fair enough. just gets old getting bashed from all sides when you’re doing the best you can in a demanding profession with inevitable bad outcomes. i’m sure you’re a wonderful dentist (sincerely) and do your best to counsel patients on all aspects of prevention, yet they still come with their bombed mouths for you to fix. it may baffle you that people ignore the most common sense approach, but you’re there to help with the tools available and hopefully without judgement and arrogance to cloud your ability to heal. focusing on the warped incentives (for example, taking moral hazard out of the mix by letting people choose with their own “skin in the game”) would be more constructive than leading people to think they’re seeing crooks with every appointment (especially in times of vulnerability and suffering when you’re most prone to emotional decision making). there’s bad doctors and dentists, because there are bad people, but we owe the good ones enough respect to not generalize the whole lot

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Of course there are bad dentists, but generally it is a dentist with poor handskills or poor ethics. I really don’t know of a single dentist who doesn’t advise practicing oral hygiene. Why brush when that’s kind of a hassle and we can easily fix any cavity you might get in less than an hour. This is akin to how most physicians treat nutrition with patients in my experience. They believe it’s too hard and they can prescribe life long meds so why bother?