Dentists

America Needs More Dentists

Too bad we won't let them come here from overseas.

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America doesn't have enough dentists, and Ahmed El Zawi could be part of the solution—if only the federal government would let him.

El Zawi emigrated from Libya to attend the University of Washington's dental school. He graduated in March 2017 and is licensed to practice dentistry in Washington state and Virginia. But it is illegal for El Zawi to work as a dentist—to work at all, actually—because his student visa expired in March. Though he found an employer willing to sponsor him for an H-1B, his name was not selected in the annual lottery that determines who receives one of those valuable government permission slips.

El Zawi was able to renew his student visa to stay in the country legally. He's taking business classes while biding his time until next year's H-1B lottery, when he plans to apply again. "Right now I'm spending money and not earning money," he says. "I would much rather be working."

We should want him working as a dentist, too. As of December 2017, there were more than 62 million Americans living in what the U.S. Department of Health and Human Services (HHS) defines as Dental Health Care Professional Shortage Areas—census tracts with fewer than one dentist per 5,000 residents. The department estimates that an additional 10,800 dentists would be required to eliminate the shortages completely. And the problem is getting worse: In 2013, the number of Americans living in areas with inadequate access to dental care was 45 million.

Because demand vastly exceeds supply, dentists can take their pick of locations and clients. They tend to cluster in relatively wealthy suburbs, and as a result, the shortages identified by HHS are overwhelmingly in inner cities and rural areas.

There's a class divide as well. According to a 2014 survey by the American Dental Association, only about one-third of dentists accept patients on public insurance programs such as Medicaid.

The Pew Charitable Trusts estimate that more than 800,000 Americans were treated in emergency departments in 2009 for problems related to tooth decay. All those E.R. visits cost the health care system more than $110 million.

The H-1B visa process allows no more than 85,000 visas to be awarded each year, but 190,098 applications were received in 2018, according to U.S. Citizenship and Immigration Services. The caps are politically designed to limit how many high-skilled immigrants can come to the country to compete with Americans for jobs.

But when it comes to dentistry, there is no need for protectionism. In fact, protecting American interests would actually mean importing as many non-U.S. residents as we can.

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97 responses to “America Needs More Dentists

  1. Libya needs more dentists, too? Whoa! That was kind of a hot take! Perhaps he could practice black market dentistry until his luck changes.

    Government: you can’t do dentistry here
    Dentist: hold my beer

  2. “Government: you can’t do dentistry here” … Yes, exactly! And WHY is that? Because dentists have the money and time with which to lobby (and hoot and holler in other ways) for protection of their racket, and limit the competition that they might face. Concentrated benefits and diffuse costs of special interests, as usual.

    I notice that my lawn-mower-dude from Stanstanstanistan does NOT lobby for more protection of HIS racket… Which is why I would take this bullshit about wanting more high-skill immigrants and fewer low-skill immigrants, and stand it on its head, exactly inverting it… Reward the people who do NOT lobby to fuck us all over! And then open up our doctor-lawyer-dentist-etc. schools for more admissions and fewer bullshit standards… WHY in the HELL does my dentist need to know about the Krebs Cycle anyway… And let my lawn-mower dude study and practice up, and do my teeth for me!

    1. ” WHY in the HELL does my dentist need to know about the Krebs Cycle anyway…”

      Your lawnmower dude sure as hell does! Does he have a mower with a 2 cycle, a 4 cycle, or a Kreb’s cycle engine? You don’t want him fucking up the relationship of oil and gasoline, much less confusing ATP and STP?, or forgetting to breath, which would stall his engine altogether.

      Occupational licensing for lawnmower dudes!

  3. Professional licensing is pretty idiotic.

    1. But it protects the people! The children!

    2. For dentistry, I would disagree. In any situation where someone could be seriously injured due to incompetence, licensing has a place.

      1. “In any situation where someone could be seriously injured …”

        Car repair… Babysitting… Walking your dog… Scratching yer own butt (ya know, there’s a LOT of delicate tissues down there!)… Spraying for bugs… Wielding a saw or a hammer to build things… Cutting down trees… Driving a tractor on your own farm… Picking fruit from a tall tree… The list is rather long!

        THIS is how we get to the point where we need the permission of someone who has permission from Government Almighty, before we can blow on a cheap plastic flute!!! Beware of the Flute Police!

        To find precise details on what NOT to do, to avoid the flute police, please see http://www.churchofsqrls.com/DONT_DO_THIS/ ? This has been a pubic service, courtesy of the Church of SQRLS!

        1. Plastic flute : no. Skin flute: yes!

          Progress!

        2. You dentist never thinks about the kreb’s cycle. Neither does your orthopedic surgeon, ER doc, or neurologist. All of them passed some exam about the kreb’s cycle at some point.

          They nearly never think of the Pythagorean theorem either. Triangles, angles, distance, stress, fluid dynamics, metabolism, biochemistry, all of those need to have an intuitive understanding. You do not get that without practice.

          You can only fit so many penguins on an iceburg. Direct memory works like that.

          The kreb’s cycle is one of the secrets of life. I am in favor of dentists learning it.

  4. The H1B visa program is dumb. By slowing in more highly skilled professional immigrants, the country would in effect benefit from a brain drain. Instead the push is to let in just the low skilled ones such as the caravan participants. It’s a typically dumb way to function.

    1. Your assertion that all h1b Visa applicants are highly skilled is pretty dumb too. If they were so skilled there wouldn’t be so many stories of Americans training up their h1b replacements.

      1. Beware, you are nearing racist comments against entry-level IT workers from India.

  5. Dental cleanings are the one service you can’t do for yourself these days. Otherwise you could basically never leave your home or at least never have to talk to anyone. #hermitlife

    1. And yet a relatively low skilled dental hygienist does all the work, the dentist looks at your teeth for 2 minutes and says come back in 6 months. Do we really need more than one dentist per 5000 people? Or do we really need more low cost teeth cleaners, and only dentists for the really tough jobs?

      Regardless, we don’t need, as the headline says, to be letting in more of every Tom, Dick, and Achmed.

      1. The dental profession pretty much takes care of itself.

        The government just gets in the way.

  6. From the article above…

    “The Pew Charitable Trusts estimate that more than 800,000 Americans were treated in emergency departments in 2009 for problems related to tooth decay.”

    This is a direct result of professional licensing and limited supplies of dentists, which is what dentists want. And then, all of those rotten teeth that are ripped out, at emergency rooms? They end up under pillows, the Tooth Fairy pays a pittance for them, and then that rotten money-grubbing capitalist Tooth Fairy makes a HUUUUGE profit off of those teeth, and then kicks back a bunch of it under the table, to the dentists!!!

    THAT, my friends, is what is REALLY going on here, I’m a tellin’ ya!!!

    1. It is a direct result of government raising the costs of other health cares faster then the rate of inflation, and letting dental care (and vision care too) fall into the ranks of no insurance, or poor insurance. And shockingly, people don’t buy dental care when government actions have swallowed up all their health care dollars, and a few more with mandates for poor health care insurance.

      1. i had a cracked tooth that needed a root canal a few months back and I would have signed over my house to the dentist I was in so much pain. People will buy dental care at any price when they need dental care as there are few things more painful.

      2. Vision insurance is basically a scam. Don’t waste your money on it. Seriously.

        1. So is Dental insurance

  7. Or this article could be written but the dental board that Grant’s licenses artificially creating caps through accreditation. Or talk about how America uses a single tier dental program where other countries have multi tier. But no. Has to be a border problem. Hilarious.

    1. Less stringent licensing leads to better teeth!!!

      “It finds that tougher licensing does not improve outcomes, but it does raise prices for consumers and the earnings of practitioners. These results cast doubt on the principal public interest argument in favor of more stringent state licensing practices.”

      This is from http://pirate.shu.edu/~rotthoku/Liberty/Does
      … (delete me here) … Regulation Affect Economic … (delete me here) … Outcomes the Case of Dentistry.pdf AKA “DOES REGULATION AFFECT ECONOMIC
      OUTCOMES? THE CASE OF DENTISTRY” …

      Incoming recruits into the Air Force had BETTER dental health coming from states with LESS stringent licensing laws!!!

      When you realize this is all hanky-panky for the benefits of the regulated, via “regulatory capture”, then this makes all the sense in the world!!!

      1. I don’t know about these damned links sometimes… Try this: http://pirate.shu.edu/~rotthoku/Liberty/Does Regulation Affect Economic Outcomes the Case of Dentistry.pdf

        1. Well OK, I give up! “DOES REGULATION AFFECT ECONOMIC OUTCOMES? THE CASE OF DENTISTRY” as search string works perfectly well though…

  8. Maybe if we started deporting the rest of the immigrants you thought it was great idea to let in, we wouldn’t need so many damn dentists in the first place.

    1. #thinkOutsideTheBox

    2. What? You mean third world peasants and random hunter gatherers aren’t known for their excellent dental hygiene?!?

      1. You racist!

      2. What teeth?

  9. But when it comes to dentistry, there is no need for protectionism. In fact, protecting American interests would actually mean importing as many non-U.S. residents as we can.

    No, it means importing as many highly skilled, high earning workers as we can. Important distinction there.

    The H-1B visa process allows no more than 85,000 visas to be awarded each year, but 190,098 applications were received in 2018, according to U.S. Citizenship and Immigration Services. The caps are politically designed to limit how many high-skilled immigrants can come to the country to compete with Americans for jobs. But when it comes to dentistry, there is no need for protectionism.

    Neither global nor per-country caps apply to professions where the US has a special need. But limits on foreign medical professionals have little to do with immigration caps, and more to do with AMA/ADA lobbying. Even with open borders, the AMA/ADA would ensure that foreign-educated medical professionals practicing in the US would be severely limited, with the full support of Democrats.

    1. Yes, my family knows a dentist from Columbia. He had all sorts of degrees and years worth of experience in Columbia, but he had to jump through his asshole repeatedly, for years, before being allowed to practice in the USA. Existing licensed dentists have to gouge us, you know…

      1. Colombia?

    2. Even with open borders, the AMA/ADA would ensure that foreign-educated medical professionals practicing in the US would be severely limited

      Considering that there are still countries with ‘doctors’ unfamiliar or unappreciative of handwashing and indoor defecation–or that some ‘foreign educated’ doctors have been taught that snake blood, coupled with some rhinoceros horn is a viable viagra substitute, it’s possible that limits on such ‘professionals’ is a good thing.

      1. America can’t have it both ways. We can’t have highly trained accredited Doctor’s while also allowing anyone from a foreign nation that claims to be a Doctor to practice. At least not in the current environment, since protectionism is strong on both sides of the aisle.

        This problem won’t be fixed by our impending medical nationalization either, which is sort of funny since Reason seems to forget that under Medicare for All every M.D. of every stripe ostensibly works for the government. Hell, maybe that’s Reason’s plan for reducing medical spending: hire foreign snake-oil salesmen at third-rate costs and label them ‘Doctor’. It worked for China and the Soviet Union, right?

      2. If you think that the AMA or ADA protects you from medical incompetence or malpractice, you’re a fool–and definitely not a libertarian.

        You know what would protect us? Solid rating systems, full disclosure, and free market choice: exactly what the AMA and the ADA are trying very, very hard to prevent.

  10. Go to Mexico for your dentistry needs. It is much cheaper there. And you can take in the sights after your cleaning.

    1. Of course, you will need a lung cleaning to get rid of the smog, and might be killed by the drug cartel, but you can get a cheap dental check-up!

      1. Yes, I see your points, Marcus. PLUS, travel expenses to Mexico are non-trivial, for all of us located far away from the border.

        Solution: Mexican embassies are “Mexican soil” inside the USA, and USA laws do NOT apply! Every large city needs a Mexican embassy, in the USA, and lots of Mexican dentists and teeth cleaners, and THEN we can go to the embassy and get affordable dental care!!! W/O the drug lords and stuff!!!

        1. Can they do auto repair and street tacos, too?

        2. This is a great idea.

          We should allow ittybitty enclaves all over the place. It could be like a global fair – get your teeth fixed here, then head over there to watch kiddie porn, then across the street to get your daily dose of rhino testicle soup, all while waiting for a tourist visa to watch the virgin volcano drop.

        3. AND cop a buzz in the waiting rooms of those consular offices outside of libertarian-influenced repeal-happy states. WAIT! Suddenly I see the purpose behind all those fanatical no-smoking, no-exceptions rules…

  11. Herbie wants to be a dentist.

  12. Maybe we could just import enough Honduran peasants to do our chewing for us? To do the job we refuse to do!

    1. Yes, and I would like to have my own personal Honduran peasant to do my shitting ass well, for me!!! ‘Cause a LOT of the time, I have a WAAAY hard time giving a shit!!! (Maybe he could be my piss boy ass well).

  13. Or we could ban sugar, mandate that everybody visit a dentist at least once per year and subsidize dental care for people who can’t afford it. Plus the nightly visits by the Toothbrush Inspectors, the Flossing Police and the Mouthwash Officers to make sure everybody actually practices good dental health. For the children.

    1. Welcome to England.

      1. And they STILL have bad teeth!

        1. Actually, these days they have great teeth, while toothlessness is making a roaring comeback in the US.

  14. To be contrarian, what Boehm seems to want is a corps of dentists who will be satisfied with low pay, difficult patients, and less than first world working (and living) locations.

    Sure, one way to get this is to give dental credentials and bags of pokey tools to anyone who wants them, and let the market sort things out. I bet the result would be pretty much like what he claims we have today, with real (i.e. current license-holding) dentists in the suburbs and tony sections of cities, and a bunch of quacks and dis-barred incompetents in the ghettos and rural slums.

    1. Yes! And isn’t that kinda what we have already, with regards to police, teachers, and other Government Almighty workers? The good ones uptown, the shitty ones downtown? More of the same is better than no dentists at all, for the poor folks, which is where we seem to be headed!

  15. The dentist does have options while awaiting a green card. He can find a fellowship, residency or research position in a non profit hospital. Also there are government jobs at the VA or other government contracted positions which are exempt from the restriction.

    The problem is not professional licensing. If he jumped through all the hoops the states will give him a license. He cannot work because of federal visa requirements.

    We do need more dentists. The government should be relaxing restrictions for student and H1-b instead it is tightening them. Kinda like how paying more for steel makes us more secure.

  16. Just a personal note on a 45 year career of H1B visa workers in the computer world, specifically mainframe application development and maintenance. I never worked with an H1B holder who could honestly be described as ‘highly skilled and trained/educated’. They were about the same as the Americans working side by side with them. Mostly grunt line coders; with a few who had better than average English skills and helped the others ‘understand’ the system specifications.
    But they did have some common characteristics; the consulting company that actually employed them charged a lot less than the other consulting companies, and held their passports, and payed them a lot less than the Americans.
    Just another waste of taxpayer dollars; if they actually have a job waiting, let them in.

  17. Ahmed El Zawi could be part of the solution

    Sounds like one of them Moozlumz! I’ll bet he wants to move here so he can vote for that Sherryia law and set up terrorist cells and such!

    SEE! The imigrashun lawz are a workin’ just fine ta keep us Kristianz safe!

  18. Root canals are the new ied’s!

    1. Root canals are being made obsolete by implants.

      1. How do bigger tits do that?

      2. No, root canals are a necessary step on the way to getting an implant.

        1. No, that’s incorrect. For an implant, the entire tooth is removed and the post for the implant is set directly into the jaw bone, taking the place of the root.

  19. There are any number of Cubans trained in medicine and eager to flee socialism–not preach Saracen berserkerism. In fact, with some physics, math and chemistry in place of Collectivist Bootlicking 101, These States could probably train professional dentists with even a surplus for export.

  20. I have a short story to tell you about WHY we should allow at least a few dentists here and there to be NOT required to have Government Almighty permission to practice. Bear with me now, you’ll see the relevance soon enough?

    Now I the SQRLSY One am actually John Kerry (I trust you not to tell anyone, ’cause I observed y’all pinky-swearing not to, and breaking my trust would be a NAP violation, and I know y’all are all good Libertarians).

    Anyway, after I served in ‘Nam on that “swift boat”, the CIA implanted a radio bug in one of my molars, in 1976, to try and make sure I didn’t blab too much about all the top-secret things I did over there. They thought I didn’t know about this “CIA mole”, but I did.

    Did y’all know that a “CIA mole” is a molar implant, made out of 6.02 X 10-to-the 23d-power atoms of unobtanium? Only VERY important people (like me) are important enough to get one of these “CIA moles” implanted in our teeth? People like MEEE, unlike you common low scum-dogs, ya know?

    Well anyway, from 1976 all the way to 2000, for 24 long-long years, I searched high and low for a dentist to take out my “CIA mole”, and they ALL denied me; they ALL denied that I had one!!! Simply ’cause they ALL are owned by Government Almighty, what with this licensing thing!

    The story DOES have a good ending though? At Y2K rollover, the micro-chip in my “CIA mole” stopped working!!! I have been free for 18 years now!!!

  21. More ridiculous open borders garbage.

    JUST like with physicians or anything else, the answer for these parasites is never to train more dentists and let Americans reap the benefits from their own people/

    Just another excuse, of the endless ones, for importing the non-western world.

    Disgusting. Train your own people. NOW.

    Genocide your entire race for the economy, goy!? These anti-Whites would literally render cultures, languages and races extinct for 2% more GDP growth.? What does a (((“stronger economy”))) matter if your people don’t exist??

    “Wages in rich countries are determined more by immigration control than anything else, including any minimum wage legislation. Not by the ‘free’ labour market, which, if left alone, will end up replacing 80?90 per cent of native worker’

    Chang, Ha-Joon. 2011. 23 Things they Don’t Tell you about Capitalism, Thing 1: There is no such thing as a free market

    1. whoa there buddy… because all Americans are apparently white…

    2. More ridiculous collectivist garbage…

      1. Guys, I truly hate to break up your critical and insightful one liners, but ……

        Do you truly not get that his tongue is so far back in his cheek he can tickle his own ear?

  22. Britain Needs More Dentists.

  23. Why would immigrant dentists be any more likely to want to practice in our dentistry deserts than native born dentists are? If we start importing more dentists, won’t they want easier, more profitable practices bleaching the teeth of upper-middle-class suburbanites just like American dentists?

    1. Yes, they will! AND they are every bit as likely to be rent-seeking bastards, always seeking to fence out the new guy on the block!!!

      Just like rich bastards with their mega-mansions on the hills overlooking the ocean in Californicatia… Now that I have MINE, fence out the new guy who wants in on prime real estate, by throwing up barriers… AND just like all the xenophobes who want to keep out the illegal sub-humans!!!

      As I have commented before, my lawn-mower-dude from Stanstanstanistan does NOT lobby for more protection of HIS racket… Which is why I would take this bullshit about wanting more high-skill immigrants and fewer low-skill immigrants, and stand it on its head, exactly inverting it… Reward the people who do NOT lobby to fuck us all over! And then open up our doctor-lawyer-dentist-etc. schools for more admissions and fewer bullshit standards… WHY in the HELL does my dentist need to know about the Krebs Cycle anyway… And let my lawn-mower dude study and practice up, and do my teeth for me!

      1. Dentistry is near an all time high for admissions in the US.

        1. Dude, are you going to bring FACTS to this party? Just not going to be very popular that way you know!

  24. politically designed

    I don’t care who you are, that there’s funny

  25. Dentistry has got to be the biggest racket in the USA. Although my Norwegian relatives told me they have to go to Estonia or Hungary to afford serious dental work. I’ve solved all such conundrums by implementing one of my three life hacks: never live more than a 2-hr. drive from an international border.

    1. I talked to a guy from Florida once who said he takes his family to Honduras for major dental work.

  26. Since way back in the 70s, I used to go to MEXICO for all my dental work and even medical operations too. It is so cheap in Mexico, that it would cover my airfare from PA and MS and leave money for a vacation too.

    Now that I live here in Mexico, I still often use paid doctors, labs and clinics, who offer low cost and fast service, even though as a retiree, I get it FREE from the slow, bureaucratic govt. service, IMSS:

    1. I rely on surgeons, dentists and doctors in Curitiba, Brazil, where it is almost always 61?F. AirBNB, airmiles and Uber make it reasonably simple for anyone with a passport to fly to the most European place in South America and benefit from excellent medical care the like of which These States used to have long ago. An open airline ticket is the best and cheapest insurance money can buy. Freelance interpreters plentiful, and rare is the doctor who doesn’t know English.

  27. America doesn’t need more dentists. America needs more dental hygienists You know, the people who actually clean your teeth?

    With enough dental hygienists, you have less need for actual dentists, because people don’t get so many dental problems.

    There isn’t really a good reason why getting your teeth cleaned should be more involved than getting your hair cut, or a pedicure.

    1. To amplify, the real problem is that they require a 4 year degree and professional certification to clean teeth.

      1. And can’t just set up shop on their own and clean teeth, they have to work under and for a dentist.

  28. Isn’t it interesting that he is from somewhere near Benghazi and both he and Hilary have teeth?

    This is all just part of the cover up.

  29. It’s sad a libertarian magazine is calling for the bandaid fix to this problem rather than calling for less obstacles to market entry with dentistry.

    It is almost like reason loves the status quo, as they continually push an agenda that will dampen or even remove market signals.

    Even on the low end, immigration forces labor prices below welfare level and many Americans choose the path of least resistance.

    I get the immigration stance based on first principles, but those first principles need to be applied in many, many other areas before they are applied on immigration, as immigration is exacerbating the other problems that reason ignores in favor of immigration.


    1. I get the immigration stance based on first principles, but those first principles need to be applied in many, many other areas before they are applied on immigration, as immigration is exacerbating the other problems that reason ignores in favor of immigration.

      Exactly. As Just Sayin’ has pointed out (many, many times) Reason is indeed a ‘status quo’ magazine by and large. It seems many of us have noticed the bizarrely conservative direction Reason is taking. In this case, ‘conservative’ meaning defenders of the status quo.

      1. Brazenly progressive direction is more accurate. They only thing they disagree with progressives on is taxation …. and they don’t say too much about it except to complain if taxes are cut and spending did not cut also … rather than convict the Democrats for refusing to cut entitlements,

        So Reason seems all about keeping taxes high or higher “if spending isn’t cut” while not pushing cutting spending very much. On most things, Reason has become progressive.

        1. A fair takedown, I’d say. As the current political environment is overwelmingly Progressive, both can be true I suppose.

          It does make me laugh every time they publish a story about ‘irresponsible tax cuts’, as if that’s a thing. Debt can never be controlled by taxing, yet they pretend it can. Idiots. Even if you raised taxation to 100% the FedGov wold manage to spend 110 percent. Gotta love fiat currency.

    2. I get the immigration stance based on first principles

      Again, Boehm isn’t even making the immigration argument on first principles in this article. He’s fundamentally making the immigration argument because the CDC thinks some people should have greater access to dental care… whether they want it, need it, can afford it, or not.

  30. the U.S. Department of Health and Human Services (HHS) defines as Dental Health Care Professional Shortage Areas?census tracts with fewer than one dentist per 5,000 residents.

    I wonder how these dental shortage areas overlap with food deserts?

    Is it possible we have a host of public administrators, the product of the public education system, that are confused or completely unaware of what actual deserts are?

    The idea that we should encourage immigration because the government says there are some shortages in some places is an exceedingly laughable libertarian stance worthy of mockery.

  31. “In fact, protecting American interests would actually mean importing as many non-U.S. residents as we can.”

    I would have thought that a country as dynamic and diverse as America would have institutions were people could learn dentistry skills. In other countries they are called dental colleges. Dr. El Zawi very likely attended one.

    1. Dr. El Zawi very likely attended one.

      He did.

      In Washington State.

      RTFA

  32. I’m not sure why we would lower the requirements for foreign dentists while leaving the requirements in place for domestic dentists. Seems like you’re doing it wrong if this is your solution.

    1. You just have to understand that “dental professional shortages” are just the veneer on this pig. The pig is just the usual open borders agenda. If they were interested in such a shortage being corrected, they would be all about pushing for more dental schools.


      1. If they were interested in such a shortage being corrected, they would be all about pushing for more dental schools.

        Absolutely. This is actually one reason why vision care is so cheap these days. They opened shit tons of optometry schools and enrolled a ton of people.

        It was the same argument regarding primary care physician shortages, and they missed that point as well. These are all supply issues. Yet somehow, they also failed to notice that expanding access to already rare good has predictable results.

        They also continually miss that the professional organizations that orbit these industries are ‘looking out’ for their membership by keeping supply scarce. It directly inflates their income. Amusingly, immigration can be viewed as working in essentially the same way but Reason doesn’t want to talk about how much lower American salaries need to be in order to have open borders. Gee, I wonder why?

        This is why I laugh at Reason, and why I refuse to give them money. They lie constantly, or are too stupid to know what they’re saying. Either way, I just come here for the laughs these days.

  33. A libertarian dentist holding political office in Ireland (where women now have individual rights) was just “interviewed” by a frantically woke totalitarian. Fingal County Councilmember Keith Redmond parried the sucker’s Lifeboat Ethics conundrums so effortlessly the only resort left was constant interruption adding imaginary healthcare handicaps in hopes of eliciting sanction for armed minions to threaten deadly force and save the day. The delightful short podcast is at https://preview.tinyurl.com/yb2s8sxu

  34. So even if one accepts that we NEED to import dentists because not enough Americans can POSSIBLY become dentists… Which, for the record, is total bullshit… But let us roll with it… Here’s a thought:

    We can STOP allowing in hundreds of thousands of sub par, low education immigrants every year (plus almost a million illegals!)… And ONLY let in skilled immigrants! How about that guys?

    The TOTAL number of immigrants matters a lot. True open borders is suicide for any 1st world nation, we can only absorb so many people a year culturally, and without tanking American wages. Given that fact, why don’t we only let in the highly skilled, high income ones, who actually pay in more in taxes than they use in government services?

    Then we could import as many dentists, and doctors, and engineers as we could ever want. Permanently, not even on temporary visas. Just a thought guys…

    1. I do not see Dr. El Zawi as an import.

      He went to an American dental school. He completed all requirements and holds two state licenses. All he wants to do is work.

      His problem has nothing to do with professional licenses. He has them.

      Our immigration system is fractured by intention.

      1. Where did I say anything about professional license being an issue here?

        My point is that we allow in hundreds of thousands of useless immigrants with no educations every year… This sucks up a lot of slots that can/should be going to people like him. He IS a foreigner. He was a foreign student. That he got his education here doesn’t really come into play. If he’d graduated in India my point would be the same.

        We’ve worn out Americans patience for immigration with the sheer numbers of them… And the problem is too many of them are low skilled ones that don’t bring anything to the table. They should all be people like this.

        If you can only fit 5 passengers in your car at a time, which is kind of how immigration works unless you want to completely overwhelm a nation, you want all those passengers to be doctors and engineers, you don’t want to fill 4 spots with smelly hobos and then not have room for the brain surgeon.

        This is essentially our problem right now. Too many spots are filled by janitors and dish washers, but we don’t want EVEN MORE total immigration… So we end up not allowing in good folks because we’ve filled ourselves to capacity with too many bums.

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  36. Yes definitely we need more high quality dentist. But we should also low down the treatment cost. And also it is pretty hard to find the Best Dental Office.

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