Many people feel that dental care coverage in health insurance and visiting the dentist regularly are not essential. However, poor oral hygiene is linked to diseases such as diabetes and heart problem. Moreover, researches has shown that oral diseases have a great link to ear and sinus infections, weakened immune systems, and other health conditions (Scully, 2000). Untreated dental conditions have the potential to affect children’s speech, social development, and quality of life. However, it is known that greater utilization of health services associated with increasing insurance coverage, thus directly increase medical costs (Finkelstein et al., 2012; Newhouse, 1996). In fact, insurance coverage can indirectly reduce total health costs. As one type of healthcare service or preventive treatment may lead to decreases the use of other covered services. For example, yearly visit to the dental office for general checkup may prevent the future need for emergency dental care due to undiagnosed or untreated dental cavity (Hsu et al., 2006; Kaestner, 2012; Shang & Goldman, 2007). Dental care coverage is much less dominant than medical care coverage in the United States. When compared between medical and dental coverage of adults over the age of 21, about 15 percent have no form of medical care coverage, but over 45 percent have no form of dental care coverage (Brown & Manski, 2004; Buchmueller, Miller, & Vujicic, 2014). Moreover, Americans over 65 continue to be the age group with
Many low income areas have dental therapists as part of their local dental team. Many people in these areas have never been to a dentist or do not go every six months as recommended this poses many other health problems. There has been case studies and data showing that in these areas dental health
Hundreds of years ago, the dental profession and the medical profession was perceived as two separate entities, however, this bifurcated health system has created an epidemic in oral disease with our aging population (Nagro, 2016). Dentistry should be more closely integrated with medicine and the health care system, however, organized dentistry has fought to stay a monopoly. They have protested regarding dental personnel being independent, even in the advancement of serving more rural areas, just as they repelled being part of Medicare. Finally, there are a few states that have alternative choices for a dental hygienist to travel to people who can’t get to a traditional dental office. Some of these states include Minnesota, Colorado, Oregon,
This proves that the lack of dental insurance within these low-income households plays a key role in whether or not these children will receive dental care. When these children do not visit the dentist, they increase their chances of developing dental caries significantly. The British Dental Journal disclosed that, “Sugars consumption varies by social class. National food surveys reveal a higher consumption of sugar and sugar-containing foods and drinks amongst low income groups”(Watt 8). Healthy food is expensive; therefore lower class families resort to unhealthy food because it is significantly cheaper. This extensive consumption of sugar-ridden foods is extremely detrimental to the enamel. The British Dental Journal also declared that “oral inequalities will only be reduced through the implementation of effective and appropriate oral health promotion policy”(Watt 6). The dental program will make the inequalities in dental care known and work to reduce those inequalities. Dental health is often times overseen because it is typically expensive and people are unaware of how the condition of their teeth affects the condition of the rest of their body. The all-inclusive dental health program will give people the treatment they need, regardless of their socioeconomic status.
Individual states decide whether or not to offer dental insurance for adults under the Medicaid program, explains Medicaid.gov. However, states must provide dental coverage to children covered by Medicaid.
What Texas has done when it pertains to the policy of Medicaid coverage has been disappointing with progress and it being forced to stay the same as is it always been instead of expanding to help out more people. Since 2014, the state of Texas health care system has seen a drastic step back in health care programs such as not expanding Medicaid, hospital closings, and a the Texas senate of Republicans representatives refusal to accept any changes to the current Texas Health Care. The way to get health care programs like Medicaid in Texas is you have to enrolled in a program called the State of Texas Action Reform Plus (STAR+PLUS)) this is health care for families that have low incomes who can’t afford the high cost of a more expensive health
The socioeconomic background of people is a major factor that dictates whether or not they will receive dental care. According to the American Journal of Public Health, “Children from a low socioeconomic status have been shown to have a high risk of dental caries”(Simmer-Beck 1764). Many children today do not receive the dental care they need because of their parents’ income. Going to the dentist is expensive for people without dental insurance so many people tend to blow it off; but what they don’t realize is that the condition of their mouth often dictates the state of the rest of their health. An internet source in correspondence with the American Journal of Public Health stated that, “More than half of low income-children without
One of such studies was carried out by Han et al, 2014 utilizing data obtained from household interviews conducted by the Medical Expenditure Panel Survey. Subsequent to controlling for statistic considers, the receipt of dental checkups and routine wellbeing checkups essentially increased in young adults between 19 and 25 years old after the implementation of the ACA of the needy scope grown-ups in the vicinity of, however not in those between the ages of 26 and 30 years. The rates of people who got flu immunization and Pap testing changed nearly nothing over this period in both age ranges. Analysis aimed at comparing the differences in the utilization of these services after sometime between grown-ups who were between the ages of 19 and 25 years revealed that, the individuals who were between the ages of 26 and 30 years, noteworthy changes were seen in the receipt of dental checkups and pulse estimations, yet not in the utilization of the other three administrations We additionally watched a noteworthy increment (from 36.7% to 42.4%) in the rate of young adults between the ages of 19 and 25 years who had private dental insurance. Although dental checkups are not mandatory under the ACA, numerous dental carriers have selected to include dental coverage in their plans (Han et al,
Oral health has a direct impact on the general health, hence, it is important that all Canadians have adequate access to dental care services. Over the years successive Governments have reduced financial support to programs delivering dental care to most vulnerable populations. As a result, many low income families and other vulnerable groups have been unable to access dental care. There is further escalation in the disparities in oral health care among Canadians, as the number of Canadians losing dental care benefits continues to increase. Also, higher oral health care costs can be expected in the near future due to shortage of health care professionals.
Research studies have indicated that the elderly Hispanic-American population residing along the Texas-Mexico border has minimal access to healthcare as well as inadequate use of preventive and screening services. The elderly population in El Paso, Texas is speculated to increase by 21.8% between 2014 to 2019 for the age group between 70 to 74 and 11.7% for the age group between 75 to 79. Unfortunately, many oral healthcare professionals are avoiding geriatric certification as a result of the low fees associated with Medicare and Medicaid and the bothersome paperwork that is often affiliated with the elderly, low-income, and minority patient. Based upon the Healthy People 2020 objectives for issues that are applicable to older adults; the objective to be addressed within this review report is the objective of increasing the proportion of dentists with geriatric certification. The specific research question to be addressed is “What are various factors that might be inhibiting dentists from attaining their geriatric certification and what are some strategies to overcome these obstacles and further facilitate this objective?” While the main priority should be to advocate for further health promotion of oral care in the elderly population and increasing the numbers of elderly adults that are able to understand the health benefits of oral care; various factors among the dentistry profession and elderly population must also be addressed. These factors might include ethnic
The authors have properly addressed the health disparities in this article. They started the article by telling the audience why Hispanic faces health disparities the most. First, due to the language barrier they have insufficient knowledge of oral health. Most the people who participated in this study were immigrants, Spanish. Only 2/3 of the people spoke and understood little to no English. Second, because of the poverty they have can’t afford dental health and avoid going to see the dentist. ¾ of the parents received an income of $2,000 or under per month. Third, many of the families did not have any type of dental insurance.
Dental insurance coverage is a key determinant on whether to seek care or not. The exclusion of our mouths from the rest of our body parts and not receiving the care it requires is quite impossible to rationalize (McClymont, 2015). Dental care is essential in the maintenance of good oral health and in the identification of symptoms of systemic conditions that most likely are manifested through the mouth. As striking and conspicuous as it may sound, Canada has indeed a type of health care system wherein mouth is excepted as a part of the body. As a matter of fact, our lips, tongues, and throats are securely covered while our teeth and gums are left out from the privilege. The most common infectious disease in the world are dental diseases, and the fact that many health issues can be first diagnosed through the oral cavity validates its importance and co-relevance to the rest of our body. Studies have linked poor oral health such as severity of gum infection to AIDS, first stages of osteoporosis, reveal nutritional deficiencies, immune disorders, cancer, and so on and so forth. Xerostomia or dry mouth for an instance is often a symptom of undetected diabetes. Diabetic patients have higher risks of gum infection caused by increased blood sugar, thickening of blood vessels resulting to hindered healing process that is why they are obligated to undergo pre-medication as a form
Unlike the previous studies mentioned here, this study by Decker & Lipton (2015) looked more on adults who are covered by the Medicaid. Two key findings were revealed in this study—first of all, an increase of the likelihood of dental care visit is evidenced by those who have Medicaid coverage and second, there is also a reduction of the likelihood of untreated dental caries. It is also concluded that Medicaid is essential in promoting dental care and that it is strongly suggested that it should be expanded to further benefit a wider population of
It appears to backs this notion by the lack of unified healthcare, fewer fee based dental clinics versus health clinics, lack of supportive legislation and fewer people with dental coverage versus healthcare coverage (Fingar, et al., 2015). Much to my dismay, dental care is a major health disparity. Three quarters of my career has been spent in the emergency department (ED). During these years, we continue to see patients with dental issues. Admittedly, their main reason for seeking care from the ED is that they lack dental insurance. Under the Emergency Medical Treatment and Labor Act (EMTALA), these patients cannot be turned away from the ED due to their lack of ability to pay. Daily we treat patients with mouth pain related to dental caries, mouth abscesses and fractured teeth. Patients have told me that they are saving to have the tooth pull which can cost at least $100. I have had several crowns placed in my mouth and I can attest that this procedure costs approximately $500 with decent insurance and triple this amount without insurance. The general reason for my concern, is that, dental infections can lead to other serious health problems such has respiratory infections, heart value disease or brain abscesses (Li, Kolltveit, Tronstad, & Olsen, 2000). I witnessed my 32 year old female patient die after surgery for removal of an infected brain abscess. The day prior, she confessed that it was related to dental
Economic status of the dental industry is “A key risk factors for many oral diseases, and significantly determines both general and oral health” (Beaglehole Pg 49) .Countries income and dental care can determine the number of oral health or dental diseases people might have in that country. In appendix 8 and 9there is a chart which identifies the “Relationship between GDP per capita” (Beaglehole 48) in the dental care industry.
Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.