In addition to changes in health care systems, should we also be worried about international accreditation as proposed by the ADA? Several states (California, Minnesota, FL) now include provisions for licensing internationally-trained dentists without further education.
California grants full approval to Universidad La Salle in Leon, Mexico, for state licensure. If this trend continues, there could be a flood of international dentists practicing in the US for us to compete with. This would certainly drive down salaries.
http://www.agd.org/library/2006/may/cover.asp
"The California Dental Board, under orders from its state legislature, also bypassed the traditional American Dental Association (ADA)-sanctioned process of accreditation, and since 2004 has independently granted full approval to a dental school program of Universidad La Salle in Leon, Mexico, for state licensure. Another program, Manipal College of Dental Sciences in Manipal, India, has applied to the California Dental Board for approval."