Wednesday, September 23, 2009

Severely Misplaced Hate

So today someone (presumably reading some of my posts on Yahoo Answers?) commented on a post from Jan '08. They wrote:

"I was just reading what you said elsewhere on the internet in response to a person who asked why dentists cost so much. I don't buy your response. If I were suddenly made dictator of the US, the very first thing I would do, no exaggeration, is make dentists slaves of the state. They would then be forced to give quality dental care to anyone who needed it, for free...because I know that dentists do not need to charge what they do. They're/you're not missing any meals- but GUESS WHAT? Plenty of other people are so that they can get the care they should be entitled to as human beings in order to live a healthy, pain-free life. I understand perfectly your position- you know that people will pay ANYTHING to alleviate pain in their mouths- and you capitalize on that. Yes, I am bitter. I too owe over 100,000 in student loans- so that I could get degrees that would allow me to teach children...however, I certainly don't feel entitled to blackmail my students' parents by threatening to withhold their educations in lieu of receipt of extortionate amounts of cash. Bottom line: I do not like dentists and I hope the US 'socializes' medicine and you lose your lucrative little lifestyles and have to live like the rest of us. Medical doctors probably don't even live as well as you. You should be ashamed."

Well. At least you're not bitter....oh wait, you admitted you were.

I'm not sure where to begin. First of all, you know who should be ashamed? Someone commenting on this under "Anonymous." Yes, way to engage in a meaningful dialogue - go online and sling arrows around from behind a screen. If they read my answer somewhere else, it means they have a Yahoo account and they very well could have contacted me through there and talked about this a little more reasonably, as opposed to flinging vitriol in a blog (commenting, I might add on a post that simply welcomes my infant nephew into the world and has nothing to DO with dentistry!)

Mr/s. Anonymous: If you happen to check in here, feel free to do so and I'm happy to look at your concerns. Seriously. I believe you have some valid points but I believe you're misinformed on a few points.

Let's review. If you were made dictator of the US... stop there. You're a teacher? really? obviously not of Civics, Government or History, or you'd know we live in a democracy. But it's a rhetorical device. You want to make your point, fine. You'd like to enslave dentists and have them be "forced to give quality dental care to anyone who needed it, for free." Again, find a civics teacher, but this is called socialism. I sure as heck voted for Barack Obama, and I voted for (Dr.) Howard Dean and I sit here watching right wingers call these guys socialists, but I'm pretty sure there aren't too many Americans who REALLY want to live in a pure commune. Most of us believe that those who work harder (and to some degree those that are more talented or smarter) deserve more rewards. Are the current rewards proportional to how hard everyone works? Absolutely not, but I hardly think dentists (while sometimes "bad") are the worst offenders... we don't get, say, $10 million bonuses for getting lucky while taking risks w/ other people's investments. We don't make $20 million a year for being the star of CSI or for shoving a ball through a hoop. The bottom line here, however, is that you CAN'T "enslave" anyone and then expect "quality care." I think they kinda tried it in USSR and you had a lot of unmotivated doctors. You can build a pyramid or harvest cotton but you can't get people to perform at high levels involving critical thinking, artistry and compassion. (yeah, a lot of us have compassion, say what you will.)

"I know that dentists do not need to charge what they do."
Really? how many dentists do you know? Have you BEEN a dentist? Gone to dental school? Managed a dental office? Do some docs overcharge, upsell and price gouge? Yes. And the same is true of mechanics, athletes, ballerinas, contractors, engineers, architects, florists, whatever. Do you honestly expect everyone to charge no more than they need to to "get by?" Even if this were a realistic expectation, where's the motivation to be GOOD at anything? You'd have a society of mediocrity, on every level. And how on earth do you decide what constitutes a "reasonable level" of income? Who gets subjected to these dictates you'd propose? Everyone who makes more money than you?

"They're/you're not missing any meals- but GUESS WHAT? Plenty of other people are so that they can get the care they should be entitled to as human beings in order to live a healthy, pain-free life."
Ah, so you can make only enough to put food on your table and no more as long as ANYone goes to bed hungry. Interesting. The thing is, we can SOLVE hunger in this country, if not the world, by applying technology, ingenuity and compassion. Yeah, we need to trim some profits here and there, but we don't have to clip everyone back to subsistence levels. Your level of arrogance is astounding... seriously, you're telling ME that people are hungry, suffering and in pain?

I saw those people and cared for them every day when I was in dental school. I see them on a pretty regular basis come into my practice, where I'll knock off the charges for exams and xrays so that they pay only the cost of an emergency extraction. (Oh, that should be free too? I'm sorry; i'll just tell the SEVEN people for whom my small business provides good, secure jobs that I can't pay them anymore and we'll see how many people I can help all by myself...) I saw those hurting, hopeless people every DAY when I worked for three years full time at a non-profit clinic, at which I still spend two days a month because I believe in helping those in that situation. I see these people when I spend time (and money out of my own pocket) working with service projects through my church. I see the people only somewhat better off than the homeless or jobless who are struggling to maintain their own small businesses through my volunteer service on the board of my towns Business Association.

If you, Mr/s Anonyomous had bothered READING any of my blog posts you maybe would know these things about me, but hey, it's a hell of a lot easier to just hate all dentists, isn't it? I KNOW you didn't bother reading, because in your next comment from the 1/08 post you mention "your baby." It's not my baby, it's my brother's baby, but again, why bother reading when you have vindictive angry verbal epithets to spew?

"I understand perfectly your position- you know that people will pay ANYTHING to alleviate pain in their mouths- and you capitalize on that."
I think we've established already that you know NOTHING about me. That said, I'm interested that you view the whole dental profession as simply waiting around to provide extortive care to those in pain. In case you haven't noticed, we've spent the last 100 years or so hollering and waving our arms for PREVENTION - we are actively engaged in TRYING TO RUN OURSELVES OUT OF BUSINESS, trying to get soda machines out of schools, get fluoride in local drinking water, encouraging an often complacent population to just put some freakin' floss in their mouths now and then!

Of course, if you're only going to the dentist when you're in pain, I would imagine that it WOULD seem that way, which leads me to believe you're so anti-dentite that you ONLY engage in emergency care... Guess what? it's more expensive that way. Oh, i know, you're going to say you don't have insurance and can't afford to come in. Yes, there ARE homeless, jobless people out there who really do need a safety net, but MOST people who make the "i don't have insurance" argument haven't even bothered CHECKING to see how much it would cost to come in for a routine visit. Cleaning, $70; exam, $50-80; x-rays, $50-80. Basically $130-$250, and that's in NEW ENGLAND where things are more expensive than Midwest, South, etc etc. OK, so maybe you go to a dentist that upsells you stuff you don't need. I'm not a fan of the free market economy in all it's forms but by golly, shop around 'til you find someone who'll provide BASIC services. WE ARE OUT HERE.

"I too owe over 100,000 in student loans- so that I could get degrees that would allow me to teach children..."
Well, as soon as Pope Benedict asks my opinion (and as soon as you tell me your name) I'll be sure to put you forward for beatification and sainthood, my friend. Do NOT even try to tell me that any profession is soo much more NOBLE and BENEFICENT than any other. They all have their angels and they all have their demons. For ever evil money-grubbing dentist there's a lazy complacent teacher who can't be fired due to union rules or their tenure who are just marking time 'til their retirement, not caring if kids actually LEARN. For every noble "Stand and Deliver" "Dead Poets Society" "Dangerous Minds" teacher out there, I can tell you there are dentists and doctors in the trenches actually trying to make the world a better place, often at significant financial expense. You aren't BETTER than me cuz you're poorer...if you think you are, go find Nietzche and read his opinions on "slave morality."

Oh, and if you took out that many loans, getting into a profession where the financial remuneration is proportionally less than mine, don't come crying to me. I SWEAR I vote for the people who are trying to change the system whenever possible - teachers should be as comfortable and respected as health care providers or any other profession. Seriously, you typed your bitchy missive to quite possibly the most LIBERAL dentist in the state of New Hampshire. I'm on YOUR side, you daft fool, I'm trying to help and maybe fix things "from the inside." I don't golf, I'm not millionaire and I drive an 8 year old Camry.

"however, I certainly don't feel entitled to blackmail my students' parents by threatening to withhold their educations in lieu of receipt of extortionate amounts of cash."
Oh, well, then clearly you don't work for an institute of higher education, where the cost of getting a bachelor's degree (never mind a doctorate) are outstripping the CPI or rate of inflation at a truly dizzying rate. Pretty much, that's what college IS right now, is blackmail to withhold a real and meaningful education from those who can't afford it. And I won't pretend that doesn't exist on the secondary level where people who live in a crappy school district have to either spend thousands on private schools or let their kids slog through a system with barely competent teachers (the typically least likely to get jobs in better districts) and inadequate supplies. Again, i'm ALL ABOUT changing the system with loan repayments or financial incentives to get hte best and brightest teachers in the schools that NEED them most; you're preaching to the choir, Rev Anon. I won't bother telling YOU that a good education is expensive!

"Bottom line: I do not like dentists..."
Like a good book report, it's always nice to restate your main thesis in conclusion. Thanks. I hadn't picked up on that tidbit.

"US 'socializes' medicine and you lose your lucrative little lifestyles and have to live like the rest of us. Medical doctors probably don't even live as well as you."
Go Populism! Us vs. Them! Down w/ the bourgeoisie! Cripes, I'm a LEFTY and I've never been so inclined to yell, "Go to Cuba, ya pinko!" I never thought I'd see the day. I've made the points above, but you have no idea how I live, you have no idea how much debt I have and you certainly have no fucking clue how much I already give back in time, care, ideas and Yes, money.

"You should be ashamed."

No, shame on you.
Shame on you for posting anonymously.
Shame on you for making wild and inaccurate generalisations about an entire profession.
Shame on you for making foolish and hurtful assumptions about a person you've never met.
Shame on you for not doing a little basic research to LEARN about me before posting your screed.
Shame on you even for your insipid and disingenuous faux-erudite attempts at an intellectual smack down.

As disgusted as I am by SO many in my profession who DO take advantage of the less fortunate, I'm almost more appalled by people like you who ALLOW the them to paint the left wing with gross, mischaracterized brushstrokes, and who use your irrational, shoot from the hip rantings to scare their right-wing followers (usually the POOR, ironically) into supporting their policies.

YOU should be ashamed.


景都 said...

Well done, Dr. Nate.

Anonymous said...

I couldn't agree more - you are the most liberal dentist in New Hampshire. Well said.

Dave Cleveland

Anonymous said...

Awesome rebuttal!

Amanda said...

WELL DONE! Just from reading your blog it is clear how much you care about your patients and how much you care about those in needs. I know reading your blog put a whole new view on how I PERSONALLY se dentists in positve view (although still slightly scared of them but hey, what can I say?

You're a really good guy...keep up the blog and don't give up because some people have VERY little respect for the AMAZING job you do in your profession.

Anonymous said...

Heyyyy you're back! you seem a bit mad tho..
Anyway, dont dissapear again!

Jessica said...

Nice work Nate! As someone who has known you for seven years I can certainly back you up on all points - you are liberal, thoughtful, responsible and in your field for all of the right reasons. And you really do drive an 8 year old Camry. So there ANONYMOUS! Find another dentist to pick on.

dentist reviews said...

Without getting into left vs. right, Well said. Anonymous trolling is cowardly.

Gilbert Cosmetic Dentists said...

Good answers. Whoever said that comment had no idea what he or she was talking about.

Ashley said...

I found your blog while searching for a dentist in my area, and I felt I needed to comment.

I have a severe phobia (true textbook phobia) of dentists. I even see a therapist for it. And in just the last year, I have been to six, yes SIX, different dentists, all of whom could not have cared less about my phobia and were completely unconcerned about anything other than how much money they could squeeze from me.


Dr. Lynette Crouse watched me as I cried and laughed over me to her assistant saying, "God, such a baby." Then, while leaving, told my husband, "she needs to just get over this or let her teeth rot, because no dentist is going to be able to stand her theatrics."

Dr. Bernard Natkin, while extracting my #17 told me I could leave if I wanted to, while half my tooth was still lodged in my jaw, or deal with it when I told him the anesthetic was wearing off. I am one of those weirdos that takes forever to become numb, and even if full numbing occurs, it wears off completely within 20 - 30 minutes. I had to endure the rest of the extraction and suturing feeling ever single minute.

Dr. Michael Fitzgerald "tested" me when I told him I had a horrible sensitivity to metals touching my teeth. I've always been this way, and no one has ever been able to explain it. To test, he would use the plastic instruments that I requested, then switch to the metal ones and tap my tooth causing extreme pain. He did this no less than a dozen times, laughing every time my eyes welled with tears and finally conceded I was telling the truth.

So, I can totally understand the psyche of your anon poster. You have no idea what s/he has endured at the hands of dentists. I myself feel the same way right now. Although, I will post with my name present and you and everyone else are free to e-mail me and tell me how wrong I am, but I truly feel that the vast majority of dentists do not care one bit about their patients. I have had my fair share and can honestly say, I have not found one worth defending.

As I said in the beginning, I am still searching for "the right dentist". I do want a healthy mouth, but not as the cost of my pain and fear being the butt of some one's jokes. I want to believe that "good dentists" exist, but the numbers are stacked against that. So for now, I'm siding with anon and will stick with the opinion that all dentists are sadistic, greedy mutilationists until I am proven otherwise.

Kathy said...

Very well said Dr. Nate! I congratulate you, along with the people of Jackson, TN! Dentists from our place here in Summar Drive, just like you, do sincerely care for oral health. It's not only your job to fix teeth, it's also the responsibility of the patients to take care of their precious snags, right? Good luck on your future blogs and updates!

golfshot said...

Well done Dr. Nate. Since when is playing golf a crime in this country? I'm a dentist, I play golf, I'm a conservative, yet I agree with everything you said. People shouldn't judge other people. People shouldn't make generalizations about groups of people. That results in stereotypes, hurtful dialogue, racial profiling, racism, and hate.

dh12 said...

everybody is tired of getting ripped off by dentists. Sure you go to school for a long time but with the prices you charge you pay for that quickly. The rest is gravy. Most dentists I know have at least two luxury cars and amazing homes. Charging so much for even basic care is outrageous. Like many other things the industry is being threatened by outsourcing or people taking vacations where the work gets done for more reasonable prices. said...

Good arguement!

Quincy Dentist said...

Lol.. Pretty intense.. but i agree no one gets quality service without paying so.. you always get what you pay for.. anyways great post anyways!