saturated

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I feel like the childfree population is definitely growing. The idea that everyone has to have kids is outdated. Kids are a big responsibility, not everyone can handle it. I don’t see kids in my future. There’s nothing wrong with that, imo it’s better to not have kids at all than be a lackluster parent.


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Also good for the planet. A nation with a stable population is a happy nation; less wealth gaps, less homeless people, less crime, high morals, good government, etc.

I was born in a country that ranks #2 in the world in fertility rate. It’s very chaotic; the government is weak and can’t keep with the demands a fast growing population, 1 bad rain-season away from a famine, high corruption, infant mortality is high, life expectancy is low, etc. The opposite would be ideal.


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The trend is more visible in urban areas, not so much in suburbs and rural communities. If you took a snapshot of communities in 1980 versus 2020; families are much smaller (more pets are in family pictures today), people are more financially liberated (more jobs), people are more informative (due to the internet and technology), their lives are less dictated by their church and communes, people listen more to people they work with or with similar goals and interests, etc. This is the future, whether one agrees with it or not. There will always be people who choose to go to church every Sunday and want to have big families, but their kids will eventually break that cycle. Even for new immigrants, they are naive to think their kids will preserve their language and culture for many generations to come - little do they know that all international communities will eventually become fully assimilated - as they say, America is the graveyard of all foreign cultures. How many Italian-Americans speak the Italian language? How many Jewish-Americans speak Hebrew? It’s inevitable.


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Studies show that in 3 generations, the descendants of immigrants become completely americanized and completely lose the identity of the country their relatives immigrated from.
 
I feel like the childfree population is definitely growing. The idea that everyone has to have kids is outdated. Kids are a big responsibility, not everyone can handle it. I don’t see kids in my future. There’s nothing wrong with that, imo it’s better to not have kids at all than be a lackluster parent.


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I dont see kids in my future either. Personally, I think a lot of people regret having kids but would never possibly admit it. Everyone keeps telling me I'll change my mind as I get older, but the older I get the more confident I am it's not for me
 
....... Even for new immigrants, they are naive to think their kids will preserve their language and culture for many generations to come - little do they know that all international communities will eventually become fully assimilated - as they say, America is the graveyard of all foreign cultures. How many Italian-Americans speak the Italian language? How many Jewish-Americans speak Hebrew? It’s inevitable.


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I dont see kids in my future either. Personally, I think a lot of people regret having kids but would never possibly admit it. Everyone keeps telling me I'll change my mind as I get older, but the older I get the more confident I am it's not for me
I don’t think it’s an all or nothing regret thing. I think it’s like anything else in life where there are good times and there are bad times, pros and cons. It could apply to anything, marriage for example. If I didn’t have kids I could prob fish a lot more, sure. But I would also miss out on extremely enriching moments and relationships. Although after a long day going fishing by myself is enticing 😉
 
I don’t think it’s an all or nothing regret thing. I think it’s like anything else in life where there are good times and there are bad times, pros and cons. It could apply to anything, marriage for example. If I didn’t have kids I could prob fish a lot more, sure. But I would also miss out on extremely enriching moments and relationships. Although after a long day going fishing by myself is enticing 😉
I think what it comes down to is - “no one can deliver everything society expects them to”. By society, I mean what your parents want you to be and have, or people you go to church with would like to see in you, or keeping up with your close circle of friends, and so on. It’s called conformity. No one exactly does 100% what they want - there is always a dash of something someone else would like them to have. Even in marriage, a couple can easily disagree on how many kids they would like to have and how to raise them, which city they should live in, and so on. Life is usually a very uneven compromise for most people. In the end, we are all expected to fit in or choose to be seen as a radical.

At a young age, every kid is told to conform to their parents and their wants, and by the time you are grown up - it’s difficult to step down from the pedestal many prepared you to be on - and to remain on it. That’s why I think urban communities are breaking those beliefs and people are more mentally liberated and can see their personal choices more clearly.


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I don’t buy in much into this whole “career” is saturated stuff.

I practice in Southern California (where everyone says is too saturated). There is literally another dental office two minutes walking from the entrance of my clinic (who are also doing very well). We actually let each other borrow materials and all/send patients to each other. I don’t even consider them competition because we know there’s enough fish for both of us. That being said, we are a two-doctor (everyday+saturday) practice and are consistently booked 3 weeks out. There is higher “saturation” because there is also a much higher population, but you can still do perfectly fine.
You could probably make more going rural due to more demand but i’m 100% comfortable where I am and by no means do I feel like my production has gone down due to competition.
It does help a lot to find your specific niche, though. Be known for something. Just like every company finds their niche. In our case, we are all bi-lingual and target a specific population. It doesn’t have to be that, though. You can be the implant guy in town, or the root canal guy, etc...
Good luck
 
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I don’t buy in much into this whole “career” is saturated stuff.

I practice in Southern California (where everyone says is too saturated). There is literally another dental office two minutes walking from the entrance of my clinic (who are also doing very well). We actually let each other borrow materials and all/send patients to each other. I don’t even consider them competition because we know there’s enough fish for both of us. That being said, we are a two-doctor (everyday+saturday) practice and are consistently booked 3 weeks out. There is higher “saturation” because there is also a much higher population, but you can still do perfectly fine.
You could probably make more going rural due to more demand but i’m 100% comfortable where I am and by no means do I feel like my production has gone down due to competition.
It does help a lot to find your specific niche, though. Be known for something. Just like every company finds their niche. In our case, we are all bi-lingual and target a specific population. It doesn’t have to be that, though. You can be the implant guy in town, or the root canal guy, etc...
Good luck

Are you an associate or partner? Do you think if the “saturation” in SoCal makes it much harder for young dentists to become owners?
 
Are you an associate or partner? Do you think if the “saturation” in SoCal makes it much harder for young dentists to become owners?

I’m a partner at the moment. I really don’t think so. I have 10+ classmates all practicing within a two hour (driving) radius of me and none seem to have really struggled getting into ownership. My brother just bought the practice from the doctor he worked with for a year. Seemed like a smooth process.

I also just partnered into the office i’ve been associating at for two years. A couple of friends did start-ups (those seem to be struggling a bit more.. but they just opened a few months ago).
 
I don’t buy in much into this whole “career” is saturated stuff.

I practice in Southern California (where everyone says is too saturated). There is literally another dental office two minutes walking from the entrance of my clinic (who are also doing very well). We actually let each other borrow materials and all/send patients to each other. I don’t even consider them competition because we know there’s enough fish for both of us. That being said, we are a two-doctor (everyday+saturday) practice and are consistently booked 3 weeks out. There is higher “saturation” because there is also a much higher population, but you can still do perfectly fine.
You could probably make more going rural due to more demand but i’m 100% comfortable where I am and by no means do I feel like my production has gone down due to competition.
It does help a lot to find your specific niche, though. Be known for something. Just like every company finds their niche. In our case, we are all bi-lingual and target a specific population. It doesn’t have to be that, though. You can be the implant guy in town, or the root canal guy, etc...
Good luck
Saturation does exist.

Not every office is getting new patients without trying something special; marketing, a great expensive signage, great retail space with a visibility, etc. You may not know this, but dental offices use to be a “destination” business for patients. Doctors didn’t care where their office was set up in 20+ years ago. Today, most dentists, specially DSO’s, are in retail settings - because that’s where people shop and the foot traffic is, and mind you - those spaces are very expensive to rent. So 20+ years ago, all a dentist needed was an ad in the yellow pages. It’s the opposite today; google ads, social media, websites, mailers, groupons, you name it - it clearly shows the competition got tougher, just looking at how much money goes into marketing. It’s almost impossible to have a successful practice without a good strong marketing campaign, or being in a super expensive retail space - to stand out.

Saturation is there, maybe you are not sensitive to it because all the businesses around you are doing what you do to get patients, or you just don’t have a reference point by going beyond your niche. But ask any older dentist, they will tell you they lived through the “golden years” of dentistry, when patients chose between 1 or 2 dentists. Today, patients can choose between 20+ dentists within a 10 mins drive from their homes in urban communities. That’s just the fact. How many patients call your office and ask how much it costs to get whitening or a new patient fee? Patients are shopping around for dental deals more than ever before - because there are more dentists around them.

And the point you made about growing population; well - the population growth pace has slowed down, but the new dentist growth have spiked over the past decade or 2. The fastest growing segment of the population are old people - and majority are retired and don’t have insurance that comes with dental benefits (thanks to Medicare), but they still pay out of pocket or do CareCredit. Big cities have a lot of educated people that have grown up seeing a dentist from young age to adulthood, they are less likely to need major procedure dentistry (removables, crown and bridge, etc) - the opposite is very true for rural areas, hence why it’s a great place to practice for dentists. Less saturation, but also more major procedures needed.

You have a strong optimistic mindset, that helps you do well in any setting. I give you that.


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i don’t think it’s as simple as urban vs rural. A lot of rural places in America are losing population as people move to urban areas. So one needs to take that into account.
 
i don’t think it’s as simple as urban vs rural. A lot of rural places in America are losing population as people move to urban areas. So one needs to take that into account.
Population loss in rural areas is the highest for people under age 40 (because of college and jobs). The rest are not going anywhere, and they are the age group that need dentists the most. Why would older people move to a city? It’s too expensive and they would give up their strong rural social network - it’s too risky for them to start a new life somewhere else.


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Population loss in rural areas is the highest for people under age 40 (because of college and jobs). The rest are not going anywhere, and they are the age group that need dentists the most. Why would older people move to a city? It’s too expensive and they would give up their strong rural social network - it’s too risky for them to start a new life somewhere else.


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do you think it’s different for orthodontists/orthodontic services?
 
do you think it’s different for orthodontists/orthodontic services?
The best place for Ortho is still the suburbs with a large high school population. Inner cities would be next. Rural areas are losing young families because of jobs and retail centers moving to urban areas.


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I practice in Phoenix. I bought my 1st ortho practice in 1993. 2-3 yrs later I started a 2nd location from scratch. Prior to 2005-6-7 there was no saturation in Phx. There were very FEW dental Corps back then. No dental schools here. Now ... we have two highly expensive dental schools just churning out new dentists with high DS debt. Now ..... the place is saturated. For those of you who say saturation is not real .... well .... you haven't practiced long enough to see the trend. Before it was just dentists competing with the few Corps ... if you could even call it competing. The Corps back then were a joke. Now .... there are so many deep pocketed Corps everywhere and they are now competing against each other. I'm pretty sure they do not even care about the private practice dentists. Saturation is real.

As for practicing in a rural or semi rural area. Call me a traditionalist, but if I were a young dentist now .... I am heading for a rural area. I don't want the headaches of practicing in a large, saturated area. I believe the best opportunity for a young dentist to have a traditional private practice is away from the saturated, urban areas. We became dentists to be small business owners. To do our own thing. Be our own bosses. Autonomy. Small business ownership in large, urban, saturated cities have very little leverage against the Corps and larger private practices. Go ahead. Do the demographics for an urban area. Trust me. Right after you invest (borrow) to build your ideal practice in a perfect spot .... there will be an influx of Corps and other dentists. You're not the only one doing the demographics.

No area is perfect, but I would rather make less money and practice in a "traditional" private practice setting than attempt to survive in an urban, saturated area.
 
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