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Medical Forum / General / Dentistry / January 2005

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Reservists and dentistry

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Joel M. Eichen - 29 Dec 2004 23:54 GMT
Dental Double Standards

--------------------------------------------------------------------------------

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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Not a real Addy, yet

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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