Medical Forum / General / Dentistry / January 2005
Reservists and dentistry
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Joel M. Eichen - 29 Dec 2004 23:54 GMT Dental Double Standards
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New York Times 28, 2004 Dental Double Standards
By REED ABELSON Among the nation's reservists, a common reason for not being sent to Iraq has been poor teeth. The military offers dental insurance to reservists and members of the National Guard, but for those who opt for it, the benefit of $1,200 a year does not cover many procedures and still requires reservists to pay as much as half the cost of the care.
The reservists are hardly alone. With dental costs rising and employers cutting dental coverage, an increasing number of working Americans cannot afford to see a dentist even for chronic problems.
Roughly a quarter of reservists in seven early-deploying Army units had dental problems that could require emergency attention within the next year, according to an analysis done last year by the Government Accountability Office. Similar problems surfaced in the first gulf war.
more ......
Entire New York Times is here, and of course at the www.nytimes.com site!
http://www.dentalcom.net/forum/showthread.php?t=697
Vaughn - 30 Dec 2004 00:54 GMT > Dental Double Standards The least they could do is take care of their teeth!
The best dental care I ever had what when I was crew on a Polaris sub. We went down for two months at a time and didn't come up for nuttin, so they practiced preventative medicine/dentistry. We had our own MD on the crew, he was a graduate of a special submarine medicine school that likely included emergency dentistry.
Vaughn
PS: That reminds me about a timely topic. I can truthfully claim to have rode through an underwater quake/tidal wave while on that sub. It sounds like it would be one of those life-defining moments, but such things are barely noticeable at sea. We noticed a strange vibration and thought we had some sort of a mechanical problem, but it finally went away by itself. The next day we got the news and figured out what it had been.
StovePipe - 01 Jan 2005 05:11 GMT > The least they could do is take care of their teeth! > [quoted text clipped - 12 lines] > thought we had some sort of a mechanical problem, but it finally went away > by itself. The next day we got the news and figured out what it had been. Hey Zeuss, that must have been something!!! Y'all must have been counting the hours till the next break-surface those last few days... When you finalld DID break surface, did they give each hand an allotted time topside?.... Two months.... guess y'all must have had obligatory sun-lamp time to put in as well... to keep the Vitamine D going and the head on straight... Quite a story.... do you have to kill us all, now that you've told us?? ......;-) SP
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Joel M. Eichen - 01 Jan 2005 13:10 GMT >> The least they could do is take care of their teeth! >> [quoted text clipped - 12 lines] >> thought we had some sort of a mechanical problem, but it finally went away >> by itself. The next day we got the news and figured out what it had been. Its also true that in rough weather, ships go OUT to sea, to avoid being hurled on the shore, right?
Joel
>Hey Zeuss, that must have been something!!! Y'all must have been >counting the hours till the next break-surface those last few days... [quoted text clipped - 5 lines] >......;-) >SP Vaughn - 01 Jan 2005 16:12 GMT > On Sat, 1 Jan 2005 00:11:15 -0500, StovesNewAddy@sympatico.DOTnet > > Its also true that in rough weather, ships go OUT to sea, to avoid > being hurled on the shore, right? Exactly true, a ship (though not necessarily the crew) is far safer at sea in rough weather. Today, of course, the Captain will often have enough maneuverability and sufficient information to avoid the worse part of a storm completely. That is how the Caribbean cruise ship fleet can continue to operate throught the hurricane season.
Vaughn
Vaughn - 01 Jan 2005 16:24 GMT > Hey Zeuss, that must have been something!!! Y'all must have been > counting the hours till the next break-surface those last few days... You betcha! By then we were all 50% loony with cabin fever.
> When you finalld DID break surface, did they give each hand an allotted > time topside?.... No, we were too busy and there is only room for a few on that little spot at the top of the sail.
Two months.... guess y'all must have had obligatory
> sun-lamp time to put in as well... to keep the Vitamine D going and the > head on straight... Nope, not a problem.
> Quite a story.... do you have to kill us all, now that you've told us?? I will be visiting at night without warning. One e-mail addy at a time.
Seriously, there is a lot I still don't tell, but that ship (the world's second SSBN) is long-gone and so is the cold war. Also, a SSBN's job is to disappear and avoid adventure. It is the fast-attack guys who had all the fun. Sorta like the difference between a fighter and a bomber.
Vaughn
yoyobon@msn.com - 30 Dec 2004 18:53 GMT I have a contract to treat army reservists in Puerto Rico. It's a federal program called FEDS HEAL. I make sure that all those that are referred to me by FEDS HEAL are in the best dental condition possible. The program will not cover everything, just the things that could cause problems during the year of service. If they are being deployed to Iraq, sometimes I will do more than what the program covers and I won't charge anything extra. Dr. Bonilla
yoyobon@msn.com - 30 Dec 2004 18:57 GMT Note also that this program has no limit (yearly maximum) and the patient pays nothing. Dr. Bonilla
Vaughn - 31 Dec 2004 02:18 GMT > Note also that this program has no limit (yearly maximum) and the > patient pays nothing. That is nice to hear. These people deserve the best we can give them.
Vaughn
> Dr. Bonilla Bill - 31 Dec 2004 02:19 GMT Joel had posted:
"New York Times 28, 2004 Dental Double Standards"
"By REED ABELSON Among the nation's reservists, a common reason for not being sent to Iraq has been poor teeth. The military offers dental insurance to reservists and members of the National Guard, but for those who opt for it, the benefit of $1,200 a year does not cover many procedures and still requires reservists to pay as much as half the cost of the care.
The reservists are hardly alone. With dental costs rising and employers cutting dental coverage, an increasing number of working Americans cannot afford to see a dentist even for chronic problems.
Roughly a quarter of reservists in seven early-deploying Army units had dental problems that could require emergency attention within the next year, according to an analysis done last year by the Government Accountability Office. Similar problems surfaced in the first gulf war."
Some comments:
Although there is room for improvement in almost any dental insurance plan, that is not the primary problem here.
This reporter is just repeating the same sort of nonsense about "affordability" that has been printed for decades. Repetition does not confer accuracy.
"the benefit of $1,200 a year does not cover many procedures and still requires reservists to pay as much as half the cost of the care."
The benefit DOES cover many procedures -- just not as many as some of the more common private insurance policies. The $1200 is actually MORE than the common $1000 per year seen on many other policies. And of course, that's $1200 MORE than all those many patients who have no dental insurance at all.
"The reservists are hardly alone. With dental costs rising and employers cutting dental coverage, an increasing number of working Americans cannot afford to see a dentist even for chronic problems."
Not true. The vast majority of working Americans can easily afford excellent, elective dental care, and those who can't afford fancy cosmetic makeovers, can still afford necessary dental health care -- paid right out of their own funds, with no dental "insurance" involved.
Oh, I realize that many people THINK they can't afford regular dental care, or SAY they can't afford it. Their claims and their perceptions require closer scrutiny.
For over thirty years, I have had a standing offer in my office for those patients who claim they "can't afford it." I offer to go over their finances at no charge to them, and find a way to pay for the dental care they need.
When I tell them that I will automatically switch all frivolous, unhealthy, or less-important expenses to a column titled "Money available for dental care," they seem a little surprised.
I say that their money available for dental care includes what they currently spend on tobacco, alcohol, movies and entertainment, television and cable access, MP3 players, CD's, DVD's, customizing expenses for their jacked-up pickup trucks, and basically everything that is not essential for their life and upkeep -- (wait a minute, it's the dental care that IS essential for their life and upkeep!). It's the OTHER stuff that isn't essential.
At that point, they decline my offer to find the necessary funds in their current budgets. The simple fact is, that most people prefer their habits and vices over dental health.
The most cost-efficient way for the reservists to obtain dental care is to take full advantage of the free care when they are on active duty. Then their later expenses for maintenance will be correspondingly lower, and most will find the optional reservists' dental insurance to be helpful.
But I'm not going to listen to gripes of "I can't afford it" from someone who drives up in a car better than mine, wears expensive clothes, and sports a fancy cellular phone whose annual cost could go a long way toward buying his necessary dental treatment.
- dentaldoc
StovePipe - 01 Jan 2005 05:11 GMT > But I'm not going to listen to gripes of "I can't afford it" from > someone who drives up in a car better than mine, wears expensive > clothes, and sports a fancy cellular phone whose annual cost could go a > long way toward buying his necessary dental treatment. > > - dentaldoc Very well said.... I am sure it is the same here in Kaannaada.... we even have most medical expenses paid for... SP
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