Alan discusses the distinct economic realities of general dentistry, focusing on why the industry relies almost exclusively on a traditional flat-fee structure rather than complexity-based or hourly pricing. While individual clinical procedures exist on a vast continuum—ranging from effortless five-minute wins to grueling, unpredictable clinical nightmares—general practitioners routinely charge the exact same fee for both extremes. Alan breaks down how profitability structurally relies on "the averages," where highly efficient, straightforward procedures inevitably subsidize the time-consuming and difficult cases. The episode explores the unique consumer pressures of dentistry that mandate this setup: unlike the bureaucratic insulation of medicine, dentists are required to provide transparent, upfront financial estimates to patients navigating static insurance maximums. Ultimately, Alan challenges the status quo of the standard fee schedule, opening a debate on whether independent practice owners should implement tiered pricing models for high-complexity cases or simply accept the math of the middle. Join the Very Dental Facebook Group using one of these passwords: Timmerman, Paul, Bioclear, Hornbrook, Gary, McWethy, Papa Randy, or Lipscomb! The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! We're proud to be supported by the folks at Net32! I'm a big fan of the Bioclear Method! I think you should give it a try and I've got a great offer to help you get on board! Use the exclusive Very Dental Podcast code VERYDENTAL8TON for 15% OFF your total Bioclear purchase, including Core Anterior and Posterior Four day courses, Black Triangle Certification, and all Bioclear products. Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code "VERYSHIP" you'll get free shipping on your order! Go save yourself some money and support the show all at the same time! The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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