27 January 2025

Dental should be covered by Medicare, and that's the tooth

| Zoe Cartwright
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Scared woman in dentist chair

Local anaesthetic is a wonderful thing – but it doesn’t ease the burden of dental costs. Photo: macniak.

I got a filling before Christmas.

It’s not my first and I’m sure it won’t be my last.

Despite regular check-ups and a solid oral hygiene regime, I’m cursed with the ominous-sounding “deep crevasses”.

It means my molars each have their own personal version of the Grand Canyon, and no matter how often they’re brushed it’s a sneaky entry point for decay.

It cost only a few hundred bucks, but a few weeks later, my tooth was aching again.

Turns out it needed a root canal conducted over several sessions to the tune of a couple of grand. Luckily, the spoilt DINKs that we are, the cost is within our budget.

For plenty of people, it wouldn’t be.

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The pain got so bad before the first session I had to take a week off work. I was a delightful person to be around, as my husband and mates will attest to.

Thankfully, I have a kind and thorough dentist and am well on the road to recovery.

If the thrilling nature of my dental escapades has failed to engage your attention, here it is, my revolutionary take: Medicare should cover dental.

I know I’m not the first person to say this, but I cannot understand why this is seen as a wild leftie proposition.

Your teeth are part of your body. There’s no magical separation between oral health and physical health.

Quite the opposite.

We know dental disease increases the risk of infective endocarditis and there is a direct relationship between oral health and rheumatic heart disease.

A tooth infection can spread to the rest of your body, causing fever and fatigue.

Lost or decaying teeth can also result in pain when eating, leading to poor nutrition.

On top of that, the effect on self-esteem and mental health is enormous – not to mention the productivity loss when people can’t turn up to work due to pain.

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Good oral hygiene habits can reduce the likelihood of tooth decay, but it can’t eliminate it, in the same way that exercise can reduce your risk of heart attack but doesn’t guarantee life-long coronary health.

Making access to the dentist dependent on how much spare cash someone has on hand means people put off care until they’re unwell enough to go to hospital. That puts more pressure on our already overloaded emergency departments and urgent care centres.

It’s bizarre that we’d prefer to let people’s oral health degenerate until they have a serious health condition rather than include dental in Medicare.

It doesn’t need to cover your colleague’s refrigerator-white veneers or mid-life crisis Invisalign, just the basics: an annual checkup, like you’d have at the GP, essential work to make sure you can eat and drink comfortably and your body isn’t battling an invisible infection.

There are plenty of divisive political issues coming to an ugly head in our country ahead of the next election, but I reckon something we could all push our pollies to stump up for is free dental care for all Australians.

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Capital Retro10:10 am 27 Jan 25

Refugees and asylum seekers in Australia are generally eligible for free public dental care. This includes emergency dental care, general dental care, denture care, and specialist care.
Just saying.

I used to work with the ACT’s free dental program & was always amazed that people seemed to have $$ for cigarettes, beer & tattoos but refused to pay for a dentist & would wait wait years trying to get their teeth fixed for free.

Capital Retro11:28 am 27 Jan 25

It’s not only for dental treatment. Remember when Joe Hockey tried to introduce a $5 co-payment for Medicare bulk-billing?
Even when we have soup kitchens for most of the population these same people will be demanding free dental and medical treatment.

I’m sorry this person has had problems with her teeth. But I’m not prepared to pay extra tax to fund dental services for her. There is a limit to how much we as taxpayers should be expected to fund services able-bodied individuals can fund themselves—and dental is one of them.

Apart from the cost to the public purse, how many years before we have enough dentists to meet the demand explosion caused by free annual checks.

If adopted now, we would probably have waiting times that make those currently happening for those waiting for hip replacements under Medicare look short.

I always love it when people throw around that word “free”, like in “free dental care”. Now if Zoe was being a committed journo, she might have researched the predicted annual cost of this free service and let us know who she thinks should pay. That would be a real reality check. And yes, I get there might be some positives or savings which we can try and put a value to, but like the NDIS, we might find this a real challenge to fund

Trish O'Connor2:33 pm 26 Jan 25

If people were willing to pay more tax then it could happen

Perhaps. But if the gas companies paid their fair share it could also be done. https://australiainstitute.org.au/wp-content/uploads/2024/02/PRRT.png

Peter Graves3:42 pm 26 Jan 25

“pay more Tax” = exactly and precisely. For far too many elections, the voters have chosen a party that gives them sweeties of tax cuts. Those same voters seem to miss the message that the extra money has to pay for the resulting consumer choices on expenditure. Like health, schooling and dental care.

The message also has the implicit message” if you can’t afford to pay for it – then you have to go without”. Going to the GP is never “free”: first the accompanying MBS rebates come from general tax revenue and they only cover 85% of the “standard fee”.

Unfortunately there is also a far bigger fight to be had – preventing the consumption of sugar-laden foods that affect those same teeth.

Basic dental should be covered in Medicare so no one suffers. If that means we pay a bit more then so be it. There should be an enquiry in Dental fees. I don’t mind anyone making a quid but the cost is outrageous and if it’s justified it would be great for it t9 be out in the open.

Absolutely!

The same goes for all specialists. The fees are absolutely ridiculous with miniscule Mecidare refunds!

$2000 for a single crown?? Absolutely dental should be included in Medicare!

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