Health Care Foundation of Greater Kansas City

Steve's Blog

Thursday, August 28, 2008

The Legacies of our Elected Officials

Recently my wife and I visited the Abraham Lincoln Presidential Museum in Springfield, IL and the Gerard Ford Presidential Library and Museum in Grand Rapid, Michigan. We are spoiled in Kansas City to have immediate access to the magnificent Harry S. Truman Library and Museum, which I have visited many times.

During the election season these presidential museums and others should be required visits by all Americans and political candidates. Being an elected official is hard work and there are no easy answers. It may be many years after an elected official has left office before they know if their actions and policy decisions had the effect they intended. All three of these Presidents faced very difficult choices.

President Lincoln spent his entire Presidency dealing with the issue of slavery. The Museum shows the personal pain and difficult decisions the President had to endure to bring about the change he wanted. President Ford’s pardon of President Nixon and the difficult and painful process he had to go through to restore the public confidence both at home and internationally was inspiring to view. Of course, President Truman decision to “drop the bomb” was very controversial and marked a turning point in the history of our country.

These three Presidents were ordinary people who had extraordinary responsibilities and fulfilled these responsibilities to the best of their abilities. As we prepare for the upcoming presidential election, I wonder what will be the legacy of our next president.

Friday, August 8, 2008

UMKC Dental School: Good News and Bad News

We are so lucky to have the UMKC Dental School in Kansas City. Each year the dental school graduates 100 new dentists. 72 of these dental students are residents of Missouri and 20 are from Kansas. The remaining slots are from other states. In a good year Missouri and Kansas retains approximately 70% of their graduates who actually set up practice in their home state. That is the good news!

The bad news is that more dentists are retiring than new dentists are graduating from school. The net effect is that in the next 10 years we will have much fewer dentists practicing than we do now. For those of us who care about the oral health needs of the poor, we currently are experiencing a drastic shortage of dentists who will care for the uninsured or those on Medicaid. This situation will only get worse unless we take action.

Since the UMKC Dental School turns away hundreds of qualified student applicants each year, the obvious question is why doesn’t UMKC train and graduate more dentists? As is usually the case it always comes back to money. It would cost the university money they claim they don’t have to build more labs and classrooms to train additional students. In addition, many current dentists with financial and political clout are not keen on the idea of having more dentists in the marketplace competing for their clients and potentially reducing their take home pay.

The new UMKC Dental School Dean will have his or her hands full trying to find a workable solution to this situation …it's a opportunity that can and must be addressed soon.