Dentistry and the Federal Government

September 16, 2016
Dr. Marc Cooper

Dr. Cooper's professional career includes private periodontist, academician, researcher, teacher, practice management consultant, corporate consultant, trainer, seminar director, board director, author, entrepreneur and inventor.Dr. Cooper has studied with masters in many disciplines, participated in formal business educational programs, and worked as an independent contractor with top-flight consulting companies. In 2011, Dr. Cooper was selected as a coach for the prestigious TED Fellows Program.The Mastery Company has been in existence since 1984. Dr. Cooper's client experience in dentistry includes solo private practice, small partnered practices, managed group practices and retail corporate enterprises. Dr. Cooper has worked with numbers of health care entities such as insurance companies, clearing houses, bio-technical companies and disease management companies, as well as the senior executives and boards of large hospitals and hospital systems and a number of their related physician groups. In addition, Dr. Cooper has worked with Silicon Valley start-ups and Fortune 500 companies. He has worked with dental clients in the U.S., U.K. Canada, Chile, Brazil, Portugal, Italy, Greece, Dubai, Abu Dhabi, Oman, Singapore, New Zealand, Australia and Israel.Dr. Cooper is author of eight successful books; Mastering the Business of Practice, Partnerships in Dental Practice, Running on Empty, SOURCE, Valuocity, Valuocity II, Valuocity III, and The Elder. His electronic newsletter reaches thousands of subscribers in 31 countries. Dr. Cooper also co-developed a suite of online dental practice management assessment tools.Dr. Cooper can be contacted

As the population of untreated dental disease continues to expand, along with more focused attention being paid to the oral-systemic link, dentistry will find itself in cross-hairs to increase access and reduce disease.

The total number of people living in low-income working families now stands at 47.5 million, including 23.5 million children. This total will reach 50 million in a few years and is roughly equal to the combined population of the states of California, Oregon and Washington.

According to the  American Dental Association’s Health Policy Institute, 20 percent of low-income adults believe their mouths and teeth are in poor condition which is about 10 million people.

Across the U.S., about 108 million people have no dental insurance - and even those that do struggle to get care have limited access because of the high cost of co-pays or local dentists do not take Medicaid.

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Medicaid has some of the lowest reimbursements rates for dental services paying less than 41 percent of average charges. About four in 10 dentists accept Medicaid, and even then, it is usually on an extremely limited basis. More than 50 million Americans live in areas where it’s difficult to find dentists, according to the U.S. Health Resources and Services Administration. And this population is growing as well.

As the population of untreated dental disease continues to expand, along with more focused attention being paid to the oral-systemic link, dentistry will find itself in cross-hairs to increase access and reduce disease. The voices to address untreated dental disease and its impact on the cost and severity of chronic diseases and prenatal issues will grow louder and louder.

Dentistry, anchored in the old for-profit, high-utilization, fix-and-repair context will be confronted with a problem it can no longer address by kicking the can down the road.

When a social problem is not addressed, unfortunately it falls into the hands of politicians. What follows are regulations and mandates-and, given the amount of state and federal funding for dental school, as well as credentialing for licensing, government influence will increase. You saw what happened with OSHA, HIPPA and the drug licensing via the FDA. You don’t think that will happen with expanding access to people in need?

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My prediction is the stand that dentistry has taken that only licensed dentists can own dental practices will soon be interpreted as a monopoly. Congress, their subcommittees, the Federal Trade Commission and Health and Human Services will see the growing cost of untreated dental disease. The Federal Government will act to break up the monopoly of “dentists only” owning dental practices – rationalizing the more competition, the lower the costs, leading to greater access. Once that barrier is broken, non-dental ownership of group practices will explode.

Dentistry will blame the government for its intrusion and actions. Dentistry will fault their professional organizations for not doing something to protect their interests. But blame and fault are the antithesis of responsibility, and that is what is missing from dentistry to address this growing issue.