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Medical Forum / General / Dentistry / September 2007

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lack of respect and fair compensation on the job

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dacconverter - 02 Sep 2007 17:24 GMT
As much as some of the people here like to complain how dentists are
money-greedy whores and that whatever work produced by a dental clinic
is crap, I'm actually surprised that there's no discussion on how it
appears on the other side of the fence.

As a dentist, I'm pretty much fed up with the patients themselves. I
mean, how can people be so cheap? My point is, you get what you pay
for, on top of whatever your condition is. So if you already have
little vertical bone height on the mandibular, it's your fault that it
happened and don't complain of how the lower complete denture wouldn't
function. That CD costed a mere $600, way below the market price to
begin with. It was just $500 a piece ( again, an outrageous price )
for the two overdenture implants to make a lifestyle difference. And
about the crown that keeps falling off, just pay the heavily
discounted $450 for a new PFM, dammit. It's not my problem that the
decay underneath is making it fall off even after recementing. And no,
I'm not obligated to recement it over and over again for free
( recementing is only $20 ) , as it wasn't my fault to begin with. For
the bridge I made for you last year, there are caries now underneath
not because of me but you.  And it's the Medicaid patients that are
the worst offenders. They're being treated free of charge and they act
as if they're entitled to everything, all the while not wanting to pay
a single dollar out of pocket but willing to pour hundreds onto a new
cellphone or thousands for a diamond ring.

The business overhead in a typical GP's practice is around 60%. That
doesn't include the burden of micromanaging an office. Lab fees easily
deduct 35-55% of fixed/removable procedural profits. Couple that to
150k- 350k of educational debts incurred by dentists. And then there's
the expense of continuing education. Just one hands-on course can
mount to $5000 in tuition with traveling expenses.

And then there are the factors where you can't assign nominal figures
to. They include daily fatigue with potential for musculoskeletal
disability, chronic exposure to airborne particles causing a good risk
for pulmonary disease, and the risk of contracting bloodborne
pathogens. In fact, I had 3 needlestick injuries, 2 mouth-water
splashes to my eyes, and 3 accidental stabs to my thumb from perio
instruments. I'm getting tested for HIV, HBV, and HCV at least once
every 6 months. And I get headaches form using composite lights.

But none of my patients can't fathom any of this and think that I was
raised as a rich snob and I'm now a Mercedes-driving doctor with a
beautiful wife and kids, living in the affluent suburbs. Every single
one of these is false. Rather, it's the complete opposite that's
true.

I don't think I'm exaggerating when I strongly believe dentists like
myself are being under-appreciated and under-paid by a wide margin.
Newbie@bix.nex - 02 Sep 2007 18:53 GMT
>I don't think I'm exaggerating when I strongly believe dentists like
>myself are being under-appreciated and under-paid by a wide margin.

woah, Woah, WOAH there little buddy...

There are solutions to every valid point you made.

Suspect that you are a relatively new graduate working
in an HMO/PPO and/or Medicaid office.

Not sure of your geographic region, but the fees you mentioned
don't even cover overhead in most small/medium sized cities in the US.

We can take your points one at a time if you wish.
There is at least ~150+ years of combined experience amongst
the regulars of SMD.
A valuable and rare resource, of which you should take
every advantage.

You should discuss some of your situations privately.
Namely, your real name and location for starters.
There are trolls about who will harass you unrelentingly.

Take a deep breath, calm down, and consider the situation
unemotionally and from a purely business standpoint.
A couple of adult beverages wouldn't hurt either  8-D
dacconverter - 03 Sep 2007 04:29 GMT
On Sep 2, 1:53 pm, New...@bix.nex wrote:

> Take a deep breath, calm down, and consider the situation
> unemotionally and from a purely business standpoint.
> A couple of adult beverages wouldn't hurt either  8-D

I'm not saying I'm pissed or anything.

I'm rather taken aback as to how these sorts of things aren't being
discussed in this group. Surely, there has to be other dentists here
who are genuinely feeling shortchanged.
George - 03 Sep 2007 19:09 GMT
> On Sep 2, 1:53 pm, New...@bix.nex wrote:
>
[quoted text clipped - 7 lines]
> discussed in this group. Surely, there has to be other dentists here
> who are genuinely feeling shortchanged.

I am feeling shortchanged and I'm in a much worse state than you are
(believe it or not). But I usually keep my frustrations to myself. You
are right about Medicare patients, this is just a symptom of a
widespread culture of entitlement. There is no easy answer to any of
your (or mine) problems I'm afraid.

Regards,
George
HerrDrZahnMed - 03 Sep 2007 19:20 GMT
You mean MEDICAID, not Medicare, if you are in USA.

Medicaid = free care for those who do not pay taxes or contribute to the
greater society. Also called welfare, DPA, or the dole. Reimbursement to
the dentist for dental treatment is minimal. An entitlement for many.
Great medical coverage however, because care is free, and unlike most
dental treatments, there is usually only one medical treatment alternative.

Medicare = no dental coverage here. Premiums have been paid by worker
and employer. Usually elderly patients who are on a fixed income and
can't afford to pay for dental care.
George - 03 Sep 2007 21:06 GMT
> You mean MEDICAID, not Medicare, if you are in USA.
>
[quoted text clipped - 7 lines]
> and employer. Usually elderly patients who are on a fixed income and
> can't afford to pay for dental care.

I'm not in the USA :) I live in the People's Republic of  Great
Britain.

Regards,
George
HerrDrZahnMed - 03 Sep 2007 23:15 GMT
As they say in Quebec, tant pis.
Newbie@bix.nex - 05 Sep 2007 04:56 GMT
>> On Sep 2, 1:53 pm, New...@bix.nex wrote:
>>
[quoted text clipped - 16 lines]
>Regards,
>George

You could quit treating Medicare patients.
Maybe easier said than done but surely
better for your health and the health of your practice.

You cannot operate any business at a loss for very long.
Newbie@bix.nex - 05 Sep 2007 04:48 GMT
>On Sep 2, 1:53 pm, New...@bix.nex wrote:
>
[quoted text clipped - 3 lines]
>
>I'm not saying I'm pissed or anything.

You should be, and I was until some changes were made.

>I'm rather taken aback as to how these sorts of things aren't being
>discussed in this group. Surely, there has to be other dentists here
>who are genuinely feeling shortchanged.

These types of topics tend not to be discussed in public.
Generally the regs answer patients questions and we try
to educate each other.

If you wish to contact me privately:

wubbabubbazG@RBAGE.yahoo.com

Take out the G'rbage.
Simplicio - 06 Sep 2007 14:47 GMT
On Sep 2, 1:53 pm, New...@bix.nex wrote:
.
> A couple of adult beverages wouldn't hurt either

medicaid patients drove you to the bottle?
Simplicio - 06 Sep 2007 14:49 GMT
> And then there are the factors where you can't assign nominal figures
> to. They include daily fatigue with potential for musculoskeletal
> disability, chronic exposure to airborne particles causing a good risk
> for pulmonary disease

Which type of particles cause pulmonary disease? Do these affect
patients?
 
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