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  • Essay / Dental Health Essay - 1400

    Introduction: In Canada, general dental health is not part of Canada's national health insurance system (Medicare) (1), with the exception of certain dental surgical procedures practiced in hospitals. Since oral health is not covered by the Health Act, approximately ninety-five percent of oral health care services are provided on a fee-for-service basis. Oral health care falls under provincial or territorial jurisdiction, like other health care services, and publicly funded dental programs provide the remaining five percent of oral health care services. (2). Thus, the majority of Canadians receive oral health care through private dental clinics. Private dental care allows these service providers to control the prices of dental services, the types of treatments available to patients, and the number of follow-up appointments for treatment or routine care. Service users pay dental costs out of their own pocket or use insurance coverage (1). Background: According to the latest Canadian Health Measures Survey on Oral Health, approximately 62% of Canadians had private dental insurance. About 50% of respondents in the low-income class did not have dental insurance, while 78% of high-income respondents had private dental insurance coverage. Half of low-income people without dental insurance will pay out-of-pocket dental care costs for themselves and their families. Additionally, 53% of respondents aged 60 to 79 were also not covered by any dental insurance. This indicates that most Canadians will obtain private dental insurance when they can afford it (i.e. high income). While half of low-income people and more than half of older adults do not have dental insurance to receive dental care (1). Canada is associated with treatment in private dental establishments, where public insurance is billed as a third-party payer (9). However, only 30% of dentists use public insurance (8). The method of delivery poses problems between dental service providers and public insurance. It is also important to consider the public and private setting for dental care due to the disparity that exists in oral health and access. Low-income, high-risk children (i.e., Indigenous children) cannot obtain dental care and suffer medically and socially because they cannot afford it. In addition, the elderly, people in long-term care, the homeless, etc. are also part of this category. So sometimes childbirth would be more appropriate in a private dental setting, while in others a public setting would be more ideal..