Loathsome Premier of Ontario Mike Harris (1995-2002) removed dental and optometrist services from what's covered by OHIP. The coverage is yet to be restored.
Incidentally, Toronto city council appears poised to cut subsidized dental care for the poor right now.
Incidentally, Toronto city council appears poised to cut subsidized dental care for the poor right now.
For the curious, Canadian healthcare works as follows:
1. Ottawa gives the provinces money for healthcare.
2. Each province has its own program.
3. You have to reside in a province for six months before you are covered there.
1. Ottawa gives the provinces money for healthcare.
2. Each province has its own program.
3. You have to reside in a province for six months before you are covered there.
Except that it's not: your own provincial plan will cover health care anywhere in the country... I can use my OHIP card in Alberta without having to apply for coverage in Alberta for a minimum of three months. Now, OHIP won't cover any treatment I receive in Alberta that they don't cover in Ontario and will only cover what they'd have paid an Ontario doctor for it, which may be an issue, but this isn't even remotely close to medical serfdom.
-- Steve's dental coverage is, alas, solely provided by a supplementary insurance plan from work and only covers 80% of billings... though he could pay extra to have that coverage raised.
-- Steve's dental coverage is, alas, solely provided by a supplementary insurance plan from work and only covers 80% of billings... though he could pay extra to have that coverage raised.
Yes, the Canada Health Act was written to prevent that sort of lock-in... as a condition of receiving federal money to support provincial health insurance, that money has to be available to any Canadian citizen.
-- Steve thinks this is why a comparable system won't work in the US; there are just too many jurisdictions to make such a system functional. (52, instead of Canada's mere 13.)
-- Steve thinks this is why a comparable system won't work in the US; there are just too many jurisdictions to make such a system functional. (52, instead of Canada's mere 13.)
Yes, but IIRC there isn't a similar system of transfer payments to ensure that American citizens have comparable care throughout the country; that's tough enough to negotiate with 10 premiers, and doing so with 50 governors just sounds unmanagably complex. (Not to mention smacking too much of teh ebil soshulism.)
-- Steve also likes that his system doesn't have to worry nearly as much about "in-network" and "out of network" providers; a benefit of the single-payer insurance scheme that's often overlooked.
-- Steve also likes that his system doesn't have to worry nearly as much about "in-network" and "out of network" providers; a benefit of the single-payer insurance scheme that's often overlooked.
Even though I despise Harris too, I must point out that it was McGuinty that cut optometry services from OHIP. (Note that optometry is still covered for children, seniors, and those on provincial assistance.) The dental bit, AFAIK, is indeed all Harris'.
-- Steve thought that Rob "Baby Rush" Ford's election boded particularly ill for services in the GTA, and is sad to see this come to pass.
-- Steve thought that Rob "Baby Rush" Ford's election boded particularly ill for services in the GTA, and is sad to see this come to pass.
Option 2 is strictly correct but in practice my teeth have cost me less than £15 over the past 2 years - yay for free check ups :)
Before you decide you hate me, I'll point out that I went to an orthodonist for 9 years as a child and have had multiple teeth removed and every brace under the sun - I earned (pain) free visits to the dentists the hard (painful) way!!
Before you decide you hate me, I'll point out that I went to an orthodonist for 9 years as a child and have had multiple teeth removed and every brace under the sun - I earned (pain) free visits to the dentists the hard (painful) way!!
f) I haven't seen a dentist in over ten years. But I, Lizzie, answered for Ari and therefore b). Very heavily paid for by benevolent state though.
I never have any particular need for dentistry so I long since stopped paying for checkups -- haven't seen one in about 5 years. If it was free I'd get check ups. It's bloody ridiculous how subsequent governments have progressively been able to leverage dentistry out of the NHS so it's now effectively all paid for by the customer apart from a tiny fraction.
NHS check ups are free in Scotland, not sure about elsewhere in UK
EVERYTHING is free in SCOTLAND! Socialist paradise I tell you. State subsidised bacon butties fly into the mouth
Meanwhile south of the border we get dental care on the NHS in the sense that some vanishingly small proportion of the bill is footed by the NHS and the rest by you the consumer... if you can find an NHS dentist anyway, which you probably can't. It's bloody daft. Anyway, checkup is seventeen robbing quid, fillings root canals and so on nearly 50 and anything major about 200.
You can get free dental treatment if you wait for your condition to be severe enough to hospitalise you though.
Meanwhile south of the border we get dental care on the NHS in the sense that some vanishingly small proportion of the bill is footed by the NHS and the rest by you the consumer... if you can find an NHS dentist anyway, which you probably can't. It's bloody daft. Anyway, checkup is seventeen robbing quid, fillings root canals and so on nearly 50 and anything major about 200.
You can get free dental treatment if you wait for your condition to be severe enough to hospitalise you though.
Yes we are all socialists! We wear red all the time and sing the Red Flag at every opportunity!
As Monty Python said "you lucky lucky lucky lucky bastards".
Have you seen the state of our roads? Or the weather we have to endure. Summer? Ah that was that Sunday afternoon in May when I managed to leave the wool knickers off whilst I sat on the grass.
Maybe you should fly south for the winter returning to Scotland to roost only when your teeth fall out or you need education.
I shall come sing it to you at your desk on Monday!
To be honest, I'm not actually sure. I have annual checkups and have never needed anything more in my life. I'm pretty sure my dentist here is private, but the checkups are pretty cheap, so am I paying for them out of my taxes on top of that?
Edited 2011-09-15 14:13 (UTC)
Unlike doctors your dentist doesn't need to be nearby. My NHS dentist is miles from me and doesn't care where iblive.
... is also not paid for by my private medical insurance for any treatment I've had done which makes me wonder why I give BUPA money in the first place.
I'm between option 3 and 4. I do have dental insurance, but have a co-pay even for maintenance type things ie cleanings and ex-rays. At old$job, my dental coverage was better but there still high out of pocket costs. The appointment you have, would be about $600 USD out of pocket for me and that's before a crown or other follow up work.
I hate going but my dentist has saved me so much hassle over the years and my teeth.
I hate going but my dentist has saved me so much hassle over the years and my teeth.
I don't go very often, only thing I ever need is the hygeineist and that's never an NHS-covered item (so far as I can tell - it's £55 ish anyway...). I paid out of my own pocket for one major crown (broken molar). I can't fault the guy that my gum receded ever so slightly over the next few years, so you can tell it's there but other than that it's been excellent.
I pay about double that private. My usual check up then scale and polish comes to about 67 quid.
We pay $600/year to dental insurance. This $600 is part of our compensation package in exchange for our labor, but because we have high skills and a snazzy compensation package, we get to pay for it in pre-tax dollars. Only $17 is explicitly withheld each pay period so hardly anyone even knows that we pay $600/year to get free cleanings and partial coverage on dental work; some covered at 80% and some covered at 50%.
But it's not a governmental thing or a socialist thing, unless you count the way tax breaks allow upper-income people to get part of their compensation package tax-free. Certainly a sweet deal for the salaryman. Sucks to be a laborer, though.
But it's not a governmental thing or a socialist thing, unless you count the way tax breaks allow upper-income people to get part of their compensation package tax-free. Certainly a sweet deal for the salaryman. Sucks to be a laborer, though.
Hmm. I'm sort of 2, but there's a catch, which is that although in theory I get NHS services, and I do pay NHS rates for check-ups, the NHS doesn't provide (ever) the regular treatment that I need, and whenever I have had something out-of-the-ordinary, I've been told 'this is what you can have on the NHS, or this is the *much better* treatment that's only available privately.'
Very similar situation here. I am fearful of dentistry at the best of times, so when my very good NHS dentist decided to go private, I chose to pay his fees rather than swap to a different NHS dentist.
NHS dentists are very limited around here, mind.
NHS dentists are very limited around here, mind.
Yes similar -I'm pretty sure there are NHS dentists in my area but I like my eyewateringly expensive private one, and my work dental insurance pays for most of the cost.
I was thinking that also. I could go NHS, but I like my private dentist (and I have the luxury of choice).
There's an ongoing ... difference of opinion between my local dentist, another dentist who used to work in the practice but has since set up a new practice a little way away, and the PCT (who in theory commission dentistry hereabouts). There has, as a result, been a lot of change.
I have only a scanty idea about who's actually at fault and what the issues are - the information I've had is either wilfully obtuse or obviously partisan, or both. I'm fairly sure that there were times when there was no NHS dentistry available nearby, and also times when all the nearby practices were NHS. But now I'm not sure - it's not at all clear to me whether (a) my dentist is an NHS dentist (and what that actually means), and (b) whether my personal treatment is on the NHS or not. I mean, I pay for my checkups, but that doesn't narrow it down.
I have only a scanty idea about who's actually at fault and what the issues are - the information I've had is either wilfully obtuse or obviously partisan, or both. I'm fairly sure that there were times when there was no NHS dentistry available nearby, and also times when all the nearby practices were NHS. But now I'm not sure - it's not at all clear to me whether (a) my dentist is an NHS dentist (and what that actually means), and (b) whether my personal treatment is on the NHS or not. I mean, I pay for my checkups, but that doesn't narrow it down.
Missed Option. I get $1500 of private dentistry a year from my wife's employers medical insurance which pretty much covers 2 check ups and cleans a year.
Interestingly the one area of US medicine I have found significantly better has been dentistry, but I have n excellent dentist and I needed a LOT of remedial work.
Interestingly the one area of US medicine I have found significantly better has been dentistry, but I have n excellent dentist and I needed a LOT of remedial work.
I think I'm NHS-but-paying-something but I could be private-but-getting-cheap-healthcare. I go to a dentist which does have NHS patients, they say "do you pay?", I say "yes" and they always say a small (sub-£50) amount of money. I'm really not sure, but I think it's the former.
Would be option 2 if I had to pay for it, but being currently unemployed I'm covered by Rob's work scheme which is way more generous than the NHS.
when i broke a tooth, there were no nhs spaces available in the area, so i had to go private, i've just not bothered my ass to look for alternatives since, and am happy with the service that i pay for.
My dentistry is paid for by my dental insurance, which is mostly paid for by my employer, which is the State of Washington, by way of the UW, so I don't think I fit any of your poll options.
[x] would be paid for if I chose to go to an NHS dentist, but I don't, so it isn't.
I'm pretty sure I pay £2 a month or so to get some kind of dental benefits through work, except I have no idea how it works, nor do I have any idea how to find a dentist, how to tell if they're NHS or not, or if they even ask before doing things that cost extra money (since the last time I did go to a dentist, they didn't)
That said, the second to last time I went to a dentist was to get a filling. The last time was about three months later and they took out the tooth that the filling had fallen out of :-/
That said, the second to last time I went to a dentist was to get a filling. The last time was about three months later and they took out the tooth that the filling had fallen out of :-/
You've missed the option private dentistry by choice.
I technically fall into option 2, but treated my previous nhs dentists with great distrust having been constantly pressured to have fillings when I had no pain (that wasn't through injury). I repeatedly refused the work, which turned out to be justified;I got some x-rays when I turned to a private dentist for an emergency check up (kicked in the face, loose teeth); not a cavity in sight. Having the choice of 30-40% cheaper treatment in a practice that was always running late and always seemed to be angling to get me to pay for non-essential work, or paying the extra for being seen on time, treated like an intelligent human being, free sample handouts and staff that aren't already thinking about the next patient.....its one of the few luxuries I insist on.
I technically fall into option 2, but treated my previous nhs dentists with great distrust having been constantly pressured to have fillings when I had no pain (that wasn't through injury). I repeatedly refused the work, which turned out to be justified;I got some x-rays when I turned to a private dentist for an emergency check up (kicked in the face, loose teeth); not a cavity in sight. Having the choice of 30-40% cheaper treatment in a practice that was always running late and always seemed to be angling to get me to pay for non-essential work, or paying the extra for being seen on time, treated like an intelligent human being, free sample handouts and staff that aren't already thinking about the next patient.....its one of the few luxuries I insist on.
I have had private dentists do unnecessary work on my teeth so THB I think it's a case of out of the frying pan into the fire. Instead of "independent" counselling for abortion, how about independent advice for dentistry?
I have bad teeth (due teethrotting in my brace as a teenager) so need 2 monhly check-ups. Luckily I;ve always been able to find a NHS dentist. My ld ne on Bath was lovely, my current one is Polish and disairs of my teeth but neither have ever presured me into work I don't need.
I'm currently getting everything free and will for the next 15 months because I've got a maternity exemption certificate and I plan to make the best use of it that I can.
I'm currently getting everything free and will for the next 15 months because I've got a maternity exemption certificate and I plan to make the best use of it that I can.
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