Is American Dentistry in a Silent Decline? A Wake-Up Call for the Profession

For decades, the local dentist has been a pillar of the community—a trusted clinician and a master of their craft. However, a provocative new perspective published in the Journal of the American Dental Association (JADA) suggests that the foundation of U.S. dentistry may be cracking under the weight of commercialization, debt, and burnout. Dr. Joe Iwanaga of Tulane University argues that without major structural reforms, the profession faces an “untenable situation” that could permanently erode public trust. The Weight of the $300,000 Degree One of the most significant threats to dental integrity starts before a dentist even sees their first patient: Student Debt. According to the American Dental Education Association, the average dental graduate in 2024 walked across the stage with $312,700 in debt. This staggering financial burden does more than just stress out new doctors; it changes how they … Read more

Senate Report Calls for Removing Deceptive Corporate Dentistry Entities From Medicaid

Previously I have written an article titled Fraud and Abuse in Medicaid Clinics where a discussion was made that currently dentists have large amounts of debt when they graduate from school. This leads to them having to face potentially hard and difficult choices to pay their bills as they essentially become indentured servants. Recently Senators Charles Grassley (R-IA) and Max Baucus (D-MT) published a 1517 page report in June 2013, titled “JOINT STAFF REPORT ON THE CORPORATE PRACTICE OF DENTISTRY IN THE MEDICAID PROGRAM.” This report is a very large PDF file (143 MB) and is available for download over at http://www.finance.senate.gov/library/prints/.  Don’t be intimidated by the size of the report though as it really is a bit over 30 pages with the rest of the 1400+ pages serving as an appendix. Hence, it is very readable. The report talks … Read more