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12WinTerownfinancialwell-beingthaninthehealthofthepublic.Thisistruenotonlyfordentistsbutforalmostanyoneinanyprofession.5EventheAmericanDentalAssociationADAhassome-timesbeenseenasmuchanadvocacygroupfordentistsasforthepublic.Neverthelessexcellentandtrustingrelationshipscontinuetobelivedday-by-daybetweenpatientsandtheirowndentists.Butthenegativeperceptionofdentistryorganization-allyisleadingtolegislativeinitiativestoimproveaccessbasedonthebeliefthatdentistscannotbetrustedtohelpthoseinneedwithoutthecoercivehandofthestate.Thusentirelynewcategoriesofdentistsarebeingformulateddentalthera-piststhatmovepasttheAmericanDentalAssociationandtheexistingdentalprofessionasawhole.Willthisnewsecond-arytierofdentistsactuallyimproveaccesstocareIdoubtitespeciallyaslower-paiddentist-therapistsmakefullycorporatizeddentalcaremoreprofitabletocorporationsthathithertohavebeenunabletoenterthismarketplacesuccess-fully.Butmypointhereisthatmaybedentalschoolshavetobearsomeshareoftheblamefortheaccess-to-careproblemifviewedasanethicalissue.HavewelostsightoftheeleemosynaryresponsibilityofeveryprofessionalpersonDentistsdenyingcaretopa-tientsinneedordecliningtoparticipateinpublicassistancereimbursementprogramsmightbeinterpretedasafail-inginthewayweteachethics.MaybearatingsystemofthetypeIamproposingcouldin-corporatenotwhatistaughtinourethicscurriculaasimpleinputbutratherhoweffectivelywhatweteachactuallyplaysoutindentalpracticeespeciallyforpatientsunabletopay.Againsuchaschemawouldrequirethattheratedinstitutionparticipateestablishsystemstotracksuchinformationandin-centivizetheirowngraduatestobeforthcoming.Whethercreationofnewcategoriesofdentistswillorwillnotimproveaccesstocareisbeyondthescopeofthispaper.Ibringupthematteronlytounderscoretheimportanceofarat-ingsystemforschoolsthatconfertheDDSorDMDdegree.Doctoral-grantinginstitutionswillneedtodifferentiatethem-selvesfromnewdentist-therapyschoolsbecausethepublicisnotgoingtomakesuchfinedistinctionsdespitesignificantdif-ferencesinthecomprehensivenessofeducation.ThispointresonatedpowerfullyformeinastatementmadeinaPBSdocumentaryFrontlinebroadcastonJune262012.AnewlytrainedMinnesotadentaltherapistspeakingonbehalfofanewlycreateddisciplinearguedconfidentlyWatadtotlvlofadtst.howimtaugttodoallgowimtaugttodoaootcaaloababytootowimtaugttoxtactababytootsdtcaltottypofducatodtstscv.iamtadtotatlvl.imjusttadfwtgstaadtststadtodoidotkowwyayowouldwattoopposavywll-tadpofssoaltatgsomowootwswouldotgttatd.TheopeningstatementisthemostworrisomeWearetrainedtothelevelofadentist.ButisthisreallytrueThemostdangerouspeoplearethosewhodontknowwhattheydontknow.Thetherapististalkingaboutaspecificnumberofverylimitedtechnicalproce-duresbutwhataboutthecom-plicationsfromthoseproceduresItechoesthedis-tinctionDonoffmakeswhentalkingaboutthedifferencebe-tweenreceivinganeducationversusreceivingtrainingorpar-roting.Thetherapistsself-de-scriptionasaverywell-trainedprofessionalispreciselythepoint.WhostosayWhoisim-partialenoughtopreventself-interestfromintrudingintotheequationSubsequentlyinthebroadcastthepresidentoftheAmericanDentalAssociationexpressedtheviewthatOurconcernistheideaofalesser-trainedindividualdoingsurgicalprocedures.Itseemsaveryreasonableconcernhoweverthosewiththehighestqualificationsasexpertsareincreasinglybeingdelegitimizedbecausetheyareseenashavingavestedinterestinaparticularself-servingoutcome.Thatsocietyhasgottentothepointthatithaslostitstrustinitsownexpertsistragic5andreminiscentofLivysfirst-centurylamentthatwecanendureneitherourvicesnortheircure.6Maybeamoreaptanalogywouldbethatwecanen-dureneitherourproblemsnortheirsolutions.