Posted on 30. Nov, 2013 by wisdom.
I have previously made numerous posts with some recommendations for music you can listen to after having your wisdom teeth removed.
See the posts Music To Listen to After Wisdom Teeth Removal: Gangnam Style, Music to Listen to After Wisdom Teeth Removal: Christian Music, Music to Listen to After Wisdom Teeth Removal: Jazz Songs, Music to Listen to After Wisdom Teeth Removal: Rock and Roll Songs, and Music To Listen to After Wisdom Teeth Removal: YouTube Musicians.
Since, I haven’t posted any new videos of music in over a year, I will do so here for your listening needs after wisdom teeth extraction.
Tyler Ward- Some Kind of Beautiful
Avery – Good Times
Megan Nicole – Summer Forever
Avicii – You Make Me
Avril Lavigne – Let Me Go
Psy – Gentleman
Now some of these artists I have previously used before, I also added a few ones I haven’t posted videos to before.
Posted on 23. Nov, 2013 by wisdom.
An interesting article appears in the Fall 2012 issue of the The Journal of Law, Medicine & Ethics by Allan S. Brett titled “Physicians Have a Responsibility to Meet the Health Care Needs of Society.” Allan opens the article by addressing a question that was posed to Ron Paul in the 2012 presidential election by Wolf Blizter which I mentioned before on this post http://blog.teethremoval.com/dumb-americans-trust-their-doctors-for-no-valid-reason/.
Allan aruged that Ron Paul agreed with the sentiment that “physicians have a responsibility to meet the health care needs of society.”
In the article Allan makes the following case.
“In the rest of this essay, I first demonstrate that society is already organized— at least in part — to rescue sick people regardless of ability to pay, and that society is not prepared to abandon that general guiding principle. It follows that physicians — society’s principal instrument for provision of health care services — are expected to meet society’s health care needs. I then argue that the current configuration of the U.S. health care system undermines the ability of physicians to fulfill this mandate effectively. And finally, I argue that the medical profession’s responsibility to meet society’s health care needs also carries a responsibility to practice cost-effectively.”
Later in the article Allan states
“The system of health care delivery in the United States is a patchwork consisting — among other things — of reasonably universal access for urgent medical care, barriers to non-urgent but necessary care for uninsured or under-insured people, and government sponsored coverage for some (but not other) populations. As a result, the system is clinically illogical and operationally dysfunctional. We try to have it both ways: as a matter of human decency we provide urgent medical care without regard to cost, but along the way we demand individual patient responsibility for costs. We boast about offering the best medical care in the world, yet we knowingly provide substandard care (or deny care) to large numbers of people, and we experience health outcomes inferior to those of comparably developed nations.”
Allan expands on some of these points by discussing how medical debt causes bankruptcies and how charitable groups hold picnics or other fund raising events to raise money for medical care. Further Allan mentions how some doctors and hospitals are expected to write off some medical bills for charitable purposes but this results in cost shifting and causing paying patients to pay higher premiums. Allan later mentions how
“A majority of medical schools in the United States are state institutions that receive taxpayer support. Many medical students receive government-sponsored grants and low-interest loans.”
Later in the article Allan says
“Indeed, public opinion opinion polls have shown consistently that a majority of Americans favor some system of guaranteed universal access. Politicians and analysts who claim that “American individualism” or “American exceptionalism” are antithetical to universal access are simply misrepresenting the values of the majority (while representing narrow interests with economic or political motives to maintain the status quo).
Allan goes on to say
“The point here is to emphasize that a system of guaranteed universal access — in which physicians are compensated fairly for provision of medical care to the rich and poor alike — allows physicians to satisfy professional obligations to meet society’s health care needs, and to meet ethical obligations to treat patients without discrimination.”
Allan later says
“…many physicians have placed their own financial interests above the interests of patients by providing unnecessary medical care that is highly profitable under fee-for-service arrangements. There is strong evidence that provision of useless medical care accounts for a substantial proportion of health care costs — up to 30% by some estimates. Physicians tend to blame the steep rise in health care costs on patients (“patients demand things, and I don’t have time to fight with them”), on lawyers (“I do more things than necessary so I won’t get sued”), and on drug company influence on physician prescribing. Then, having driven up costs, physicians blame payers for interfering with medical practice. Although demanding patients, lawyers, and drug company advertising are an inescapable part of the health care landscape, their existence does not excuse physicians from practicing evidence-based, cost-effective medicine.”
The article by Allan S. Brett is well written and he makes his point effectively about why the medical profession has a responsibility to meet society’s health needs. I encourage you to read the entire article.
I have previously written about Dr. McDougall through finding his newsletter in a Google Search where he discussed how to protect yourself from abusive doctors. See http://blog.teethremoval.com/how-to-protect-yourself-from-abusive-doctors/. Earlier this year I also discussed in a post some of Dr. McDougalls thought’s on Food, Children, and Diet where he wrote to governor Rick Scott of Florida claiming that various food industries are engaged in child abuse.
In his newsletter from October 2012, he discussed former democratic senator George McGovern and his McGovern report from 1977 where guideline for eating were developed, http://www.drmcdougall.com/misc/2012nl/oct/mcgovern.htm. Dr. McDougall says that the McGovern report says
“…there is a great deal of evidence and it continues to accumulate, which strongly implicates and, in some instances, proves that the major causes of death and disability in the United States are related to the diet we eat…What are the risks associated with eating less meat, less fat, less saturated fat, less cholesterol, less sugar, less salt, and more fruits, vegetables, unsaturated fat, and cereal products—especially whole grain cereals? There are none that can be identified and important benefits can be expected.”
Dr. McDougall discusses how various industries were very upset by the McDougall report and in a senate hearing less emphasis was placed on reducing red meat and diary products. He states that even the American Medical Association (AMA) got involved in saying that providing basic information about what to eat interferes with a doctor’s right to prescribe. Dr. McDougall says “…even though doctors then, and now, know nothing about human nutrition.”
Dr. McDougall goes on to say
“Industries fought back successfully with every means at their disposal, including hiring lobbyists, purchasing medical and nutrition experts, launching huge advertising campaigns, driving the nutrition education of our children with their bias, and funding nutrition research that favored their products. …We eat more oil, meat, and dairy now than when the McGovern Report was published in 1977. ..[there is] undeniable evidence that industry won and Americans lost.”
I find it interesting how Dr. McDougall is critical of the USDA Food Pyramid and now My Plate and even calls the food industry a domestic threat.
Dr. McDougall goes on later to say
“The business of treating dietary diseases with drugs and surgery can be curtailed by forming expert panels to protect the average American, who has no time or expertise to study and analyze the effects of medical prescriptions. These panels must be given respect and the power to stop dangerous tests and treatments.”
As i have previously discussed in this post Tips to Prevent Medical Errors – AHRQ the Agency for Health Care Policy and Research (AHCPR) was created in 1989 to produce evidence-based, clinical-practice guidelines and was supposed to undertake this. However, due to industry opposition and the Republican House majority the AHRQ had it’s budget crippled and mission shifted away from this purpose.
Dr. McDougall is even critical of health insurance providers and implies they operate under a business model. He talks about his experience in trying to get a health insurance company to spend much less money on educating people about what to eat instead of paying for expensive surgery. He states
“[The] insurance company representative gave me a more believable reason for staying with their current lucrative practices. He explained, “John, you don’t get it. We (the insurance company) take a piece of the pie. The bigger the pie, the bigger our share.” Profits come from the sicknesses and the treatments that always follow a bad diet.”
Interestingly enough a similar type of conclusion about the motives of health insurance companies was described by Jay W. Friedman in his 1983 paper Containing the Cost of Third-Molar Extractions: A Dielmma for Health Insurance. Public Health Reports. vol. 98. issue 4. pages 376- 384. July-August 1983..
“…there is virtually a conspiracy of silence about the kind of abuse described in this paper. Third-and fourth-party payers are not opposed to saving money. However, as long as increased costs can be passed on to consumers in higher premiums and higher wage deductions, they have no strong incentive to provide more than token cost containment.”
Dr. McDougal’s newsletters are interesting and informative. I encourage you to read the entire article from the newsletter on diet as only some excerpts where provided above.
I wanted to alert readers that several pages on this site have been updated lately regarding dental malpractice as it relates to wisdom teeth removal. I updated the inflation adjusted calculations and figures on the dental malpractice page http://www.teethremoval.com/dental_malpractice.html.The calculations using up to the latest CPI-U from September 2013 have been updated. Interestingly I have calculated an annual return of around 4.25% needed to keep up with inflation since 1970. This is higher than any risk-free investment vehicle (bond, CD, savings) currently being offered.
In addition, to this page I have added a few comments (reworded) recently provided by Lewis N. Estabrooks who is chairman of the board of OMSNIC. He has recently said the following (OMSNIC. Lewis N. Estabrooks, DMD, MS. Board Message. Monitor, vol. 24, no. 5, October 2013.)
“Our statistics show approximately 78% of the claims are denied because there is no negligence. About 12% are settled with the doctor’s consent, usually after the cases are reviewed by a claims committee of six OMS peers. The remaining 10% represent liability cases taken to trial, where OMSNIC and the doctor have a favorable outcome 94% of the time.”
A few weeks ago I updated the figures and the statistics on the wisdom teeth death page. In addition, due to new information provided by OMSNIC (see http://blog.teethremoval.com/updates-on-anesthesia-provided-by-oral-and-maxillofacial-surgeons/) I have updated the mortality rates in dentistry page.
As eluded to by Dr. Estabrooks in his recent speech, since OMSNIC has a monopoly on insuring oral and maxillofacial surgeons, they have access to a wealth of information on the success (or failure) of their practices. Since they are running a business, they keep a lot of this information closed but do share it with AAOMS. Thankfully, they have released anesthesia data from over a decade in the 2000s. This release seems to have been done though to help oral and maxillofacial surgeons’ state societies fight off challenges about the safety of office anesthesia. Hence, why the white paper titled “Office-Based Anesthesia Provided by the Oral and Maxillofacial Surgeon,” in 2013, located over at http://www.aaoms.org/docs/papers/advocacy_office_based_anesthesia.pdf was likely made.
Posted on 07. Nov, 2013 by wisdom.
Right now, over the next 12 to 18 months, may be the perfect time to sell your dental practice. Even if you are not in the market to retire, you can sell your practice. Many dentists sell their practices so they no longer have worry about owning a business and providing for several staff and their families. Selling a practice can give dentists an opportunity to work as professors or to simply just practice their crafts. Selling a practice often leaves dentists in a comfortable financial situation. With approaching challenges, like Obama-care, many dentists are selling because recent dental school graduates are able to get good lending rates to buy well-established practices.
At one dental society meeting, a speaker informed the crowd on the approaching economics and Obama-care programs. This speaker explained that veteran dentists will not benefit from the approaching changes, especially relating to Medicaid, Obama-care, and dental insurance. The speaker explained how states that have fewer insurance companies will have more financial problems in regards to changes in dental insurance pay structures. Big box stores will be requesting bids to have dental offices placed into their shops; many of the big box shops are creating educational partnerships with prominent dental schools to direct dentists their way. By working in a retail organization, the recent graduates are able to get around limiting statutes in many states. Emory University has created a partnership with CVS pharmacy and nurse practitioners, as well as with Medicaid and insurance companies. Strangely, even though most people will soon have insurance, they may only be able to use it in retail clinics that are able to charge lower rates than private practitioners can. This is why traditional dentistry practices in many municipalities and urban / sub-urban areas will be challenging to maintain.
Another good reason to sell a dental practice is because of medical hedge funds that are well-managed and buying up practices. As the stock market and real estate markets have dropped in the past decade, alternative financial management companies have grown, especially in large cities like New York and Chicago. Medical practices are often lucrative for these hedge fund managers and their investors, so investors put their money into medical and dental practices, especially when they can get several dentists into one large group. On paper, the dentist may own the practice, but the medical hedge fund maintains the business. These businesses have large marketing departments and small practices cannot always financially compete. Sadly for the managed practitioners, the profit often goes to the investors, while the dentists maintain a moderate salary.
Banks are also in the business of making money, by selling it. And, they are currently lending to dentists and giving them exceptional rates. Dental practices are seen as low risk ventures, so banks realize they can make good money because dentists pay their bills with strong industry standards. Also, with the rise of private investment capital groups, dental school graduates with sizable school debts are having fewer hurdles when it comes to obtaining financing and acquiring dental practices.
Dentists are also able to find educational positions in universities and medical programs all over the country. Veteran dentists are wanted at dental schools because of the maturity and experience in the field. Many dentists are also graduating from military programs. With the influx of new dentists, many are finding that the demand for buying practices is higher than the practices that are currently being offered for sale, making it a favorable season for the sole dental practice owners to gear up to sell in the next few years.
If you have been contemplating putting your dental practice up for sale, you should consider doing it sooner rather than later. Traditional dentistry will see a large change very soon and maintaining the traditional business model will become more challenging. Selling a dental practice wisely and timely can leave a dentist with a comfortable lifestyle and a low-stress season of life after full-time practice. There may not be an economic climate offering this much to veteran dentists ever again. You can easily continue to work as a dentist, but without the worry the business end of the solo practice model carries.
This post is written by Aaron Schulman who is on the advisory board for 5th Avenue Acquisitions & Venture Capitalists, who works with both buyers and sellers of dental practices as seasoned dental transition consultants. They are a dynamic group of professionals who have helped countless dentists buy and sell practices throughout the U.S. For more information on dental practice transitions and very competitive dental practice financing options you can visit them at www.5thaavc.com.