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Focus on St. Petersburg - West Coast Dental Association

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The Role of Organized Dentistry... (c<strong>on</strong>tinued from page 6)<br />

The Florida legislature is facing grave budget deficits.<br />

However, it has the resp<strong>on</strong>sibility of the well-being of<br />

citizens of Florida and therefore, they are looking for costcutting<br />

measures to provide more care with less funds to<br />

underserved populati<strong>on</strong>s. Their soluti<strong>on</strong> is to fragment the<br />

dental professi<strong>on</strong> (like the medical model). They propose<br />

to allow mid-level providers or auxiliaries – lesser educated<br />

providers who are not dentists to provide unsupervised<br />

care to underserved populati<strong>on</strong>s. They would be restricted<br />

to legally defined “Health access settings,” which is not<br />

<strong>on</strong>ly ec<strong>on</strong>omically unfeasible, but also works against the<br />

preventi<strong>on</strong> model. Because underserved patients often<br />

exhibit greater degree of complicati<strong>on</strong>s and other systemic<br />

health c<strong>on</strong>diti<strong>on</strong>s, the use of lesser-educated providers<br />

risks jeopardizing the patients’ health and safety. Your<br />

leadership, under Dr. Chuck Hoffman has fought hard<br />

to resist this apparently illegal and unethical legislative<br />

positi<strong>on</strong>. The battle is not over. It has been said that, “if<br />

you’re not at the table then you are <strong>on</strong> the menu.” We are<br />

currently both, at the table and <strong>on</strong> the menu.<br />

Organized dentistry must develop a market-based soluti<strong>on</strong><br />

to address access to care. It will require collaborati<strong>on</strong><br />

am<strong>on</strong>g professi<strong>on</strong>al organizati<strong>on</strong>s, local, state, and federal<br />

governments, community organizati<strong>on</strong>s and other private<br />

entities. We must stick together not as “obstructi<strong>on</strong>ists”<br />

but as “c<strong>on</strong>structive,” highly-ethical dentists wanting to<br />

provide the most appropriate dental care to all the citizens<br />

of Florida.<br />

In summati<strong>on</strong>, the challenges are many. I menti<strong>on</strong>ed<br />

earlier transportati<strong>on</strong>, social disorganizati<strong>on</strong> and behavior<br />

modificati<strong>on</strong> are all barriers. We, as a professi<strong>on</strong>, have to<br />

step to the plate and advocate for equal health care access<br />

for all. There are many great soluti<strong>on</strong>s being discussed but<br />

our professi<strong>on</strong> must be the designer of the program and<br />

processes to ensure a favorable and successful outcome for<br />

all parties c<strong>on</strong>cerned.<br />

Respectfully submitted,<br />

Dan Bertoch, DDS<br />

ADSFL_075 WCDDA Test Greg.qxd:Layout 1 8/24/09 8:03 PM Page 1<br />

"Greg and ADS Florida made a very complicated<br />

process understandable. He was truly my advocate<br />

and made the whole experience 'pain free' (important<br />

in business as well as dentistry)."<br />

Dr. Greg Dickins<strong>on</strong><br />

Practice Transiti<strong>on</strong>s Made Perfect <br />

Greg Auerbach, MBA |<br />

greg@ADSflorida.com | 941.746.7959 | ADSflorida.com/WCDDA<br />

ADS Florida, LLC- Licensed Real Estate Broker<br />

14 <strong>West</strong> <strong>Coast</strong> District <strong>Dental</strong> Associati<strong>on</strong> • January 2010

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