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PBS Frontline Dental Episode

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Dental Care PBS

PBS Frontline investigated the nation’s dental care on Tuesday, June 26, 2012 episode titled Dollars and Dentists (watch the episode below). PBS examined the nation’s dental care system by digging into the different methods that try to serve patients and their dental care woes.

Diane Herbert-Farrell, a spokeswoman for “Frontline,” said “The film looks at different states: the state of Florida, some work done in Virginia; we look at several of the models being tried. We look at how are people looking at dental care.”

Sarrell Dental Clinic was one of those different methods being looked at. Jeff Parker, CEO of Sarrell, said “Frontline” camera crew and members spent about 11 hours filming in the Anniston office, interviewing employees, patients and their families. He said, “I’m very pleased they chose us to use as a role model.”

Sarrell Dental has 14 clinics across Alabama and a mobile bus. They are currently the main provider in the state of dental care for children on Medicaid and has had continuous growth since its first clinic opened in 2005. In its first year, Sarrell served 3,500 children. Last year, Sarrell served 105,000 patients and has served 350,000 patients to date, according to the site.

More than 100 million Americans don’t go to the dentist because they simply can’t afford the bill that comes after. Many either go broke trying to pay for the dentist bill or they suffer from extreme pain while going untreated and some even die from the untreated disease.

One in four children have untreated tooth decay, which is now the most common chronic illness among school-aged children. Nearly 5 million American children, or one in 16, did not get a regular dental checkup in 2008 because their families could not afford it, according to a report released last year from the Institute of Medicine.

Kool Smiles Complaints

In 2009, according to the Kaiser Family Foundation data, 19 million children had no dental insurance. Poor children are covered by Medicaid and dentist will turn them away because the profit margins aren’t there. The problem, Medicare offers no dental coverage unless it’s connected to a medical procedure.

The PBS Frontline investigation also found that Kool Smiles, who specializes in treating low-income children, will financially reward their dentists for hitting a high revenue goal and sometimes fire those who don’t.

Kool Smiles denies that they influence dentists to boost revenues and says it offers quality dental care to an underserved population neglected by traditional dental practices.

Aspen Dental was another that PBS Frontline looked at. They are one of the largest for-profit chains that is aimed at adults who haven’t been to the dentists in years. Aspen Dental is a chain of 300 offices in 22 states managed by a company owned by a private-equity firm. It is part of a fast-growing industry of corporate dental practices, many of which specialize in serving people who cannot afford to go to the dentist, a group many dentists ignore, PBS reported.

Aspen Dental chief executive Robert Fontana said, “A typical patient is probably 45 to 65 and struggling just to make ends meet. They’re taking this week’s paycheck to pay last month’s mortgage, making their car payment, trying to put their kids through school and unfortunately, dentistry can become discretionary.”

Aspen Dental Complaints

Aspen Dental denies that its dentists have stronger financial incentives than other dentists or that its bonuses affect treatments. Fontana, founder and chief executive officer of Aspen Dental, says that dentists won’t do unnecessary treatments because it’s just not in their DNA.

Watch the PBS Frontline Dental Episode:

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  1. Brandy

    June 29, 2012 at 7:53 pm

    My mother goes to a dentist with a substantial office staff – or at least a crowd of young women wearing scrubs behind the main desk. I’m sure her insurance company has legions of office drones. These two groups of medical industry paper-pushers manage to generate one faulty bill after another, even sending re-billings on statements that have already been confirmed as paid in full. They take turns blaming the mistakes on a third company to which the dentist has out-sourced his billing. It’s the most expensive game of Three Card Monty anyone in my family has ever played!

  2. vine

    June 28, 2012 at 7:46 am

    Whatever happened to dentist hygiene? This film shows dentists putting their fingers into patient mouths, then using the same fingers to adjust the lamp, then back into the patient mouths again. Over and over, throughout the entire film, they do this. Unless the lamp handle is sterilized from one patient to the next, the dentist is transferring germs from the mouth of one patient to the mouth of the next. Same thing with the x-ray button, dental tools, and even eye implements that need adjusting. These people touch everything that can be contaminated before putting their filthy fingers in patient mouths. I don’t need to be suffering from OCD to have an aversion to dental-office visits. The last time I was in, the gal dropped the x-ray film on the floor. She would’ve succeeded in picking it up and placing it in my mouth had I not had the peripheral vision to notice and clutch her wrist in time. And that x-ray shield she threw on my lap? It was filthy, way dirtier than the pad my mechanic throws on my car fenders. Imagine how filthy the chair, itself, must be, much less the unprotected head rest! No matter how clean your clothes and hair are going in, you can come away only as clean as the filthiest patient before you. The thought alone makes my skin crawl. And dentist wonder why patients hate to see them or why infections are now epidemic in the health-care industry. What a sorry spectacle of health-care professionalism, infested with people who mistakenly believe that donning rubber gloves makes it okay to touch everything that is not sterilized.

    • Spenser Cammack

      July 1, 2012 at 9:51 am

      The standard set in each and every state requires that all these items be disinfected between every patient that is seen in the operatory. In our office we use a barrier system for the light, chair, x-ray unit, air-water syringe, and suction units (the tips for air/water are replaced and sterilized after each patient, the suction tips are disposed of). The x-ray bibs are wiped down with a heavy disinfectant after each and every use. This may actually be what you see on the bib. They can be discolored by the disinfectant. We keep tract of everything that is touched in the room during the visit, and wipe it down if it has been touched. This includes solid surfaces (wiped down every time anyway), keyboards, monitors, eye wear (providers that is- patient eye wear soaks overnight in a cold sterile bath). We also wear personal barriers that cover from the neck to the knee, as required by WA state. If you have concerns, simply ask your dentist to allow you to watch the room be taken down and prepared prior to you coming in for a visit. This is not a terribly uncommon request. Patient safety and health is the top priority of our office and most out there. You just may not be seeing what is going on behind the scene.

  3. Dr. Doolittle

    June 27, 2012 at 3:18 pm

    On the flip side…..you shut these medicaid practice down because you’ve investigate and interviewed disgruntled employees and guess what…..no one will see these patients……I sure won’t…they can’t afford me and I can’t afford to take a reduced fee.

    They will all end up in the ER costing the govt billions of dollars. What’s the solution…..no idea but your skewed discussion makes us want to vomit. Have another opinion out there besides your own and let the public make up their own mind.

    • wendi456

      June 29, 2012 at 2:09 pm

      I do not think anyone is suggesting that these practices shut down. However, once again free enterprise has trumped the better good. These practices are suffering from a lack of government regulation and tax paying citizens are paying for unnecessary procedures. Unfortunately, this time it is at the expense of children.

      Oh and for the record, I have dental insurance and what I consider a descent dentist. Guess what. To suggest that you cannot afford to take a reduced fee is absurd. Dental fees are unbelievably inflated. Even with insurance, my 20% co-pay on any procedure is a huge kick in the ass. The idea that that a dentist will go broke if he or she consents to or is required to allow a small percentage of their patients to pay with Medicaid reimbursement is laughable. Sorry no one who has ever paid a dental bill thinks, “oh my poor poor self-sacrificing dentist. I sure hope he can pay his house note this month”

    • Spenser Cammack

      July 1, 2012 at 10:06 am

      Wendi456

      I understand your frustration with dental fees. Dentistry is a significant investment. What frustrates me a provider is that the law in WA is absurd to cover Medicaid. We have patients of record that are on Medicaid and we gladly see them. I don’t ask for your sympathy, but the reimbursement doesn’t cover expenses, much less pay me anything. We do it because they have been patients, they are kids, and I can’t turn them away (ethically). This state will not allow me to take on a “small percentage” of new patients. Either I take everyone (honestly can’t afford to,cheaper to shut the doors) or I can add no one. I want to see and take on some level of constant new patients that are on medicaid, especially my existing patients that fall on hard times, but the state says they can sue me if I do that. To have any sort of profit margin seeing a large portion of Medicaid, it becomes a numbers game. You have to push them through quickly. That is the only way it is doable. This is not the care I am willing to provide. There has to be a better way.

  4. Dave Howard

    June 27, 2012 at 11:42 am

    You failed to investigate, the pervasive practice, how these Medicaid providers uses outside “marketers” to lure patients to these clinics. Basically, the marketers get money from clinics, then “bus” children to these clinics. In return, the marketers offer gift cards and pizza to these families. A major disadvantage for the honest and small offices.

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Education

#CancelMyDebt Trends On Twitter As Debtors Urge Student Loan Default

Twitter erupts with #CancelMyDebt sentiments after Sen. Elizabeth Warren asked netizens to share their student loan stories. Click To Tweet

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Twitter erupts with #CancelMyDebt sentiments after Sen. Elizabeth Warren asked netizens to share their student loan stories.
Approximately, there are 45 million Americans who have outstanding student loan. Photo: mancaalberto | CC BY-NC-ND 3.0

#CancelMyDebt trends on Twitter as emotional student loan debtors took to the popular micro-blogging website their frustrations on the debts they are still paying and urged the government to pay off their student loans.

Twitter erupts with poignant posts of Americans paying off their student loans and how their debts affected their lives following their graduation. The angered netizens expressed their opinions on the tax plan that granted America’s 1% with a $1.5 trillion tax cuts while the government turns blind eyes over the student loan problem that the youth has been facing.

The apparent hashtag came after U.S. Senator Elizabeth Warren encouraged students and graduates to share their stories using the #CancelMyVote hashtag to support her plan to cancel student loan debts of 95% of Americans currently paying for it. Warren’s policy to cover the student loan repayment from an additional tax on top of the top 0.1%.

“I paid off my student loans after 10 years, but it took me getting a six-figure book deal to do it. Folks shouldn’t have to hope for the equivalent of winning the lottery to have a future. #CancelMyDebt” wrote @nkjemisin on Twitter.

President Donald Trump signed the “Tax Cuts and Jobs Act” into law on December 2017 and have brought significant tax reforms. “For the wealthy, banks and other corporations, the tax reform package can be considered a lopsided victory given its significant and permanent tax cuts to corporate profits, investment income, estate tax, and more. Financial services companies stand to see huge gains based on the new, lower corporate rate (21%) as well as preferential tax treatment of pass-through companies. Some banks have said that their effective tax rate will drop under 21%.,” Investopedia explained.

As the current tax plan consistently accommodates the rich, student loan debtors remain in limbo as the increasing interest rates and the piling debt are crippling their financial presents and even their futures. Student loans are a form of financial aid used to help students access higher education. Student loan debt in the United States has been snowballing since 2006, rising to nearly $1.56 trillion by 2019. Shockingly, the entire total loan debt of American equals 7.5% of the country’s GDP.

There are approximately 45 million Americans who have an outstanding student loan of $37,172 on average at the time of graduation. On top of that, student loan also appears not to be evenly distributed and is disproportionately concentrated on the for-profit college sector.

Now, student loan debtors are calling for the government to default their debts. They argue that as the outstanding student loan debt totals 1.5 trillion and the tax cut equals the same, the government can afford to pay off all of student loan debts.

People tweeting #CancelMyDebt clarifies, however, that they are not asking for a loan default because they did not owe anything. They said that call was intended for the government to take actions to destroy the systems that allow student loan companies to exploit people with dreams.

“My reality is paying $1200 a month for my student debt ALONE and working 7 days a week over 4 different jobs. I’m not asking for a “hand out,” I’m asking that we as a country address the insane cost those who are not wealthy have to pay to get higher education #CancelMyDebt,” said @steeltoejilly on a Twitter post.

Another Twitter user also chimed in saying that interest hikes have ballooned her student loan debt even if she’s paying them religiously. “I have four jobs in the education field right now. I graduated in 2005 with $100,000 in student loans. After a decade of payments, undergrad debt is over $200,000 bc of interest rates. I can’t lease a car to get to work, so I walk. I don’t own a bed. #cancelmydebt.”

However, sentiments are polarized. A huge chunk of posts bearing the hashtag talks about their disagreement to Warren’s plans. Most of them argued that student loans are student’s decisions, and the government should not be burdened to pay for their obligations.

“#CancelMyDebt? Uh, no. Nobody forced you to take out student loans. Nobody forced you to major in something that won’t land you a good job. Nobody else is responsible for your debt. It’s your debt; it’s your responsibility.” Joe Walsh tweeted Wednesday.

Kurt Schlichter, a veteran, chimed in saying that Americans can serve in the military and reap the benefits of GI Bill as he did. “Well, you could have served your country and earned GI Bill benefits like I did. But you didn’t. So I’m kind of unclear why you think I owe you anything.#CancelMyDebt? Nah. How about you #PayYourOwnDebt?” /apr

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Automotive

Nissan-Renault’s Ghosn: From Hero To Zero

The once-famed Nissan leader has fallen with allegations relating to financial misconduct and dragging the company along with him. Click To Tweet

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Renault-Nissan Alliance. Photo from: Nissan-Global.com

In a time when Nissan was on the brink of declaring bankruptcy, Carlos Ghosn stepped in not only to save the company but help it to rise back as one of the world’s top car manufacturers. Today, Nissan is facing a similar financial crisis, but this time around, the Japanese carmaker had Ghosn removed from the company.

Through Ghosn’s efforts of restructuring and eventually, reintroducing innovations to Nissan, the company rose significantly within the last two decades under Ghosn’s lead. He also made the Nissan-Renault-Mitsubishi agreement possible that made them one of the leading car companies in the world.

The company had a good track record. But, CNN reported last Tuesday, May 14, that Nissan posted a significant drop in profits where operating profits plunged to 45% at 318 billion yen ($2.9 billion) in the fiscal year that ended in March and revenue fell 3% to about 11.6 trillion yen ($105 billion), while vehicle sales were down 4.4% to 5.5 million.

This is “rock bottom,” Nissan CEO Hiroto Saikawa said during the earnings presentation.

Moreover, analysts also expect Nissan to plunge at decade-low numbers in the coming year. Nissan forecasts operating profit for the fiscal year to March 2020 would fall to 230 billion ($2.1 billion). Also, Nissan shares closed down at 3% in Tokyo.

On Friday, May 17, the Japanese carmaker proposed plans to make changes within its executive board as a reaction to Ghosn’s fallout from the company.

The firm told shareholders that they would start implementing a new board structure composed of 11 members, which 6 of whom would be external.

“With the lessons from the recent executive misconduct still fresh, Nissan resolves to rigorously pursue the separation of supervisory and executive functions,” said the firm.

Thierry Bollore, Renault’s chief executive and chairman Jean-Dominique Senard will both be included in the proposed board.

Nissan conceded to allowing Senard into the board though Bollore’s urges. The Japanese firm isn’t too happy about Senard siding with Ghosn during his arrest.

On the other hand, Nissan’s current CEO Hiroto Saikawa has also been reported to be pressured from vacating his position in the company for doubts that he is capable of turning things around for the company and his close relations with Ghosn.

Saikawa responded that he wishes to stay on the company until he sees it return to profitability and will consider the idea of stepping down “at the appropriate time.”

Additionally, Saikawa told reporters that Renault chairman Senard “has one idea in mind, which is integration or merger.” He also added that “what we’ve told Mr. Senard is this is not the right timing to discuss this matter.”

Regarding the topic of a possible merger between Renault and Nissan, the Japanese company seems to be against the idea since Nissan brings in a lot more profitable compared to the two. But, ironically, Renault holds more stake in the company.

Obviously, the Japanese brand has been struggling to manage internal structures with Ghosn leaving its ranks for multiple cases alleging financial misconduct.

Allegedly, Ghosn is accused of abusing and taking advantage of his power and position in the company to meet personal gains. Specifically, Ghosn allegedly used a Nissan subsidiary to send millions of dollars of payments to a business partner of the company abroad, which then sent money to a third company that he controlled. The actions were taken for the purpose of obtaining a “personal profit,” The New York Times reports.

Prosecutors accused Ghosn of using the method on three occasions from December 2015 to July 2018, resulting in a total of $5 million in losses to Nissan.

As of date, Ghosn has been arrested on four separate occasions including the first arrest in November on charges of underreporting his compensation. The second when he was rearrested on related charges and then a third time on suspicion that he had shifted his personal financial losses onto Nissan’s books.

However, Ghosn and his team of lawyers have consistently denied all allegations about him. In a video Ghosn posted before his fourth arrest, he told that the allegations made against him “is about a plot, this is about conspiracy, this is about backstabbing.”

Meanwhile, the French carmaker, Renault also made new allegations against Ghosn, claiming that there were “questionable and concealed practices” regarding the expenses made under Ghosn. Moreover, Renault also announced Ghosn’s resignation from its board.

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Featured

The ‘2019 NAACP Image Awards’ Issues And Winners

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The 2019 NAACP Image Awards has made Hollywood celebrities jam-packed in a star-studded night held at the Dolby Theater for the first time in history as the organization celebrates its 50th anniversary.

This year’s event focuses on celebrating ‘the accomplishments of people of color in the fields of television, music, literature, and film, as well as, honoring groups or individuals who promote social justice through creative endeavors.’

The NAACP Image Award is an annual awards’ ceremony presented by the US-based National Association for the Advancement of Colored People (NAACP) to honor outstanding performances in film, television, music, and literature.

Similar to other awards like the Oscars and the Grammys, more than 40 categories of the Image Awards are voted on and agreed upon by the organization’s members while Honorary Awards are added which include President’s Award, Chairman’s Award, Entertainment of the Year and the Hall of Fame Award.

Below are the lists of awards and nominations that were given to outstanding Hollywood actors and actresses who show significant roles in the field of entertainment.

Anthony Anderson hosted the said event who won Outstanding Actor in a Comedy Series for his role in black-ish. Netflix and HBO had the highest number of nominations garnering 22 and 20 nominees respectively. While ABC followed closely behind with 18, and Black Panther tailed on as it gathered 14 nominations including Best Motion Picture.

Donald Glover’s hit show Atlanta is nominated for Outstanding Comedy Series alongside black-ish, Dear White People, Grown-ish and Insecure.

The most coveted and prominent award is given to ‘Jay-Z’ known as ‘President’s Award’ which centers on dedication to public service. The rapper, during his speech, acknowledged the roles of strong black women who dedicated their full acting prowess in the entertainment world and helped shape future generations through its influential parts in TV shows.

Outstanding Actress in a Comedy Series goes to Tracee Ellis Ross in her role in black-ish (ABC.

Empire Star ‘Jussie Smollett’ who has been at the center of investigation which shocked the world by faking an attack on January 29 is nominated in the Outstanding Supporting Actor in a Drama Series category. However, he refused to attend the awards night and therefore lost his chance to receive the said reward. On Tuesday, Chicago prosecutors announced that all charges against him were dropped.

Marcus Scribner won an Outstanding Supporting Actor in a Comedy Series from black-ish (ABC) and Outstanding Supporting Actress in a Comedy Series, went to Marsai Martin also from black-ish.

The hit series ‘Power’ (Starz) won the Outstanding Drama Series with Omari Hardwick as the Best Actor for Drama Series, also the lead star of Power. The Best Actress for Drama Series revealed to be Taraji P. Henson for her role in Empire from Fox.

Jesse Williams bagged the Supporting Actor in a Drama Series from the all-time hit TV series, Grey’s Anatomy from ABC. Its counterpart is claimed by Lynn Whitfield from Greenleaf which faced several criticisms from its competitor Thandie Newton in Westworld who believed that the award should be given to someone who has a critical role in TV series.

The long list of the award also gave importance to television movie, and the Outstanding Television Movies, Limited Series or Dramatic Special is awarded to The Bobby Brown Story, and the Outstanding Actor for the same category went to Michael B.Jordan for his award-winning role in Fahrenheit 451, while Regina King from Seven Seconds (Netflix) received the award in the female category.

The Real, won the award for Outstanding Talk Series, and Black Girls Rock for the Outstanding Variety Show. The long-running Doc Mcstuffins from Disney Junior took the Outstanding Children’s Program, while the Outstanding Performance by A Youth Series went to Marsai Martin of black-ish.

Several hosts are also given honor for their outstanding performances for Talk/Variety and Game show. Steve Harvey won Outstanding Host in the Game show from Family Feud, Jada Pinkett Smith, Adrienne Banfield Norris and Willow Smith for Red Table Talk under the Outstanding Host in News/Information Category.

In the music category, major awards were bagged by Bruno Mars for Outstanding Male Artist and H.E.R under RCA Records for the female group.

The said event is an avenue for black people to be recognized for portraying significant roles in different TV programs, but NAACP is being criticized for its flawed standards of choosing the nominees. Critics are pointing out factors such as criminal charges inconsequential in this regard, just like the case of Jussie Smollet who was nominated for a significant award despite his criminal offense.

The nomination of Smollet is similar to the case of Tupac Shakur in 1994. The artist was nominated for Outstanding Actor in a Motion Picture in a film ‘Poetic Justice’ despite the filing of sexual assault charges against him. R Kelly is no exception to the controversy, where his album Chocolate Factory was nominated for Outstanding Album while he was under indictment for costs related to child pornography.

Although significant issues currently surround NAACP, the organization is still determined to continue its effort on acknowledging the contribution of black people to the entertainment world and field of art as a whole. Other individual and minor awards can be viewed through the organization’s website at www.naacpimageawards.net

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