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	<title>Comments on: Dentists and the reimbursement boom</title>
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	<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80894</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 13 Oct 2007 13:37:00 +0000</pubDate>
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		<description>Remember your rant when you need a dentist after hours or the weekend. You will be seeing on of those hated MD&#039;s instead.</description>
		<content:encoded><![CDATA[<p>Remember your rant when you need a dentist after hours or the weekend. You will be seeing on of those hated MD&#8217;s instead.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80892</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Sat, 13 Oct 2007 08:48:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80892</guid>
		<description>Anon 11:08&lt;br/&gt;&lt;br/&gt;This is my first post on this topic.  I have been watching the mayhem unfold and suspected that one of the pompous self-important allopaths or their worshipers would invoke my name.  Perhaps you should choke back a bit of that self-important bile prior to engaging in your tirade(s) and perhaps ask the simple question as to the identity of the poster(s) in question prior to the a priori ascribing of the post(s) in question to me.  &lt;br/&gt;&lt;br/&gt;I know.  It would deviate from the mindset that believes in the junk science that has given us &quot;clinical causation (aka litigant told me a story and thus it must be the &quot;mechanism of injury&quot;) but you could at least try.&lt;br/&gt;&lt;br/&gt;~Criminallopath~</description>
		<content:encoded><![CDATA[<p>Anon 11:08</p>
<p>This is my first post on this topic.  I have been watching the mayhem unfold and suspected that one of the pompous self-important allopaths or their worshipers would invoke my name.  Perhaps you should choke back a bit of that self-important bile prior to engaging in your tirade(s) and perhaps ask the simple question as to the identity of the poster(s) in question prior to the a priori ascribing of the post(s) in question to me.  </p>
<p>I know.  It would deviate from the mindset that believes in the junk science that has given us &#8220;clinical causation (aka litigant told me a story and thus it must be the &#8220;mechanism of injury&#8221;) but you could at least try.</p>
<p>~Criminallopath~</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80888</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 22:17:00 +0000</pubDate>
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		<description>You&#039;d think they could at least take care of their own antibiotic and analgesic orders.&lt;br/&gt;&lt;br/&gt;I was impressed with how much Medicaid ER revenue in our Medicaid mangled care plan went to dental pain.</description>
		<content:encoded><![CDATA[<p>You&#8217;d think they could at least take care of their own antibiotic and analgesic orders.</p>
<p>I was impressed with how much Medicaid ER revenue in our Medicaid mangled care plan went to dental pain.</p>
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		<title>By: Happyman</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80887</link>
		<dc:creator>Happyman</dc:creator>
		<pubDate>Fri, 12 Oct 2007 21:42:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80887</guid>
		<description>anon 10:46 - &lt;br/&gt;&lt;br/&gt;my apologies. I guess the more correct thing to say, rather than that there are few dental emergencies, is that there is rarely an emergency that requires a dentist.&lt;br/&gt;&lt;br/&gt;kudos to the ENTs, who have a GREAT DEAL more responsibility, training, and emergencies (e.g. airways???) than some guy tweaking braces in a suburban office-spa for $500,000/year.</description>
		<content:encoded><![CDATA[<p>anon 10:46 &#8211; </p>
<p>my apologies. I guess the more correct thing to say, rather than that there are few dental emergencies, is that there is rarely an emergency that requires a dentist.</p>
<p>kudos to the ENTs, who have a GREAT DEAL more responsibility, training, and emergencies (e.g. airways???) than some guy tweaking braces in a suburban office-spa for $500,000/year.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80879</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 16:08:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80879</guid>
		<description>9:56-  I think I&#039;ll come work at YOUR hospital.&lt;br/&gt;&lt;br/&gt;And Criminallopath (under whatever anonymous guise you choose today).  What a collosal bore.  Everything is about the evil Flexner, monopolistic stanglehold greedy whiny doctors have.   Do you know any other tumes?&lt;br/&gt;&lt;br/&gt;There are NO restrictions on dentists to come into hospitals to do their procedures.  They pose no competition to me because I don&#039;t DO any of the stuff they do.  So your argument has no foundation.  Furthermore there are oral surgeons running around doing lots of soft tissue facial surgery and even purporting to be able to do neck dissections BUT they never seem to be available to take care of the dental etiology head and neck infections which fall to people like me or the hospitalists.  Oh, and these are FULLY privileged attendings at the hospital.  So rest assured they are driving more nails into the coffin of the Flexnerites.&lt;br/&gt;&lt;br/&gt;Does that clarify things?  If not, I can repeat it using smaller words.</description>
		<content:encoded><![CDATA[<p>9:56-  I think I&#8217;ll come work at YOUR hospital.</p>
<p>And Criminallopath (under whatever anonymous guise you choose today).  What a collosal bore.  Everything is about the evil Flexner, monopolistic stanglehold greedy whiny doctors have.   Do you know any other tumes?</p>
<p>There are NO restrictions on dentists to come into hospitals to do their procedures.  They pose no competition to me because I don&#8217;t DO any of the stuff they do.  So your argument has no foundation.  Furthermore there are oral surgeons running around doing lots of soft tissue facial surgery and even purporting to be able to do neck dissections BUT they never seem to be available to take care of the dental etiology head and neck infections which fall to people like me or the hospitalists.  Oh, and these are FULLY privileged attendings at the hospital.  So rest assured they are driving more nails into the coffin of the Flexnerites.</p>
<p>Does that clarify things?  If not, I can repeat it using smaller words.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80877</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 15:05:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80877</guid>
		<description>Anon 8:41:&lt;br/&gt;&lt;br/&gt;It&#039;s your pill time.&lt;br/&gt;&lt;br/&gt;Where is the public support for Lew Rockwell-inspired social change? Anyone? Bueller?</description>
		<content:encoded><![CDATA[<p>Anon 8:41:</p>
<p>It&#8217;s your pill time.</p>
<p>Where is the public support for Lew Rockwell-inspired social change? Anyone? Bueller?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80876</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 14:56:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80876</guid>
		<description>&quot;Guess who gets called in to take care of them?&lt;br/&gt;&lt;br/&gt;I just love being scut boy for the dentists.&quot;&lt;br/&gt;&lt;br/&gt;Actually where I work ENT does NO ADMISSIONS. They are all admitted to the hospitalist service with an ENT c/s (if appropriate). In reality the hospitalist is just as much of a scut boy, if not more. That stated, it is amazing that dentist&#039;s can get away with washing their hands of their screwups and bad outcomes. One of the nice thing with medical surgical specialties is the conviction (among most anyways), that if &quot;I operated on it then any complications are my problem&quot;. I am not saying the dentist&#039;s should be doing ENT procedures, but they should have the decency of taking ER call FOR THEIR PATIENTS and evaluating their handiwork when something goes wrong. Anon 9:40 also amazes me because when something goes wrong  emrgently, it will be an MD fixing it not his beloved DDS.</description>
		<content:encoded><![CDATA[<p>&#8220;Guess who gets called in to take care of them?</p>
<p>I just love being scut boy for the dentists.&#8221;</p>
<p>Actually where I work ENT does NO ADMISSIONS. They are all admitted to the hospitalist service with an ENT c/s (if appropriate). In reality the hospitalist is just as much of a scut boy, if not more. That stated, it is amazing that dentist&#8217;s can get away with washing their hands of their screwups and bad outcomes. One of the nice thing with medical surgical specialties is the conviction (among most anyways), that if &#8220;I operated on it then any complications are my problem&#8221;. I am not saying the dentist&#8217;s should be doing ENT procedures, but they should have the decency of taking ER call FOR THEIR PATIENTS and evaluating their handiwork when something goes wrong. Anon 9:40 also amazes me because when something goes wrong  emrgently, it will be an MD fixing it not his beloved DDS.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80875</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 14:15:00 +0000</pubDate>
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		<description>The supply-restriction, anti-Flexner, guild monopolist arguments are growing tiresome. Largely because they are made in the context of a &quot;special privilege&quot; reserved for the &quot;provider class&quot; which is treated differently from any other profession.&lt;br/&gt;&lt;br/&gt;Hogwash.&lt;br/&gt;&lt;br/&gt;To get a license to sell insurance in California, for example, you must be sponsored for the exam by someone else who is already licesnsed. &lt;br/&gt;&lt;br/&gt;Many labor unions restrict supply by using draconian measures to limit membership, and making membership requirements extremely onerous. e.g. Iron Workers, or Screen Actors Guild (At least they admit they are a guild).&lt;br/&gt;&lt;br/&gt;Stage hands want to impose a certain number of workers per performance, regardless of the actual need. Interesting. I suppose they let too many people into the union, and now they have to find a way to get them all paid, outside of free market forces.</description>
		<content:encoded><![CDATA[<p>The supply-restriction, anti-Flexner, guild monopolist arguments are growing tiresome. Largely because they are made in the context of a &#8220;special privilege&#8221; reserved for the &#8220;provider class&#8221; which is treated differently from any other profession.</p>
<p>Hogwash.</p>
<p>To get a license to sell insurance in California, for example, you must be sponsored for the exam by someone else who is already licesnsed. </p>
<p>Many labor unions restrict supply by using draconian measures to limit membership, and making membership requirements extremely onerous. e.g. Iron Workers, or Screen Actors Guild (At least they admit they are a guild).</p>
<p>Stage hands want to impose a certain number of workers per performance, regardless of the actual need. Interesting. I suppose they let too many people into the union, and now they have to find a way to get them all paid, outside of free market forces.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80872</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 13:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80872</guid>
		<description>Attention hypocrisy central:  OK ENTs, if you are so whiny about being called in to mouth issues that dentists can&#039;t handle, why don&#039;t you support eliminating ALL restrictions on the services/procedures dentists can perform, i.e., LET them do surgery and let them have full prescribing authority in all states.&lt;br/&gt;&lt;br/&gt;UGH--how can you horrid, dirty guild monopolist criminals live with your greedy little selves.</description>
		<content:encoded><![CDATA[<p>Attention hypocrisy central:  OK ENTs, if you are so whiny about being called in to mouth issues that dentists can&#8217;t handle, why don&#8217;t you support eliminating ALL restrictions on the services/procedures dentists can perform, i.e., LET them do surgery and let them have full prescribing authority in all states.</p>
<p>UGH&#8211;how can you horrid, dirty guild monopolist criminals live with your greedy little selves.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/dentists-and-reimbursement-boom.html/comment-page-1#comment-80866</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 12 Oct 2007 03:46:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/dentists-and-the-reimbursement-boom.html#comment-80866</guid>
		<description>With all due respect Happyman, your contention that there are relatively few dental emergencies is ill founded.&lt;br/&gt;&lt;br/&gt;It depends on what you call &quot;dental.&quot;  As an otolaryngologist, I bear the brunt of managing dental complications.  Almost all deep neck infections in adults are dental origin.  All Ludwig&#039;s Angina cases are dental in origin.  t&lt;br/&gt;The majority of facial cellulitis/abscesses are dental in origin.  Guess who gets called in to take care of them?&lt;br/&gt;&lt;br/&gt;I just love being scut boy for the dentists.&lt;br/&gt;&lt;br/&gt;The rest of your post is spot on.</description>
		<content:encoded><![CDATA[<p>With all due respect Happyman, your contention that there are relatively few dental emergencies is ill founded.</p>
<p>It depends on what you call &#8220;dental.&#8221;  As an otolaryngologist, I bear the brunt of managing dental complications.  Almost all deep neck infections in adults are dental origin.  All Ludwig&#8217;s Angina cases are dental in origin.  t<br />The majority of facial cellulitis/abscesses are dental in origin.  Guess who gets called in to take care of them?</p>
<p>I just love being scut boy for the dentists.</p>
<p>The rest of your post is spot on.</p>
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