Three are 285,000,000 people in the USA. There are 160,000 practicing dentsits in the USA. Therefore if the entire population participated in a life time preventative dental program through a dental office and each dentist had an equal number of patients, each dentist could generate $500,000 in billings per year by billing each patient $280 per year. From what I can gather, $500,000 in billings per year would provide a reasonable net income for the average dentist. I know that $280.00 per year per patient would be a very reasonable charge for lifetime dental care. So what is the problem of putting such a concept into play? Well, for one, dentists are not equally distributed throughout the population. Problem number 2 is that not everyone is willing or able to commit to paying even $280.00 per person per year for life time dental care. I cannot offer a solution for problem 1 except that dentists are intelligent people who choose locations in which to practice knowing the full economic potentials. Some dentists may desire to do $1,000,000 in billings while others may be happy with $250,000 in billings in exchange for what is perceived as valuable non monetary income. The second problem, I believe, could be solved by a joint ADA/Federal compact which would also have the desireable benefit of ushering the insurance companies out the door. I would propose that the Feds allow a $280.00 per person per year dental expense tax credit on federal income taxes. Such a tax credit would even apply to those having no or little income such as that now provided via the earned income tax credit. Would eveyone take advantage of such a tax credit? I don't know, but I suspect most folks would choose to apply the credit to dental care rather than leave the money in the hands of the government. Bingo, the insurance companies are now out of the picture too. The dentists, for their part, would have to agree to start providing life time dental care to patients for $280.00 per year. There would also have to be some method in place to prevent fraud and abuse. Overall, though, a strong patient/dentist relationship would be maintaied without interference from insurance companies or the governmet and dentistry could move towards a desirable goal of providing good oral health care to everyone in the nation.