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However, U.S. government spending covers less than half of all healthcare costs. Private spending is also far greater in the U.S. than in Canada. In Canada, an average of $917 was spent annually by individuals or private insurance companies for health care, including dental, eye care, and drugs. In the U.S., this sum is $3,372. [78]
Health insurance coverage is provided by several public and private sources in the United States. During 2016, the U.S. population overall was approximately 325 million, with 53 million persons 65 years of age and older covered by the federal Medicare program.
The magnitude of this health issue is surprising even in New York state, where the Medicaid program includes dental coverage and is one of the most impressive insurance programs in the nation. Seven out of ten older adults (aged ≥ 65) have periodontal disease, and one in four adults (aged > 65) has no teeth. [256]
A 2020 study found that reforms introduced by New York in 2014 successfully reduced out-of-network billing for emergency care by 88%. [19] Similarly, after Texas enacted an anti-surprise billing law, the Texas Department of Insurance reported receiving up to 95% fewer surprise billing complaints.
Today, funding for dentistry includes: self-payment, private insurance, employer-sponsored insurance, Medicaid, and SCHIP. The median annual earnings of salaried dentists in the United States was $136,960 in May 2006, indicating a high degree of scarcity for qualified personnel.
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