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by tptacek
4314 days ago
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I agree that it's a stark illustration of the limits of the insurance model. Nationalizing the health care industry is itself fraught, though. I remember a Gladwell New Yorker essay that related dental care to poverty and economic mobility, so I'll add right away that this isn't a small problem. |
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I wonder: How much would our national dental health improve if we merely offered universal coverage for the simple stuff: cleanings, photographs, and X-rays?
The standard of care for these things doesn't seem like it varies wildly: Everyone should get a cleaning and inspection from a dental hygienist every six or twelve months. Obviously, once we get into treatments the judgement calls begin, and then it does become fraught.
But speaking as someone who might have saved a small fortune on fillings, crowns, and root canals if he hadn't just stopped going to the dentist regularly for several years – because, by the time your teeth start hurting, it is way too late for the inexpensive interventions – I wish we had national dental coverage for checkups, such that it was economical to station people in malls and on street corners begging passersby to step inside a door and spend thirty minutes getting their "free" dental cleaning. Yes, the hygienists would probably try to up-sell you. But that's a relatively nice problem to have.