American dentistry’s future at risk: Lessons from medicine’s decline
American dentistry, once ranked the #1 “Best Job” in the U.S. by U.S. News & World Report in 2017, now faces a significant challenge: declining membership of the American Dental Association (ADA). According to Dr. Chris Bulnes and Dr. James G. Wilson, this trend could undermine dentists’ autonomy, influence over healthcare policy, and ability to advocate for patients.
Why the ADA matters
The ADA and state dental associations have long been the backbone of organized dentistry in the U.S. They protect dentists’ rights, shape legislation, and ensure patients have access to high-quality care. As Drs. Bulnes and Wilson note, “Without an organized voice representing us, dentists would be voiceless in the halls of power.”
These associations have achieved tangible victories, such as insurance reforms, anti-predatory billing laws, and stopping legislation that would have limited procedures general dentists can perform. Such protections are not automatic—they require active participation, dues, and advocacy from members.
Learning from medicine
Dentists can learn from the American Medical Association (AMA). In the 1960s, nearly 75% of U.S. physicians were members, giving them substantial influence over healthcare policy. Today, AMA membership has fallen below 15%, leading to reduced autonomy, declining reimbursement rates, and increased burnout. Drs. Bulnes and Wilson warn, “If we follow the same path, we risk losing control over our profession.”
The consequences of disengagement
Declining ADA membership leaves decision-making to insurance companies, corporate dental chains, and government agencies. Autonomy over patient care, fees, and practice management may diminish, affecting both dentists’ professional satisfaction and patient care quality.
A call to action
Drs. Bulnes and Wilson urge American dentists to act now:
- Join or renew membership in the ADA.
- Encourage colleagues to participate and advocate.
- Recognize that today’s engagement secures the future of American dentistry.
They emphasize, “The strength of dentistry tomorrow depends on the choices we make today.” Active membership ensures dentists maintain influence over policy, preserve independence, and protect patients.
Conclusion
American dentistry remains highly respected and rewarding. However, if dentists disengage from organized dentistry, the profession risks losing its voice and autonomy. Participation in the ADA is not optional—it is essential to preserving the identity, influence, and future of U.S. dentistry.
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