I had a root canal on Thursday. My third root canal, first in Japan. Since I'm not covered by Japanese insurance, and I opted not to pay into any of the dental plans offered by the DOD, I pay 100% out of pocket for dental. Thursday's procedure set me back a whopping ¥5000 ($65). The crown will cost ¥7500 ($100). When I last had these procedures in the States, my dentist billed my insurance approximately $750 for each. Now, this is Japan. One of the world's most advanced countries. Not some third world country where dentistry is practiced by a barber or shaman with crude tools. So what's my point?
In the ongoing argument about universal healthcare, the fact that doctors, dentists, hospitals, pharmaceutical companies, etc. are grossly overcharging for their products and services has been ignored. A root canal simply isn't worth $750. But when dentists fatten their accounts by charging the insurance companies those prices, of course the insurance companies deflect the costs back to the consumers. I don't know what the solution is, but it seems there ought to be some sort of governing body that objectively looks at the price of procedures and limits what can be charged for them. If such an organization does exist, there needs to be some serious systemic evaluation.