• Dentistry,  Oral Surgery

    Oral Surgeon Loses License for Unsanitary Dental Practices

    Holy Cow!

    An oral surgeon lost his medical license for five years after 15 of his patients at his Budd Lake office were sickened and one died of a bacterial heart infection, according to authorities.

    Dr. John Vecchione, who operated North Jersey Oral Maxillofacial Reconstructive Surgery LLC on Route 46 in the Budd Lake section of Mount Olive, was ordered to pay $293,000 in penalties and costs after he failed to follow infection control protocols, which caused his patients to be exposed to bacterial endocarditis between 2012 and 2014, according to a statement by the Office of the Attorney General. Of those infected, 12 patients — who ranged in age from 24 to 80 — required heart surgery and a 54-year-old later died due to complications.

    Vecchione, who agreed in 2016 to have his license temporarily suspended as the allegations against him were pending, has been fighting his case in court. Shortly before he was expected to take the stand in his own defense in January, he agreed to settle the case under the terms contained in a Final Consent Order.

    “Dr. Vecchione spent years denying any responsibility for the infections contracted by patients in his care

    ,” said Howard Pine, the acting director of the Division of Consumer Affairs.

    In a complaint filed against Vecchione in August 2016, it was alleged that he engaged in professional misconduct and gross negligence following a series of inspections of his Budd Lake office. Specifically, investigators found Vecchione failed to use sterile water or sterile saline during surgical procedures; improperly handled and improperly stored single dose medication vials; failed to sterilize medical instruments; used expired vials of medication; and failed to properly dispose of needles and syringes.

    This dentist should just retire and quit practice. Clearly, he has either medical/mental cognitive problems.

    His manner of practice is way outside the standard of practice of dentistry.

  • Dentistry

    Good News for Dentists – Our Job is Awesome

    It is hard work, believe me.

    Pays pretty well! 

    There is no single job out there that would be best for every person in the workforce. But many of the best professions do have some attributes in common.

    A few of those commonalities: they pay well

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    , challenge us over time, complement our talents and skills, aren’t too stressful, offer room for advancement throughout our careers and offer a positive work-life balance. Whether or not the position is in demand by job seekers is also a consideration in selection.

    The job of dentist moved from No. 4 to No. 2 in U.S. News & World Report’s annual rankings of the 100 Best Jobs

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    , the magazine revealed on its website on Jan. 7.

  • Dentistry

    Soda Accounts for 20 Per Cent of Beverage Consumption Among Youth – CDC

     

    A new study from the Centers for Disease Control….

    Soft drinks account for 20% of children’s total beverage consumption, according to a new report released on September 13 from the U.S. Centers for Disease Control and Prevention (CDC). Researchers looked at total drink consumption habits of U.S. children ages 2 to 19.

    The group, led by Kirsten Hennrick, PhD, from the National Center for Health Statistics, investigated what children drink and how their beverage consumption habits vary by age, sex, and race/ethnicity.

    “Beverage choices can impact diet quality and total calorie intake,” the report authors wrote. “Soft drinks accounted for 20% of total beverages consumed among youth. They include a wide variety of beverages

    , typically associated with increased intake of added sugar, thus adding extra calories without the benefit of vitamins

    , minerals, and fiber.”

    People wonder why dental caries/disease hasn’t disappeared…..

  • Dentistry,  Kool Smiles,  Medicaid

    Kool Smiles Responds to Whistleblower

    Kool Smiles has responded to the new CBS television production, The Whistleblower.

    Dr. Greenwald and Dr. Rai blew the whistle on Kool Smiles after they say they witnessed unnecessary dental procedures performed on children. CBS reached out to the company for a comment and they provided the following statements:

    Statement from Kool Smiles:

    “Our patients and their safety are our top priority and we will continue to work toward our mission of ensuring every child in America has a dental home. The settlement reached in December 2017 addressed treatment provided between 2009 and 2011, and was unrelated to the quality of dental care provided to patients. The company’s compliance and quality assurance programs lead the dental industry and we continue to implement ongoing measures to ensure every patient receives the best care.”

    This past December

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    , 2-year-old Zion Gastelum died four days after visiting the Kool Smiles office in Yuma, Arizona. Zion’s death occurred just days after the Whistleblower suit was settled. The case had been in litigation for almost a decade.

    Watch the video clip above and then the entire expose on the CBS All Access site, if you missed the live broadcast.

    Pretty sad commentary on the practice of corporate dentistry.

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  • Dentistry

    Governor Demands Answers from Arizona Dental Board

    Arizona Governor

    , Doug Ducey,  is demanding answers from the Arizona Dental Board after a television report on “fake” dentist anesthesiologist credentials.

    Governor Doug Ducey is demanding immediate answers and action from Arizona’s Dental Board after an ABC15 investigation revealed a Valley dentist obtained a general anesthesia permit using documents multiple people and organizations said are fake and fraudulent.

    In a letter sent Monday, Ducey directed the board’s executive director, Elaine Hugunin, to respond to his questions by close of business on Wednesday.

    “The information and potential risk to his patients and the public over several years is alarming,” Ducey wrote.

    RELATED: ABC15 uncovers major questions about Valley dentist’s anesthesia credentials

    On July 6, ABC15 revealed that Dr. Pankaj Goyal is accused of using a series of fake degrees, forged signatures, and false documents to obtain a 1301 General Anesthesia Permit from the dental board. The permit is the highest level of anesthesia certification and authorizes Goyal to administer general anesthesia or deep sedation by any means.

    Dr. Pankaj Goyal repeatedly refused to answer questions about his anesthesia credentials on the phone and in person.

    In a statement, his attorney said allegations about his credentials are “meritless.”

    ABC15 also learned Elaine Hugunin directly received multiple warnings from multiple people about Goyal’s credentials beginning in 2014. But she declined to provide information and documentation about what happened with those warnings and declined to answer questions about their vetting of Goyal.

    This credentials issue should be fairly easy to resolve.

    Now

    , whether Elaine Hugunin remains in her position – that is a question.

  • Dentistry

    Pennsylvania Dentist Wade Newman on Trial for Rape

    ‘I know we had sex.’ Wiretaps played at former Bellefonte dentist’s trial

    The trial for the former owner of Bellefonte Family Dentistry and president of the Pennsylvania Dental Association accused of kidnapping and raping a patient of 17 years continued on Tuesday.

    Wade Newman

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    , 48, allegedly drove a sedated female patient to a root canal appointment he arranged at State Endodontics in October 2016. Spring Township police said Newman drove the woman back to her residence — although she asked to be driven back to her mother’s residence — after the procedure, which is where the rape allegedly occurred.

    Newman is charged with four felonies — rape, criminal attempt at rape, sexual assault and kidnapping — and two misdemeanor counts of indecent assault.

    The DNA evidence may prove decisive in this case.

  • American Dental Association,  California Dental Association

    The Future of the American Dental Association

    Michael W. Davis, DDS has an interesting piece in Dentistry Today about the American Dental Association and its future.

    We are fast approaching the five-year anniversary date of the now famous report by Dr. Mike Barr

    , “The Inevitable Death of the American Dental Association,” published on The Dental Warrior. This wakeup call was widely discussed by doctors on The Dental Warrior, and also DentalTown. 

    Read it all.

    I have not been a member of the ADA for a number of years, as the California Dental Association increasingly weighed into left-wing California State politics. The mandatory political dues requirement was one of many last straws that forced me out the door – after two decades plus of membership.

    Will the ADA survive?

    The jury is still out…….

     

  • Pinboard Links,  The Morning Flap

    The Morning Flap: December 11, 2012

    Boehner and Obama

    House Speaker and President Obama

    These are my links for December 10th through December 11th:

    • Scalia quizzed at NJ’s Princeton on gay issue – U.S. Supreme Court Justice Antonin Scalia on Monday found himself defending his legal writings that some find offensive and anti-gay.
      Speaking at Princeton University, Scalia was asked by a gay student why he equates laws banning sodomy with those barring bestiality and murder.
      “I don’t think it’s necessary, but I think it’s effective,” Scalia said, adding that legislative bodies can ban what they believe to be immoral.
      Scalia has been giving speeches around the country to promote his new book, “Reading Law,” and his lecture at Princeton comes just days after the court agreed to take on two cases that challenge the federal Defense of Marriage Act, which defines marriage as between a man and a woman.
      Some in the audience who had come to hear Scalia speak about his book applauded but more of those who attended the lecture clapped at freshman Duncan Hosie’s question.
      “It’s a form of argument that I thought you would have known, which is called the ‘reduction to the absurd,'” Scalia told Hosie of San Francisco during the question-and-answer period. “If we cannot have moral feelings against homosexuality, can we have it against murder? Can we have it against other things?”
      Scalia said he is not equating sodomy with murder but drawing a parallel between the bans on both.
      Then he deadpanned: “I’m surprised you aren’t persuaded.”
      Hosie said afterward that he was not persuaded by Scalia’s answer. He said he believes Scalia’s writings tend to “dehumanize” gays.
      As Scalia often does in public speaking, he cracked wise, taking aim mostly at those who view the Constitution as a “living document” that changes with the times.
      “It isn’t a living document,” Scalia said. “It’s dead, dead, dead, dead.”
    • An Increasingly Polarized Nation– Gerald Seib: “Based on nearly complete results, of the 234 Republicans elected to the House, just 15 come from districts that the Democratic president carried… Of 201 Democrats elected, just nine come from districts Republican Mitt Romney carried… Not only are House members coming from reliably partisan districts, many are winning in landslides. In this fall’s election, 125 House members — 42 Republicans and 83 Democrats — won their districts with 70% or more of the vote…””The situation is similar in the Senate. There will be 45 Republican senators in the new Congress. Only 10 of them come from states President Obama won. There will be 55 Democrats and independents who caucus with Democrats. Just 11 of them come from states Mr. Romney won…””Voting in that presidential race, meanwhile, was starkly partisan. President Obama won the votes of just 6% of Republicans, exit polls indicate. Mr. Romney won just 7% of Democrats.”New York Times: “Of the 234 House Republicans who will sit in the 113th Congress, 85 percent won re-election with 55 percent of the vote; more than half of next year’s House Republican Conference won more than 60 percent. And virtually every one of them ran on holding the line against tax increases and the Obama agenda.”
    • ‘Dr. No’ of Senate says ‘yes’ to taxes– The Oklahoma senator and obstetrician known as “Dr. No” has taken on the most unlikely of roles: getting Republicans to say “yes” to tax hikes.Tom Coburn, who has blocked dozens of bills, infuriated Democratic leaders and been on the lopsided end of some 96-3 votes, has been encouraging fellow Republicans both publicly and behind the scenes to break with the anti-tax orthodoxy that has come to define — some say hamstring — the modern GOP.
    • Cliff Talks Progress Between Obama, Boehner – Budget negotiations between the White House and Republican House Speaker John Boehner have progressed steadily in recent days, people close to the process said, breathing life into talks that appeared to have stalled.
      Related VideoLast August, President Obama and Congress put the U.S. economy on course to go over a “fiscal cliff.” With the 2012 presidential election decided, WSJ’s David Wessel tells you everything you need to know about the “cliff” but were afraid to ask.Both sides still face sizable differences before any agreement might be reached by the end of the year, and talks could well falter again over such controversial issues as taxes and Medicare before any deal is reached.The people familiar with the matter say talks have taken a marked shift in recent days as staff and leaders have consulted, becoming more “serious.” Both sides have agreed to keep details private, according to the people, who declined to detail where new ground was being broken.
    • The Demographics of Mobile News– In the growing realm of mobile news, men and the more highly educated emerge as more engaged news consumers, according to a new study by the Pew Research Center’s Project for Excellence in Journalism, in collaboration with The Economist Group. These findings parallel, for the most part, demographic patterns of general news consumption.But there are some important areas of difference between mobile and general news habits-particularly among young people. While they are much lighter news consumers generally and have largely abandoned the print news product, young people get news on mobile devices to similar degrees as older users. And, when getting news through apps, young people say they prefer a print-like experience over one with high-tech or multi-media features.These are key findings of an analysis of mobile news habits across a variety of demographic groups. This report builds off an earlier PEJ and The Economist Group report, The Future of Mobile News, which found that half of U.S. adults now own mobile devices and a majority use them for news. Both reports are based on a survey of 9,513 U.S. adults conducted from June-August 2012 (including 4,638 mobile device owners). Men, especially young men, are heavier mobile news consumers than women. More than 40% of men get news daily on either their smartphone and/or tablet, compared with roughly 30% of women. On the tablet specifically, men check in for news more frequently and are more apt to read in-depth news articles and to watch news videos. Women, on the other hand, are more likely than men to use social networks as a way to get news.
    • Report: Bill Clinton really wants Hillary to run for president again | Mobile Washington Examiner – Report: Bill Clinton really wants Hillary to run for president again #tcot
    • Report: Bill Clinton really wants Hillary to run for president again– Former president Bill Clinton really wants his wife Hillary to run for president again according to a report by Jodi Kantor of the New York Times. From the article:Bill Clinton, however, sometimes cannot keep himself from verbally gaming out another campaign for her, said a friend who recently spent time with him. “Every indication is that he would really want her to run,” the friend said.It appears that someone is anxious to be America’s first “First Gentleman” in the White House.
    • Preparing for ‘fiscal cliff,’ investors move assets to avoid higher taxes– As lawmakers struggle to agree on a plan to avert the series of tax increases looming next year, many investors are taking preemptive action to get out of harm’s way.Americans are moving to sell investment homes, off-load stocks, expand charitable donations and establish tax-sheltering gifts before the end of the year. Financial advisers and accountants say people are trying to avoid the higher taxes that will take effect in 2013 if Washington does not avert the “fiscal cliff.”For the most part, the people moving their assets are the wealthy, who have the most to lose even if a deal is struck. Ordinary Americans also are in line for higher income and payroll taxes and fewer deductions and tax credits if the nation goes over the fiscal cliff. But since most of their earnings come through wages, there is little they can do to minimize the impact. Also, the majority of investment income earned by middle-income people comes through tax-deferred vehicles such as individual retirement accounts and 401(k)s, making the possible changes in taxes on investment returns largely immaterial.
    • GOP mute as Supreme Court tackles gay marriage – GOP mute as Supreme Court tackles gay marriage #tcot
    • Rubio, McCain huddle on immigration reform
    • Flap’s California Blog @ Flap Twitter Digest for 2012-12-10 – Flap’s California Blog – Flap’s California Blog @ Flap Twitter Digest for 2012-12-10
    • Flap’s Blog @ Flap Twitter Daily Digest for 2012-12-10 – Flap’s Blog – FullosseousFlap’s Dental Blog – Flap’s Blog @ Flap Twitter Daily Digest for 2012-12-10 #tcot
    • My Daily Twitter Digest for 2012-12-10 – Locum Tenens (Temporary) Dentist – Gregory Cole, D.D.S. – My Daily Twitter Digest for 2012-12-10
    • Boom! Obama Campaign Unleashes Its List on Congress | TechPresident – Boom! Obama Campaign Unleashes Its List on Congress | TechPresident #tcot
    • CDT Code for Resin Infiltration Gives Practices Additional Treatment and Billing Options– The American Dental Association (ADA) has announced that resin infiltration of incipient smooth surface lesions is now covered by a 2013 CDT Code classification. The newly defined classification allows practices to accurately code and bill for Icon® by DMG America, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel for the purpose of arresting the progression of incipient carious lesions and removing cariogenic white spots. Resin infiltration is a new treatment that has been gaining popularity as an alternative treatment that ends the “wait and see” approach to caries management, without having to “drill and fill.”Icon is the first product to bridge the gap between prevention (fluoride therapy) and traditional caries restoration. Icon’s micro-invasive infiltration technology can be used to treat facial and proximal carious lesions up to the first third of dentin (D-1). Classification from the ADA gives more practices the ability to offer their patients a less invasive, pain free alternative to aggressive treatment techniques. This treatment is performed in a single visit without drilling, anesthesia or the sacrifice of healthy tooth structure. Clinicians can immediately treat upon discovery versus waiting to see whether the caries will progress.The official classification defines resin infiltration as: Application of a resin material engineered to penetrate and fill the sub-surface pore system of an incipient caries lesion to strengthen, stabilize, and limit the lesion’s progression, as well as mask visible white spots.
    • Caffeinated Coffee Reduces the Risk of Oral Cancer? – Locum Tenens Dentist – Caffeinated Coffee Reduces the Risk of Oral Cancer?
    • Boom! Obama Campaign Unleashes Its List on Congress | TechPresident – Boom! Obama Campaign Unleashes Its List on Congress #tcot
    • Boom! Obama Campaign Unleashes Its List on Congress– The Obama political operation took a big step today, sending out an email to its millions of supporters asking them to call Members of the House of Representatives to pass a Senate-approved bill aimed at preventing the expiration of the Bush-era tax cuts on the bottom 98% of U.S. taxpayers. In some cases, recipients are being asked to call their own Member; in others, where their Member is already in favor of the Senate bill, Obama activists are being asked to call Obama supporters whose representatives may be a swing vote. In case there’s any doubt, these emails are aimed at putting heat directly on Republican House members.”We know we can affect change in Washington when we raise our voices together,” says the email from Stephanie Cutter, the 2012 deputy campaign manager. “So pick up the phone and make a few calls. Republicans in the House need to hear from their constituents.”This email represents a critical shift in Obama’s political strategy. Paid for by the Obama Victory Fund 2012, it is not aimed at re-electing the President–the ostensible purpose of that campaign entity–but at moving his legislative agenda. It is the President using his army to go directly in the face of Members of Congress who are perceived to stand in his way. Apparently, OFA’s lawyers have decided that they can use their email list in this manner, after some earlier doubts. (It’s not clear that this crosses any lines; for example, John Kerry continued to use his 2004 campaign email list to advance his political agenda for years after losing his run for the White House.)
    • The Afternoon Flap: December 10, 2013 – Flap’s Blog – The Afternoon Flap: December 10, 2013 #tcot
  • Pinboard Links,  The Afternoon Flap

    The Afternoon Flap: December 10, 2012

    These are my links for the afternoon of December 10th

    • The Republicans’ dour problem– But there was one breakdown by subgroup that showed a marked divide on the hope factor. By a 57-17 margin, Democrats felt California will be a better place a dozen years from now. Republicans, by a margin of 54-23, believe the state is headed downhill.To some extent, these responses may reflect a chicken-or-the-egg situation. With Democrats in control of all the state’s political offices and institutions, Democratic voters might naturally believe things are headed in the direction they believe is upward. The inverse is likely true among Republicans.But no one wins elections by being dour.As California Republicans regroup and consider a turnaround strategy that must include outreach to the minority and women voters they lost badly this fall, they might also consider taking on one other challenge. Instead of focusing so heavily on what they believe will be the inevitable negative consequences of Democratic policies, they need to begin framing their arguments on why they believe their policies will create a brighter, more hopeful future.

      =============

      I love how the Left-wing Democratic Ventura County Star California State editor likes to lecture the California GOP.

      Timm, California has been a Democratic state for decades.

      Now, it is deeply Blue due to the exodus (decline of California Aerospace economy, businesses moving to to other less taxed and regulated states) and retirement exodus/death of white middle class voters and the influx of non-white immigrants who vote predominantly Democratic.

      Republicans will be a minority of voters, like New York and Massachusetts for decades to come.

      California is a one political party state.

    • Twitter / Dodgers: An official welcome for Hyun-Jin … – RT @Dodgers: An official welcome for Hyun-Jin Ryu from @TommyLasorda:
    • Caffeinated coffee may reduce the risk of oral cancers– A new American Cancer Society study finds a strong inverse association between caffeinated coffee intake and oral/pharyngeal cancer mortality. The authors say people who drank more than four cups of caffeinated coffee per day were at about half the risk of death of these often fatal cancers compared to those who only occasionally or who never drank coffee. The study is published online in the American Journal of Epidemiology. The authors say more research is needed to elucidate the biologic mechanisms that could be at work.Previous epidemiologic studies have suggested that coffee intake is associated with reduced risk of oral/pharyngeal cancer. To explore the finding further, researchers examined associations of caffeinated coffee, decaffeinated coffee, and tea intake with fatal oral/pharyngeal cancer in the Cancer Prevention Study II, a prospective U.S. cohort study begun in 1982 by the American Cancer Society.
    • Capitol Alert: California lost more people to other states than it gained in 2011 – Capitol Alert: California lost more people to other states than it gained in 2011 #tcot
    • ACU Backs Scott for DeMint’s Seat – By Robert Costa – The Corner – National Review Online – RT @robertcostaNRO: ACU backs Scott for DeMint’s seat
    • Capitol Alert: California lost more people to other states than it gained in 2011 – Capitol Alert: California lost more people to other states than it gained in 2011 #tcot
    • Capitol Alert: California lost more people to other states than it gained in 2011 – Census Report: California lost more people to other states than it gained in 2011 #tcot
    • Census Report: California lost more people to other states than it gained in 2011– About 100,000 more Californians moved to another state in 2011 than California gained from other states, a new Census Bureau report reveals.However, more than a quarter-million persons relocated into California from other countries during the year and that, coupled with what demographers call “natural increase” – births minus deaths – meant that the state still gained population.The Census Bureau calculated that 562,343 Californians moved to other states during 2011 with the most popular destinations being Texas (58,992), Arizona (49,635), Nevada (40,114), Washington (38,421), Oregon (34,214), New York (25,761), Colorado (23,234) and Florida (22,420).Meanwhile, 468,428 residents of other states moved to California during the year, with the most numerous domestic immigrants coming from Texas (37,387), Washington (36,481), Nevada (36,159), Arizona (35,650), New York (25,269) and Florida (22,094).
    • RNC launches official review on 2012 election– The Republican National Committee is rolling out a plan to review what worked and what didn’t for the party in the 2012 cycle, appointing five people at the top of a committee that will make recommendations on things like demographics, messaging and fundraising.The Growth and Opportunity Project is going to be chaired by RNC committee member Henry Barbour, longtime Jeb Bush adviser and political operative Sally Bradshaw, former George W. Bush press secretary Ari Fleischer, Puerto Rico RNC committee member Zori Fonalledas, and South Carolina RNC member Glenn McCall. Priebus, who is running for a second term, is holding a call with committee members to roll out the plan this afternoon.The plan is to focus on: campaign mechanics, fundraising, demographics, messaging, outside groups, campaign finance, the national primary process and, last but not least, what the successful Democratic efforts revealed about the way forward, and recommend plans for the way forward, sources familiar with the plan said.
    • Delta Dental of California wins five-year $2.6B Defense Department contract – Delta Dental of California said Thursday that it’s been awarded a new five-year. $2.6 billion U.S. Department of Defense contract for the TRICARE Retiree Dental Program.
      However, most of the $2.6 billion is paid out to dentists who provide services for enrollees in the program, according to a Delta Dental of California spokeswoman. On other contracts, Delta Dental has said it gets roughly 10 percent of the total.
      The contract renews an existing five-year deal. The program, first authorized by Congress in 1997, offers voluntary dental benefits to the nation’s 5 million uniformed services’ retirees and family members, according to the company. Currently, it serves 1.3 million enrolleess.
    • Nikki Haley: I won’t appoint a ‘placeholder’ – RT @rachelweinerwp: Haley announcement fuels Tim Scott speculation
    • (404) http://t.co/xgS – RT @nikkihaley: As I continue to consider the impending U.S. Senate vacancy, many have discussed the possibility of a… …
    • Marriage and Self-Government – National Review– The Supreme Court should reverse these lower-court rulings, and straightforwardly affirm the right of the people in any state to act, constitutionally or legislatively, to adopt the traditional view of marriage as a relationship oriented toward procreation. The justices need not themselves hold that view — they may consider it outmoded or rationally inferior to a conception of marriage that treats it first and foremost as an emotional union of adults — to see that the Constitution erects no barrier to it, and that states therefore have the freedom to act on it.Of the various arguments advanced for a constitutional “right” of same-sex marriage, none withstands even momentary scrutiny by accepted standards. Are gays and lesbians a powerless and oppressed minority? One can hardly say that after the November elections, in which the cause of same-sex marriage was victorious in four states, in a year when it was also embraced by the president of the United States and enshrined in the platform of the larger of our major parties. Is it rationally indefensible to reserve the institution of marriage to the only kind of union — one man and one woman — that is capable of procreation, and to the kind of union that is proven to be the best general setting for the rearing of children? The question answers itself.
    • The Sebelius Coverup – Obamacare’s insurance exchanges need scrutiny – Many states are wisely signaling that they aren’t interested in doing the Obama administration’s bidding on Obamacare. As a result, many if not most of Obamacare’s insurance exchanges — the heart of the beast — will have to be set up and run by the Obama administration at the federal level.
    • When Obamacare fails: The playbook for market-based reform – Amid a protracted rollout, the real-world evidence keeps mounting: the Affordable Care Act (Obamacare) is too costly to finance, too difficult to administer, too burdensome on doctors, and too disruptive of health care arrangements that Americans prefer. The need to replace it has never been stronger, yet full repeal is unviable in the short-term. The long-term task for reformers is to lay out a convincing case, not for a return to the former status quo, but for the kind of patient-centered health care system only a market-based model can deliver. But what policy changes would that entail? And what would they mean for patients and providers? American Enterprise Institute resident fellow Tom Miller answers these and other questions:
    • Notre Dame Professor: Upwardly Mobile Mexican-Americans Not Moving Right– Professor Jose E. Limon, director of the Institute for Latino Studies at Notre Dame, made an interesting contribution to the discussion of the Latino vote Monday night at the Mexican Cultural Institute in Washington. He suggested that identification with the Democratic Party has solidified as an enduring feature of Mexican-American identity.Here are some excerpts from his comments, which came during a discussion of a new book, Mexico & Mexicans in the Making of the United States:After observing that the Latino vote comes “substantially” from the middle class and lower-middle class, Limon said:We have this model of political behavior that also says to us that when a class acquires middle-class status, it starts shifting to the right. That has not happened with Mexican-Americans. I can’t tell you it might not happen 30 years from now, but right now that doesn’t seem to be happening. We are seeing the emergence of a Mexican-American middle class that is decidedly bicultural in many ways, in some cases decidedly bilingual, and that is also still upholding its traditional historical adherence to the progressive Democratic Party.
    • Is the GOP Digital Team (Still) in Denial?
    • Flapsblog Posts / President Obama warmly greets PSY at the White House despite rappers anti-American vile lyrics – President Obama warmly greets PSY at the White House despite rappers anti-American vile lyrics via @pinterest
    • Flap’s Dentistry Blog: ObamaCare – The Affordable Care Act and Dentistry – ObamaCare – The Affordable Care Act and Dentistry
    • Day By Day December 9, 2012 – Carrots – Flap’s Blog – Day By Day December 9, 2012 – Carrots #tcot
    • November election was a tipping point for California ethnic voters– It’s no secret that California’s population has been getting more diverse for decades. More recently, the composition of the state’s electorate has begun to mirror the population. But the people who actually showed up and voted on Election Day have remained whiter, and older, than the pool of registered voters.No more.It appears that for the first time, California Latinos, Asian-Americans and blacks voted last month in numbers roughly equivalent to their share of registered voters. About 40 percent of California’s electorate is now non-white. And ethnic voters made up about 40 percent of those who mailed in their ballots or went to the polls Nov. 6.This should be a wake-up call to Republicans, here and across the country.

      While white voters in California still lean conservative and will support Republican candidates, ethnic voters are overwhelmingly Democrats or independents who sympathize with that party. If Republicans can no longer count on large numbers of those voters to stay home on election day, the party is going to have to appeal to them — or risk permanent irrelevance.

      ========

      No tipping point Dan.

      California is a blue state that has become more blue with the decline of the white population (deaths and out migration).

      The California GOP except in a few areas of the state where whites and the affluent predominate will be irrelevant – just like in New York and Illinois.

    • PUC set to OK free phones for homeless – Come and Get Your Obama Phone Californians– Homeless and other poor people in California are on track to soon get virtually free cell phones and service so they can keep in touch with family, potential employers and others crucial to improving their lives.The cell phones would be handed out through a federally funded Lifeline program – already operated by service provider Assurance Wireless in 36 other states – that is likely to win final approval in the next couple of weeks from the California Public Utilities Commission.========California has gone mad…..
    • The Morning Flap: December 10, 2012 – Flap’s Blog – The Morning Flap: December 10, 2012 #tcot
  • Dentistry

    American Dental Association Releases Updated Dental Radiograph (X-Ray) Recommendations

    ADA Dental Radiographic Examination Recommendations

    These dental radiograph recommendations were released on November 28.

    In an effort to decrease radiation exposure to patients, the American Dental Association’s (ADA) Council on Scientific Affairs collaborated with the U.S. Food and Drug Administration to update the ADA’s recommendations for dental X-ray examinations. The recommendations were released recently.

    The ADA’s “Dental Radiograph Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure” are intended to be used in conjunction with dentists’ professional judgment to determine whether and when dental X-rays are needed. Dental X-rays help dentists evaluate and diagnose oral diseases and conditions, but the ADA recommends that dentists weigh the benefits of taking dental X-rays against the possible risk of exposing patients to the radiation from X-rays, the effects of which can accumulate from multiple sources over time.

    “As doctors of oral health, dentists are in the best position to make decisions on whether to prescribe dental X-rays after an oral examination and with consideration of the patient’s health history. Prescribing dental X-rays should be an individualized process,” said ADA President Robert A. Faiella, D.M.D., M.M.Sc. Since 1989, the ADA has recommended the ALARA principle in relation to dental X-rays—that radiation exposure to patients is “as low as reasonably achievable.”

    A downloadable copy of the recommendations can be obtained here.

    So, what is new?

    • Removing a stronger recommendation for thyroid collar use for children, women of childbearing age and pregnant women. The strength of the recommendation is now the same for all patients.
    • A new section that was not in the 2004 document, which expands upon the 2006 CSA report, “The Use of Dental Radiographs: Update and Recommendations.”
    • New topics that were not covered in the 2006 CSA report such as receptor selection, handheld X-ray units, technique charts and radiation risk communication.
    • Changing the recommendation for shielding to be consistent with the National Council on Radiation Protection & Measurements.

    All dentists should review the updated recommenations and, of course, utilize their best professional judgment for individualized care for their own patients.