Teeth Aren't Just for Chewing. So Why Doesn't Medicaid Cover Dental?
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- เผยแพร่เมื่อ 25 มี.ค. 2018
- Medicaid doesn't cover dentistry. But dental health affects many different aspects of a person's life. Bad teeth can cause social difficulty, and make it hard to find employment, aside from the fact that an unhealthy mouth can lead to or exacerbate many conditions.
This video was adapted from a column Austin Frakt wrote for the Upshot. Links to further reading can be found there: www.nytimes.com/2018/03/19/up...
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I still think your entire body should be under the same plan. Dental, Vision and Medical should all be under the same plan.
It is sad that I'm pulling my teeth one by one to avoid the cost of root canals on a cash diet.
Also problems with wisdom teeth can cause chronic pain and reoccurring infections
What is the accident of history that caused dental to be separate from medical coverage? Is there a video already on that?
I think he just meant that we see the problem very differently to other health issues, i.e. Surgery Vs Cosmetic. for example you can't discriminate against someone who has diabetes, but it's ALLOT easier and socially acceptable to discriminate against someone with poor dental hygiene. the point he might have been aiming is that we should encapsulate all body needs as health care.
I think you're probably right, SuperKami. When these plans were being created, we had a poor understanding of how dental hygiene affects your overall health, so it was considered cosmetic and not a necessary facet of healthcare. Same with mental health. Until recently, mental illness was seen as not real or not serious unless it became an emergency that required hospitalization, so preventative and primary mental healthcare were never considered. The private sector stepped in to fill that gap completely, and now that a thriving private structure is in place, there's little will to begin shifting the status quo, even though it's hurting people. This isn't just a problem in the U.S. I'm pretty sure most countries have this issue. Mine (Canada) certainly does.
One part of the problem you didn't cover is that even when you have some kind of dental coverage thru Medicaid, good luck finding a provider that will take it. Having insurance is useless if no one accepts it.
In New York state Medicaid coverage for dental and optical is minimal at best, but it's nearly impossible to find any provider that takes it, even the medical part, let alone dental or optical. Usually your only options are clinics, and that's if you're lucky enough to live near one.
It's also a mystery as to why Medicare also doesn't cover dental or optical, as the people that have Medicare are likely to need that coverage the most.
CaptainFabulous84 Pennsylvania is just as bad. Nobody in the county I used to live in would accept Medicaid patients. You'd have to travel over an hour away to see a doctor. And of course the wait time in the office is another hour since everybody and their mother also got an appointment there. You could blow over half a day for just 10 minutes with a doctor. It's ridiculous!
Medicare and Medicaid doesn"t cover glasses or hearing aids and some orthopedic appliances. This is brought about simply because Pres. Johnson couldn't get it through Congress, unless certain things were left out. No drug coverage until Bush era either.
And even if you're lucky enough to find a dentist who accepts Medicaid or Medicare, chances are, they are horrible quality. Any dentist I've seen who takes either insurance is sub-par, I can brush my teeth better than the cleanings I've gotten. :/
@@SadRahne that's so sad.
Great video. You understated some of the risks for dental disease as it relates to cardiovascular issues. I have a patient I inherited after a significant dental abscess resulted in two of his heart valves becoming infected resulting in a emergency surgical replacement at age 30. He ended up having second emergency surgery at age 37 when the artificial heart valves failed. He is completely disabled for the rest of his life at age 40 due to poor dental care that resulted in extensive cardiac damage from his end stage heart failure.
Mental health and eyes need coverage too. Are not the brain and eyes as well as mouth part of the body?
Those are both covered 100% ($150 for glasses) under my state's Medicaid.
jfsfrnd Here in MD it covers up to $150 for any frames and lenses.
I just got my very first pair of glasses 3 months ago. I live in California. I had to pay out of pocket for 2 tests and my glasses. Basic exam was the only thing covered.
SadRahne that sucks.
It's a hole in Canadian healthcare systems too. Getting your teeth taken care of is really expensive unless your job has an insurance plan.
Discitus I was happy to see the Ontario NDP proposing to create a dental plan. I've always been surprised by how little attention dental health seems to get.
I'm from BC. Why is insurance given only to those, who do full time work? Why can't we get benefits based on the number of hours workEd? It makes no sense to me.
Same in Germany... We have some things that are covered but not so much
Same with Australia
When I was a kid we never had dental insurance and now that I'm a disabled adult on Medicaid the closest dental care facility is the teaching hospital 40-50min away. On top of having to pay for the gas to get there the parking is then pay for use. I honestly have no clue how much care is actually even covered >
AlphaDelilas Can you phone them?
I only wish I had that option. It's something at least as I'm finding nothing.
Wa state that offered dental was almost useless. Finding places that would take it, take you, and get you in that didnt schedule out 3 months in advance was a pain.
Colorado Medicaid covers dental services up to a $1,000 per year. However, good luck finding a provider that takes it and will see you in a reasonable amount of time.
I always thought magnesium in water would have a much better impact than fluoride in water. It helps both your teeth and the inside of your body.
Idk what he's talking about. Fluoride is a neurotoxin. States and even other countries are saying no or totally banning it. It occurs naturally in food and water. If you need more yes go to the dentist but what's in our water and toothpaste is bad for teeth and bones. Osteoporosis and fluorosis.
Thankfully Minnesota's Medicaid has pretty strong dental coverage (as far as I've been able to tell), although it can be hard to find dentists who take my dental insurance AND are currently accepting new patients. Thank God for the U of MN dental school needing guinea pigs for their students.
EDIT: Ah, after viewing the map, I guess I only have good dental benefits because of my type of Medicaid.
W00t for Minnesota!
Are you saying that seeing a dentist will help you avoid costly medical problems down the line? You see where I'm going with this?
DrowFighterMage Going to the dentist is much less expensive than being in the hospital for a few days from a heart attack/stroke.
Depression can be a source of poor dental health. I know this first hand. Messes up your sex life too. Try dating without any teeth. Ask me how I know, go ahead.
Unless you find someone who also has missing teeth, but it is pretty sad people can't love you as a person rather than what is on the outside. I guess the question would be would you really want them anyway. If they can't accept you at your worst they sure can't love you at your best.
@Travis Thacker part of the problem is dental care is so expensive, and not available to adults with low income. Which also makes people poor because who wants to hire a customer service person who will be interacting with other people that has bad teeth. Not to mention being in pain while taking care of a disabled child.
It confuses me why mouth health isnt covered by normal health ins...does anyone know why this has become the norm?
I know makes no sense as bad teeth can lead to heart attacks, and facial infections especially your jaw. The pain is awful. I just think this whole system is setup to make us poor, and miserable no matter what we do. Part of it is you have to many people feeding off the system. Instead of government saying this spending is not necessary. I think they would have money for dental if they budgeted correctly.
I didn't give a crap about my teeth until I lost five due to an accident. Now I'm mister dental hygiene. And my dentist and hygienist were instrumental in getting me to quit smoking.
Thanks Kimberly and Doc!
How about eye coverage? Something as simple as being able to see properly seems like something that should be provided by the most basic insurance plan.
Dental health plans suck period. If you have serious problems. Give it up. You can’t afford it.
The last o in Oregon is pronounced like in person, not like in gone.
my medicaid dentist made dentures and partial that has been cutting up my mouth causing infection, pain, discomfort, etc.... my ENT doctor heard him say on my cell phone, if you don't like what i made find another dentist... i have been crying on and off for months not being able to find a dentist who takes medicaid, here in Middle Island, (long island) NY... i need help and even the state and medicaid themselves haven't been able to help me find a dentist....
I've never understood why dental and vision coverage aren't rolled into medical coverage. They are both medical care, and important medical care at that. If acne treatment is eligible for medical coverage, surely dental and vision should be too.
My stepson has been on Medicaid since his biological father died. My work insurance covers everything, so I didn't want to pay for coverage for everything just for dental. Medicaid covers dental up till the age of 21, so he had everything done before then. Soon after he turned 21 he had an emergency and had to shell out $1,000 out of pocket so he could get a root canal!
Brad Bourgeois if your work covers everything he could have stayed until 26.
Well, it isn't free, lol. He already has Medicaid for medical. I would have had to pay $4,000 per year to just cover dental.
Brad Bourgeois I see. The employer contribution in this situation is important.
In NH there is a sliding-scale place called Mid-State Health… we were able to ox so much for $40 per visit! Saved my husband and I from so much pain while being laid off from pandemic in the middle of nowhere
pretty much all health care in denmark is free, exept dental care!
its crazy, last time i had to pay 2000 dkk, thats 1/3 of my monthly income!, needless to say, i have dentist fear now.
10/10 dentists recommend this video.
I never took care of my teeth well, so when I needed multiple cavities done I found out I would only have coverage for four of them. Because of the immense pain and the fact that Medicare didn't cover much dental work, only two cleanings a year, the only option I had was to have them all taken out. This was done about ten years ago.
King Axolotl Tbh 2 cleanings a year and coverage for 4 cavities sounds reasonable to me, as long as you're somewhat taking care of your teeth and visit the dentist twice a year.
Justin, well maybe, but we can't really tell who simply has bad genes and who actually took bad care of their teeth. My girlfriend has had a few bad teeth even though she takes really really good care, brushing flossing, mouth wash... everything and also goes to the dentist twice a year including a cleaning there once a year...
i on the other hand am ok at taking care i don't really floss and i sometimes am in such a hurry in the morning that i don't brush my teeth... still my teeth are way better then hers.
i'd rather help a few persons who might not deserve it then don't help one who does!
I have bad teeth due to Crohn's. Repeated exposure to stomach acid isn't too nice on enamel. I have a debt in collections due to needing crowns immediately (the dentist didn't go over costs or other options behore hand) on my back teeth.
i am sorry but i am from germany where nearly everyone has health which makes it a lot cheaper and you can actually choose between many different insurers but basic dental care is included in every one of them.
heath insurance here pays for preventive doctor visits and it pays for regular dentist visits because its cheaper then to wait until people get really sick and it then costs a whole lot more to treat them.
+ if you listened to the video, dental problems higher your risks of becoming sick and lower you chances of getting a job, which then makes you unable to pay for medical care so in the end you need welfare so the state has to pay a lot more then if you had been able to just visit a doctor or dentist early...
Justin Danglade
An ounce of prevention is worth a pound of cure.
It's simply cheaper to fix problems (of negligent fuckwits) before they become expensive fuckwit problems.
OR-eh-gun.
Jenni Seven It's more of an "in" than an "un" though.
30 years old and about to have my 2nd molar pulled, because I cannot afford a root canal! I blame my parents personally for not being on my ass about taking care of my teeth as a kid, and giving me junk food all the time! I'm constantly on both my kids ass' about their oral care luckily for their mother watching out for them they have never had a cavity
Here in Serbia it's covered for unemployed population, for others dental health procedures aren't expensive at all
Oral care also a correlation with COPD.
This also applies to glasses and hearing aids. Teeth, eyes and hearing aren't important for a quality life???
Denying this to old people who have eye and teeth and hearing problems. Especially ironic.
Aaron, how can we fix this?
BUMPER TO BUMPER UNIVERSAL HEALTH CARE.
sinjis ...which would be expensive and the majority of politicians definitely do not want it.
lalaithan Bernie's Medicare for all plan includes dental coverage and would cost less than the current US total expenditure on health care. In large part because it removes insurance profit and pay for a lot of claims processing bureaucracy from the mix.
Again, does no one check the collar on your shirt before turning on the camera?!?
This is my problem. I'm too embarrassed to go anywhere due to broken front teeth and a missing tooth due to a Sociopathic Dentist. But Oregon Health Plan won't cover crowns or implants not even on front teeth, the most important teeth when smiling. They will pay for all of my teeth to be pulled and for dentures though. Its ridiculous. They won't cover a crown over a tooth that had a root canal in which leaves a large hole. My blood pressure is now really high. They say they want people to get work and get off state help including foodstamps. But some of us get too embarrassed and depressed to go in public let alone apply for a job. People judge me and call me a tweaker. OREGON MAKE MY SMILE PRETTY AGAIN WITHOUT PULLING THEM OUT AND I'LL BE HAPPY AND CONFIDENT ENOUGH TO GET A JOB!!
I'd believe ideas about the bettering of medicaid if it didn't seem like lifestyle choices, not access to healthcare, was the root problem. Cavities are easy to avoid. I've had none and haven't seen a dentist in 6 years. Still no problems. Oral hygiene costs, what, 12 dollars a year if you get the pricey stuff? And if you can do it while you're camping, then any demographic can brush their teeth at least once a day. And when the patients I see are the same ones skipping their free appointments, not taking the medications they're prescribed (which they would get for free), and choose to spend their dollar on daily half gallons of slushies, it's hard to see the programs being put to good use.
And if they know it keeps them from getting a job, then surely the ACLU would be happy to take their case. I just can't see that as being legal. Unless. . . .there's no way to prove it? Maybe there were better candidates and it's a coincidence? Personal reports of what people thought happened aren't facts.
This was annoying. The video didn't actually answer the question that they PUT IN THE TITLE that I wanted to know about.
It's called a rhetorical question. It's being asked to make a point, not to receive an answer.
It's a pretty bad use of that device. I'd almost call it click bait, although it's not that bad.
What is the procedure to force insurance company’s to consider dental health and pay just like their health policies? Teeth are a part of the body!
This is stressful
help! i have no molars left the rest of my teeth are broke infected and painful! Florida only covers extraction. well all 15 i have teeth left? what do i do then, nevermind its impossible to find a dentist that takes caid! help
Seek the help of a local dental school which can help find the best solution for you for a lower cost.
waiting lists are years long or closed.
Dental schools depend on volunteers. None here in Broward county, have any volunteers.
I despise teeth. I'm saving up for veneers...
Same here.
So this 6:49 video is telling me why i should go to a dentist?
im only watching this because i have a tooth infection on the top and bottom of the left side of my mouth and i cant do shit about it and im in so much pain i can barely do anything
My Medicare is stopping dental this month
I like your videos, but as an Oregonian... please say Oregon [OHR-reh-gun]
Equal use comprehensive single payer with social care.
I don't have state covered dental care in Canada either, and it makes no fucking sense. If you're over the age of 18 and don't have additional health insurance, you kinda just have to live with no dental care until it becomes an emergency, which must be SO expensive for the government. It would be cheaper to provide more preventative stuff and stop it before it becomes an emergency. But what can you do? Mental health is another area that's barely covered. I can't even imagine how much it's costing our government and our economy not to provide this kind of basic care.
😩
it's pronounced Oregun.
ORY-GUN not ORY-GONE
Please don't advocate insurance/government getting more involved in dental. It just raises prices and makes parents more reckless with their kids about their kids teeth. Source: My aunt works as a dental hygenist at a pediatric dentist in a state where low income parents/kids get free dental care... she pulls as many teeth as she cleans. It's sad.
If all you care about is money, know that NOT providing full dental care (include or canals etc) ends up causing SO many more medical issues that Medicaid WILL pay for… costing everyone MORE. No. Matter. What. Everyone knows you can take as good care of your teeth as possible and still need a regular dentist. If you’re against full dental coverage for all, you just hate poor people and want to punish them. And you’re literally PAYING EXTRA to do it.
We know the world is fucked up I thought you might’ve known something to help it I guess I was wrong again
TRIPLED
INDIANA
Your pronunciation of Oregon hurts me a bit as someone who lives here
America make it great again by free dental amen
I figure I leave a bad joke bc I don't have much to say about the video
but i wanted to leave a comment to let you know it was a good video
so here is that bad joke
A man is talking to the family doctor. "Doc, I think my wife�s going deaf." The doctor answers, "Well, here�s something you can try on her to test her hearing. Stand some distance away from her and ask her a question. If she doesn�t answer, move a little closer and ask again. Keep repeating this until she answers. Then you�ll be able to tell just how hard of hearing she really is." The man goes home and tries it out. He walks in the door and says, "Honey, what�s for dinner?" He doesn�t hear an answer, so he moves closer to her. "Honey, what�s for dinner?" Still no answer. He repeats this several times, until he�s standing just a few feet away from her. Finally, she answers, "For the eleventh time, I said we�re having MEATLOAF!"
source: www.jokes4us.com/random/joke465.html
I agree with the premise but not your arguments... social stigma...seriously?
Have you not been super embarrassed by something on you or that happened to you? It can really do a number on your own confidence which determines what you do in life.
Yes and I laugh it off. That's the difference between confidence and self esteem. Self esteem is fragile, it's pumped up artificially, if it's not teeth it will be that wierd smell or another awkward person looking at you funny. You will never be able to micromanage everything to perfection...it's not the teeth, it's your neurosis.
If you have confidence, if you have experience and competence and you know it...you are more than the impression you make. Some of the most confident people I know are homeless. But I live in eastern europe...where it's not the state's job to make you feel like you have worth.
So the guys struggle and fight. Some learn to sing, one guy started doing stand up despite his meth teeth and now has tours with meth teeth.
I'm sorry, you feel awkward, I do to. Everyone does. But it's not their fault. Literally, you can't dull society to such a degree that you don't have to do anything and you'll feel fine. That's not how your brain works. Happiness, joy, love, self respect, discipline...all traits are internally created by challenging yourself and conquering adversity. "Building Character" is more than just a "patriarchal trope"
Lisa needs braces...
I never thought that dental health was so important.
Ignore my last comment. Unsubbing. This channel has become more about politcal policies than information about rigorous discussion about healthcare. Gone are the days where you talked about studies that weren't about where tax dollars should go. Quit patreoning a while ago... dunno why I've stayed subbed.
Listen have you tried dating with a missing front tooth? It doesn''t go over well. Being someone approuch his 30s who never used to brush his teeth, because he grew up with parents who again did not brush their teeth and also smoking and acid damage from soda. It doesn't matter if you have a six pack and huge bicepts if you smile and look like a crack head. I know because i get disgusted from people with bad teeth too, ironic right?
SECCOND!
ora-gone?
For crying out loud, Aaron, third party payers are one of the biggest reasons for the rapid rise in healthcare prices. Applying the same model to dentistry is beyond idiotic. Paying is cash is perfectly affordable for an annual dental appointment.
"I can afford this thing, therefore everyone can!'
jfsfrnd there are payment plans if the dentist offers them. They can be more affordable than some insurances. Instead of going through a middle man with insurance. These plans are different in that you are the only one paying for dental. Not a pool of people you pay into. Most dentists want more patients. So there should be a way to make it work with them.
Take Walker
Dude, I can assure you, if I can afford it, anyone can. I'm not swimming in dough.
Coolroxas
Payment plans are definitely an excellent option. I used one before. Cheap af, as the kids say these days.
>anyone can
Are the homeless and destitute not people?