To post in our Book Club, please log in or sign up for an account here.
Hi Dmitry, What was the level of deterioration in the availability, and quality of Dental care in the USSR after collapse? How do you think Dental care will function in the States?
Tuesday 26 July 2011 09:11:13 pm
In Russia it seemed to stay pretty much the same. Most people in Russia have access to basic dental care, and can improve on that by paying more. In the US dentistry is ridiculously overpriced, along with the rest of medicine. (Russians living in the US often try to get their dental work done while visiting back home.) There are some more reasonably priced practitioners in the US serving immigrant communities (Chinatown, etc.) I think that that will see an increase. In the meantime, the number of people you see with neglected teeth will continue to go up.
Wednesday 27 July 2011 07:12:20 am
As a dentist, I agree that our care is often overpriced. But then again their is little relationship to a free market. Most of "dental insurance " is nothing more than politically engineered price fixing.....what can be charged, how much will be paid, nothing else collected, the rest written off. So there is cost shifting to those who are "uncovered". My supply costs aren't fixed, my employee costs aren't fixed, nor are my equipment costs fixed. Recent grads out of dental school are coming out with debt in the 250-400k range. Those higher education costs certainly aren't fixed. The only thing that will approximate a free market in this mess will be barter and/or the removal of all the strings and barriers that are currently in place. I'd love to have the option of a sliding scale with some of my patients but if I charge less than what the set fee is from the insurance company they (the insurance company) will come back at me and want their money back from me because I charged someone without insurance a lesser fee.