State-sponsored dental terrorism?

Br Dent J. 2017 Nov 24;223(10):759-764. doi: 10.1038/sj.bdj.2017.983.

Abstract

Has the state's manipulation of the NHS dental contract systems deliberately, or accidentally, had corrupting effects on the behaviours of some members of the dental profession? If the answer is 'possibly' or 'probably', then obvious questions that follow include, 'was this done deliberately' and if so, 'why'? Could this have been done for largely altruistic reasons, or was it done to achieve government control for minimum cost? Might this have been undertaken for political, financial or ideological reasons - regardless of any adverse longer term consequences for some patients or for some dental professionals? Might it have been done to take greater control of the dental profession on the grounds that all professions are a conspiracy against the laity, as the mildly paranoid George Bernard Shaw once alleged? Is it possible that some of this manipulation might have been done to help to disempower yet another profession, allegedly to 'modernise it', but perhaps to enslave it for its own reasons? Was this just another example of some statist politicians wanting to interfere in all aspects of UK society, regardless of their lack of specific understanding, or any proven expertise, in many areas? Could the state's manipulation of contracts and processes be regarded as an abuse of power by a virtual monopoly, which has been used to control a largely altruistic profession by imposing corrupting NHS dental contract systems with the most recent one involving 'units of dental activity' (UDAs)? Perhaps it was really about some politicians wanting ever more power, control or money - their usual drivers - with the dental and medical professions accidentally becoming casualties?

MeSH terms

  • Contracts
  • Dentistry*
  • Government
  • Humans
  • State Medicine*
  • United Kingdom