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Amidst the talk about Health Care reform, one issue has gotten virtually no airtime. 

Which body part is seen as an afterthought?  Which anatomical feature is seen as a luxury, an add-on, the part that is rarely covered by standard health insurance, we can guess because it has very little to do with health.

Appendix?  No, that's covered.  Tonsils?  Nope.  Birth control?  That's in there.  Liposuction?  In unusual circumstances, even that.
When it comes to expendable body parts that really don't weigh in much when it comes to our health, we'd have to agree that the TEETH are at the bottom of the barrel.

Can someone explain why the very beginning of our nutrition system is reviled by health insurance?  While your teeth may be rotting clean out of your head because you can't afford the dental care, you can get a full physical, and prescriptions for birth control and anti-depressants?  A corn on your foot can get removed without issue but nothing can be done if you're on a steady diet of milkshakes and broth.  Toss in the links between gum disease and heart attacks and we're really being pennywise and pound foolish with this cubbyhole approach to health care.

I can be grateful that my employer provides good dental care so that I can manage the cost of the oral surgery I needed to put a stop to the persistent gum infections I've had for the past seven years.

Bless his heart, Dr. Woodmont was able to coax 3/4 of my jaw into pristine health through careful, diligent tartar removal, but could not through a number of measures repair the damage done my Dr. Aredo (a.k.a. "The Butcher") without putting me under the knife himself.  Woodmont removed three bone grafts Aredo had improperly implanted and placed a fourth at the base of my rearmost molar where the seven year gum infection had worn away at the root.

The bill came to $1400 on my Visa.  Fortunately, the dental plan compensates 80% of "traditional fees".  Dr Woodmont operates in a higher rent district though so I'm not sure what THEY will think should be the cost of this fairly intense procedure.  If they say they normally pay $1000 for this (and how can I dispute it?)  I will be shelling out $600.  It would be worth it, given the long term health benefits and links of gum disease to heart attacks that would be eliminated.  It sure doesn't hurt that my chronic recurrence of road-kill breath may be a thing of the past.  Still, this concept of "traditional fees" lends an air of Lotto or roulette to the concept of dental care.  Am I a big winner?  Or do I get stuck with a big fat bill?  This kind of uncertainty I may be able to handle, but it can keep others who really need dental care from getting it.  Those that profess America provides the best health care anywhere surely cannot be including the administration methods OR they truly are deliriously happy to not acknowledge the obstacle this places on our people.

So, my mouth has been addressed.  it's paid for.  So what did I get for my money?

Stay tuned.


*DM



Next:  How much pain does $600 buy you?



THE CHART:

Week of 9/27/09
Activity                                Daily Output
Cycles                                    10
Bench Presses                         2
Curls                                      0
Lifts                                       1
Flights of Stairs                        4
Minutes Walking                        3
Seconds on Heavy bag               0    
Minutes Dancing Per Day             0
Push Ups                                 6
Sit-Ups                                   3



Grade: F


Workout Partners' Progress:   Baseline being established.    Grade: N/A



Blood Pressure:    116/75  (9/24/09)  BMI = 25  



RECENT SYMPTOMS : Sore cheeks, gum, jaw,  Hypertension?  Weak left shoulder.  Weak left knee.  Sore throat, stuffy nose
ONGOING SYMPTOMS: Gum pocket?  Weak, clicking knees, Pain in right knee when kneeling and shifting knee to the right. Hyperhidrosis.
DIAGNOSES: Cold Virus, Healing from Oral Surgery, Foot trauma from minor accident, suspected neuroma or hairline fracture to foot. Unknown injury to right knee, possible impact from small stumble (c. 2006) onto landing of concrete stairs. Injured knee joints from sprinting (c. 2007)

ONGOING TREATMENTS: Alternating dental & periodontal visits every four months, exercise program including high tension stationary cycling for leg muscle development and joint stabilization

DRUG REGIMENS: Aspartame. (3 diet sodas daily) Caffeine (four cups of coffee daily, 2 colas of the 3 sodas)
PROGNOSIS: Gradual decay of knee function.
POTENTIAL TREATMENTS: Fish Oil supplements. Axillary vacuum curettage, laser eye surgery, gum flap tissue surgery / bone graft, filling.

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Comments

  • secretlife said on Sep 27, 2009....
    my sister's been in the hospital this week.
    she went in with shortness of breath, but i think she was having a panic attack caused by a toothache.
    so after the infectious disease doctor ordered his tests, and the cardiologist ordered his tests, we mentioned the toothache to the admitting doctor.
     
    now she's bedridden and the best we can do is a wheelchair.......so we need full handicap access.......
     
    all the doctors and nurses tell us "oh we have a great dental place here" and mom and i are psyched that at least she's gonna get that tooth taken care of......
     
    3 days later they FINALLY take her to the dental place in the hospital.
    now mind you they've been pumping her with demoral and other painkillers for 3 days so she's clueless about the pain anymore......
    and the dentitst there does xrays of her whole mouth and tells her she has deep cavities on molars on both sides, then tells her to "see her own dentist" because they "only do extractions" at the hospital.
    LOL!
    do you believe that?
     
    so then i ask her nurse if she can ask and recommend a handicap dentist.  she says they don't do that.  so then i ask her patien liason if she can, and she says they don't do that....so then i ask the social worker and she says the same thing.
     
    i had to go home friday and make 10 phone calls and finally found one.
     
    she got released on saturday.
     
    just nuts.  really. 
     
    when the government is running our health care, they'll either decide she can't be put in hospital because she can never be cured, or it'll be worse.  and yes, i believe it could be worse if you add a few more layers of beaurocracy.
     
    one of the things i'm most proud of is that my kids have great teeth.
    i pray they maintain them.
     
     
  • dyingman said on Oct 01, 2009....
    More layers than private insurance?

    I'm unconvinced. 
    Government health care tends to pull the plug in situations where the treatments are expensive and of dubious value. (e.g. bone marrow transplant for breast cancer)

    Nothing your sister needs is high cost and none of it is of questionable health benefit.
    In any socialized medicine nation in existence today, she'd be in the clear.

    I'm sorry to hear about her trouble.  I'd love to hear that she gets the dental care she needs.  Maybe a dental college could offer a plan? I need to catch up on your blog.  You probably tell us all about this....

    Dang, my life is out of control.

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