- Dr. C. Everett Koop
- Former U.S. Surgeon General
- Chairman, Oral Health 2000
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Nothing to Smile About on Older Americans Oral
Health Report Card
Senate Aging Committee Examines Ageism in Dental Care
September 22, 2003
WASHINGTON—The oral health of older Americans is in a state of decay,
according to a national report card released today by the advocacy group Oral
Health America before a forum of the U.S. Senate Special Committee on Aging. The
group, examining a variety of ways older Americans have access to key dental services,
gave failing or near failing grades to each state in all categories and gave the
nation an overall D grade.
Fourteen states and the District of Columbia received F’s for older adult
dental coverage and 29 others received D’s. The highest grade was only a
C+, shared by California and New York.
“Dental care for our nation’s seniors remains in a state of decay,”
said Robert Klaus, President of Oral Health America. “Too many older Americans
suffer in silence as their oral health and periodontal needs are neglected. They
deserve better and we need to do more,” he said.
"Poor oral health care causes millions of vulnerable seniors to suffer
needlessly," said Sen. John Breaux (D-LA), ranking member of the Senate Aging
Committee. "Too often, these problems are underestimated, ignored or not
detected until far too late, resulting in serious disease and even death. We must
make oral health care a priority in helping care for our nation's seniors."
Private dental insurance rates among older Americans are a national cavity.
Sixteen states received an F, indicating that more than 80 percent of seniors
had no private dental insurance. Hawaii and California earned A’s with over
50 percent insured. Private dental insurance is critical, as Medicare, the federal
health insurance program, provides no coverage for routine dental care.
Eight of the states that failed the private insurance category were also among
the 23 states that received F’s or D’s for dental coverage under Medicaid.
In those states, uninsured seniors have to pay out-of-pocket for all services
other than those needed during life threatening or emergency situations. The national
average for adult dental Medicaid coverage was D+.
Even in states that do provide Medicaid dental coverage, treating a Medicaid
patient’s toothache could cause financial pain. A barrier to seniors receiving
dental care is finding a dentist who will accept lower Medicaid payments. In this
category, the nation received an F. Tennessee received the nation’s highest
mark with a C-. Thirty-nine states and the District of Columbia failed in this
category.
“I see seniors every day trying live with infection and pain that could
have been easily avoided with proper care,” said Dr. Gregory Folse, a leading
expert in geriatric dentistry and board member of Special Care Dentistry, who
assisted in putting together the report and who testified before the committee.
“Every state is capable of earning an A if they commit to caring for the
oral health needs of vulnerable older Americans”
Along with the District of Columbia, the 14 states that received overall falling
grades were Alabama, Arkansas, Delaware, Idaho, Louisiana, Maine, Massachusetts,
Mississippi, Oklahoma, South Carolina, Texas, Utah, Virginia and West Virginia.
The Senate Special Committee on Aging forum on ageism in oral health care is
examining the oral health issues facing seniors and developing and discussing
potential solutions.
Special Care Dentistry, an organization devoted to promoting the oral health and
well being of people with special needs, is a partner in this project to raise
awareness of unmet oral health needs of special care populations.
Oral Health America is the nation’s premier, fully independent, organization
dedicated to improving oral health. The National Grading Report was funded in
part by a generous grant from The W.K. Kellogg Foundation. Full report card results
are available by visiting www.oralhealthamerica.org.
BROADCASTERS NOTE: Video footage of Senator Breaux will be made available on
____________ via ______________________________.
- CONTACT
- Elizabeth Rogers, (312) 836-9900
Oral Health America is the only national, independent 501 (c) 3 organization dedicated to improving oral health for all Americans
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- ORAL HEALTH AMERICA
- 410 N. Michigan Avenue, Suite 352
- Chicago, IL 60611
- Tel. (312) 836-9900
- FAX (312) 836-9986
- Webmaster: liz@oralhealthamerica.org
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