Clinical psychologists are mounting a challenge to psychiatrists in terms of prescription writing capabilities. And some industries that are critical to health and safety (e.g. car brake system mechanics) don't have to be licensed at all.

So, no, I would not walk into a store and expect free goods simply because I can't afford them. However, if I gave that store a license that excluded competition and drove up prices such that some people could no longer afford them, I would ask what I'm getting out of the deal.
What you're getting is a third-party guaranteed minimum quality from the products & services being provided to you, in a scenario where you as a consumer have essentially zero knowledge and have no way to corroborate or debunk the store's claims.

This is a nice-sounding doomsday scenario, but it conveniently forgets the whole point of government licensing in the first place. 🙄
 
mdub said:
That's an incomplete analysis of the issue. Do you really want free trade? Be careful what you wish for. The fact that dentists have a state protected monopoly over the profession is antithetical to truly free trade.

She didn't say anything about "free" trade. You started this silly little tirade all on your own.

What are the people getting in return for insulating dentists from increased competition? If they're not getting anything, maybe they should take back what they gave you.

First of all, there is plenty of competition within the field of dentistry. Look at the amount of money spent on dental advertising; this is because in most populated areas dentists are fighting tooth and nail to attract new patients. With few exceptions, dentistry is NOT a field where you just hang out your shingle and are busy from day one.

Second, people are getting plenty in return for allowing dentistry to be a licensed profession. Dental work is relatively benign BECAUSE it is done by trained professionals. We have the potential to inflict serious damage on our patients. People DIE in the dental chair even under the best circumstances; it is rare but it happens. If we just opened up the profession and did away with DEA licensure it would be absolute mayhem. All kinds of bad things would start happening in dental chairs - infections, drug reactions, surgical mishaps, etc... It would not be a pretty picture.

What the people are getting is protection in knowing that their dentist has met minimum technical and academic standards. They know their experience may not necessarily be pleasant, but they feel confident that it will be safe.

So, no, I would not walk into a store and expect free goods simply because I can't afford them. However, if I gave that store a license that excluded competition and drove up prices such that some people could no longer afford them, I would ask what I'm getting out of the deal.

Are you suggesting that dentistry is overpriced? And of course this is because dentists earn too much? Dentistry is a bargain. People who say they can't afford dentistry now still couldn't afford dentistry if the dentist volunteered to take a 50% paycut.

Let me break this down for you. A typical dental patient spends an average of $200 / year. A typical profit margin for a dental practice is 30% - so of that $200 the typical dentist gets $60. Now he has volunteered to cut his pay by half so he only needs to make $30 on the work. The patient is now paying $170.

$200 vs $170. Not much difference is there? I promise you the patient who whined and moaned about the $200 is still going to be whining and moaning about the $170.

The patient saves $30, but who is now going to give up nearly a decade of their life without pay and invest a half million dollars ($150,000 for school, $350,000 for a cheap practice) just to get a $60,000 a year job? You want to talk about underserved dental needs. You'd have to travel out of state to find a dentist under those circumstances.

Now let's say we completely delicense the profession and open it up to anyone who will meet infection control and materials standards; the average salary for a dentist drops from $120,000 to $40,000 - a mere third of what it was prior to your scenario. The patient who was paying $200 for his work is now paying $160. WOW! he saved $40 and all he had to was put his health in the hands of some ***** who bought a handpiece on ebay.

I can't believe I just spent my time replying to that. 🙁
 
Wait. I just said the same thing as Bill. Except he said it in 2 lines instead of a page and a half of drivel. Doh. 😀
 
aphistis said:
What you're getting is a third-party guaranteed minimum quality from the products & services being provided to you, in a scenario where you as a consumer have essentially zero knowledge and have no way to corroborate or debunk the store's claims.

I answered that. Private-parties can -- and do -- offer accreditation and licensing without government aid. Virtually all universities are accredited by private parties. Several bodies accredit mechanics. Computer technicians are in the same boat.

It's obviously true that markets require good information to work properly. But there is no need for the government to provide that information. Private parties love ranking, rating, and accrediting things.

This is a nice-sounding doomsday scenario, but it conveniently forgets the whole point of government licensing in the first place. 🙄

No. I specifically addressed the issue of government licensing. I also specifically noted that responsibilities arise from protectionism when the people grant them in the first place. When your license is at the will of the people, you have more responsibility than a situation in which you a privately licensed, accredited, or verified.
 
12YearOldKid said:
She didn't say anything about "free" trade. You started this silly little tirade all on your own.

When I ask if "you" really want free trade, I'm including more than just a specific person. I am speaking more broadly to the people on this board. Lots of people run around on here as though they're robber barons who "deserve" certain economic rewards. Maybe they do. But when the public grants a benefit to others, there are concomitant responsibilities. I don't see anyone mentioning those. That's a little troubling.

First of all, there is plenty of competition within the field of dentistry.

But there is less than there would be if the government didn't protect the industry with licensing.

Look at the amount of money spent on dental advertising; this is because in most populated areas dentists are fighting tooth and nail to attract new patients.

And they'd have to fight harder if they didn't have a license requirement.

Second, people are getting plenty in return for allowing dentistry to be a licensed profession. Dental work is relatively benign BECAUSE it is done by trained professionals. We have the potential to inflict serious damage on our patients.

Right. But people are also denied the opportunity to take more risk to save themselves money.

If we just opened up the profession and did away with DEA licensure it would be absolute mayhem. All kinds of bad things would start happening in dental chairs - infections, drug reactions, surgical mishaps, etc... It would not be a pretty picture.

I doubt that. Private licensing and accrediting programs would pop-up. TV news stations would warn people that they are taking a risk by going to an unaccredited/unlicensed dentist. I do agree that more bad things would happen. The question is whether those bad things would outweigh increased access to dental care.

Are you suggesting that dentistry is overpriced?

Relative to a free market, yes, dentistry is overpriced. That same conclusion applies to the medical field, the legal field, and any other field in which the government protects the industry but doesn't impose caps on payment. That's not a moral judgment or anything like that. It's simple economic truth.

And of course this is because dentists earn too much?

It's a simple result of supply restriction.

Dentistry is a bargain. People who say they can't afford dentistry now still couldn't afford dentistry if the dentist volunteered to take a 50% paycut.

A reduction in cost would lead to more "units of dentistry" being sold. You could ask how many more would be sold, but there's no question that more would be sold.

$200 vs $170. Not much difference is there?

It's a 15% price reduction. That's meaningful at the margins.

I promise you the patient who whined and moaned about the $200 is still going to be whining and moaning about the $170.

Whining and moaning isn't the issue. The issue is whether they would whine and not get care or whine and get care.

In an environment of increased competition, your profitability numbers would also change. One could, for instance, run a hygiene clinic with proportionately less overhead than a full-service dental clinic. The dentist would become sort of like a specialist to whom patients are referred. That would mean there would be the option of saving more than $30.

Now let's say we completely delicense the profession and open it up to anyone who will meet infection control and materials standards; the average salary for a dentist drops from $120,000 to $40,000 - a mere third of what it was prior to your scenario. The patient who was paying $200 for his work is now paying $160. WOW! he saved $40 and all he had to was put his health in the hands of some ***** who bought a handpiece on ebay.

The patient doesn't have to. The patient can still choose to go to a better dentist, one who has all sorts of high tech toys and cutting edge training. The issue is whether patients should be prevented by the government from seeking lower quality care.

My point, in short, is that many of you act quite inconsistently when you appeal to the rhetoric of capitalism and free trade and ignore the public protection your field enjoys. With that protection comes some level of duty to the public. After all, even lawyers do pro bono work on occasion.
 
mdub said:
...The issue is whether patients should be prevented by the government from seeking lower quality care.
Not to state the obvious, but this is a public safety issue. The guv'ment has a duty to protect the public. One of their ways is to guarantee a minimal level of competency. Did you also vote against the seat-belt laws?

mdub said:
...My point, in short, is that many of you act quite inconsistently when you appeal to the rhetoric of capitalism and free trade and ignore the public protection your field enjoys. With that protection comes some level of duty to the public. After all, even lawyers do pro bono work on occasion.
All dentists do a certain amount of free work. It happens every time a patient doesn't pay their bill.
 
Advertisement - Members don't see this ad
toofache32 said:
Not to state the obvious, but this is a public safety issue.

So is not getting care at all.

One of their ways is to guarantee a minimal level of competency. Did you also vote against the seat-belt laws?

How old do you think I am? Seat belt laws were around before I could even reach the peddles, much less vote.

But, to answer the substance, I don't really support seat belt laws for adults. I would wear a seat belt anyway because it's a virtually costless way of getting a nice benefit -- i.e. greatly reduced risk of dying or getting mangled. Were I king of the world, I'd happily get rid of seat belt laws with the proviso that not wearing a seat belt prevents the non-wearer from receiving government funded aid (e.g. disability, Medicare & Medicaid) that would otherwise arise from the crash. But the seat belt issue is a little different in that requiring seat belts doesn't impose any big costs on anyone. They're a little uncomfortable for some, and that's about it.
 
mdub said:
So is not getting care at all.
So dangerous care is better than no care? "First Do No Harm."

By the way, I understand what you're saying....I'm just playing the Devil's Advocate.
 
toofache32 said:
So dangerous care is better than no care?

There's risk in everything. We could make cars much safer by building them like armored vehicles and lining the insides with airbags. We could make dentistry safer by requiring that every patient be attended to by at least two dentists both of whom are trained in emergency medicine.
 
mdub said:
There's risk in everything. We could make cars much safer by building them like armored vehicles and lining the insides with airbags. We could make dentistry safer by requiring that every patient be attended to by at least two dentists both of whom are trained in emergency medicine.
That didn't answer the question. And I doubt there is really a way to know the answer anyway.
 
toofache32 said:
That didn't answer the question.

Of course it doesn't. "Dangerous" is terribly vague. What's "dangerous"? I don't know. It's your word. Obviously, not all "danger" is equal. I picked "risk" because that doesn't depend on your interpretation of a particular term.
 
mdub said:
Of course it doesn't. "Dangerous" is terribly vague. What's "dangerous"? I don't know. It's your word. Obviously, not all "danger" is equal. I picked "risk" because that doesn't depend on your interpretation of a particular term.
Are you sure you're not a former President from Arkansas?
 
mdub said:
Of course it doesn't. "Dangerous" is terribly vague. What's "dangerous"? I don't know. It's your word. Obviously, not all "danger" is equal. I picked "risk" because that doesn't depend on your interpretation of a particular term.
I think he defined it pretty well in his prior post. Nonmalificence is one of the bedrock principles of our profession, and by receiving substandard "treatment" from an incompetent clinician, a patient can very easily end up in worse shape after than before. Primum non nocere.

This is all stuff you start learning about once you start dental school. 😉
 
I always tell my patients that if they want cheap dentistry they can always head south to Mexico. I also tell them that after their mouth is messed up by the "dentistas" then I am more than happy to fix it at my originally quoted price (and then some). People always have options for dental care, whether it be full mouth reconstruction or palliative care. To decrease the monetary recompense Dentistry has to offer would only decrease the pool of qualified applicants for the profession. I can guarantee you that I would not have gone the Dental route had I not had the future earning power to repay my massive student loans and live a comfortable lifestyle on top of that.

PS- I don't know about other people but I always seem to find that the patients that can't afford the treatment are the same people that still have a cell phone and designer shoes. Its all about priorities.

PPS- I know of many dentists/OS that, rather than lowere their prices, choose to donate their time or perform procedures for free in an effort to give back to the community. So please do not paint the entire profession as money-grubbing and heartless.
 
mdub said:
Do you owe anything to the people for granting you a protectionist a license to exclude others? Why not get rid of governmental licensing altogether? You'll probably say that it's for the good of the people. But it's certainly NOT good for their wallets (but it's good for yours). And it's pretty clear that private sector verification and endorsement schemes could arise. The ADA already exists, and companies that endorse you based on some set of criteria would pop up all over the place. People who wanted to be taken care of by certified/endorsed/whatever dentists could pay more. People who wanted to be taken care of by uncertified dentists could pay less.

don't forget the cable and telephone companies have a monopoly, sure there is direct tv but not exactly the same, should we have 10-12 cable and telephone wires running down the streets, that would look awesome!
 
Periogod said:
.

PS- I don't know about other people but I always seem to find that the patients that can't afford the treatment are the same people that still have a cell phone and designer shoes. Its all about priorities.

That is true. But I wear $3 flip flops from Wal-Mart, if they would qualify for designer shoes...... 😎
 
Advertisement - Members don't see this ad
Top Bottom