Are there dental access issues in Alabama?

Do we have any issues to be concerned about regarding access to dental care in Alabama? Everyone has a dentist who can see them on short notice if they need, right? Wrong.

If you live in Birmingham or in one of the larger cities in Alabama, you might not have a problem being seen on short notice – particularly if you have dental insurance or out of pocket cash for treatment, but if you live in smaller towns or rural areas in our state, you might not be so lucky.

Alabama currently has only one county without a dentist: Greene County. However, about 80% of all the dentists practicing in Alabama practice in the 13 most urban counties. The other 20% practice in the 54 non-urban counties of Alabama; many of these smaller counties only have between one and three dentists. This translates to about one dentist for every 1,800 people in the urban areas, versus one dentist for every 4,100 people in the non-urban areas – a big difference.

This is the subject of a paper Dr. Stuart Lockwood and I are developing and hope to publish with the Lister Hill Center for Health Policy in the next few months. Dr. Lockwood and I are both former State Dental Directors with the Alabama Department of Public Health. We both have examined the teeth of thousands of children in Alabama to assess the state of dental decay and to make referrals to local dentists. We have seen many with excellent dental care and many without any need for treatment. However, we have also seen evidence of neglected dental needs in many children. An even larger concern we have seen is the lack of access afforded to low-income adults with no dental insurance and no public dental coverage in Alabama. We will cover that connected subject perhaps in another post.

Dr. Lockwood and I have been engaged in studying the underlying issues for our widening gap between urban and non-urban areas concerning dental care access for many years. We developed a partnership between the UAB School of Dentistry and the Alabama Dental Association to develop a strategy to correct the disparities we found in the more rural areas of the state.

Through this partnership, we wrote and were awarded a grant to do several things in this area. One was to take the available data on dental practices in Alabama and with the help of the UAB School of Public Health develop a GIS map detailing where all dentists’ practices are located in Alabama. The grant also allowed for rotation experiences in rural areas for dental students as a way to allow them to see dental practice life in these areas. We also provided significant financial awards to a few graduating dentists who agreed to practice in a rural area and also agreed to see a certain percentage of Medicaid patients for a specified number of years. Graduating dental students can have very significant school debt, and this was designed to assist them with that debt and help them establish a practice. The grants were planned to help “plant” dental offices in nine rural areas needing a dentist. Nine such practices came about through this grant program and they have successfully continued in those areas to this day.

I’ve worked with Dr. Lockwood and the state dental association on language presented to the state legislature and the Governor’s office for consideration of a similar state-based financial incentive program for new dentists willing to locate in a rural area. We hoped this would also encourage young dentists to choose a smaller town or rural area in which to practice. While all our legislators were favorable to the concept, funding has not been significant just yet. We continue pursuing this possibility.

Another issue regarding distribution of dentists involves the current ages of dentists in rural areas. We will discuss these findings in some detail in our upcoming paper.

So – to answer the question, “Is it easy to find a dentist to see you on short notice anywhere in Alabama?” – no. However, many of us are engaged in this concern and working towards positive solutions for all Alabamians. We hope to be able to answer my question in the affirmative in the near future!

Dr. Conan Davis recently retired from his position as Assistant Dean for Community Collaborations and Public Health at the UAB School of Dentistry. He continues to research the inequities in access to dental care across Alabama.

23 mins ago

VIDEO: Really exciting impeachment coverage, Doug Jones tries to thread the needle, suspended judges still get paid and more on Guerrilla Politics

Radio talk show host Dale Jackson and political scientist Dr. Waymon Burke take you through this week’s biggest political stories, including:

— Should people be swayed by what we have seen about impeachment thus far?

— Can U.S. Senator Doug Jones (D-AL) figure out a way to get reelected after he votes to remove the President of the United States from office?

— Should indicted elected officials, mostly judges, continue to receive their salaries when they can’t conduct the duties?

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Jackson and Burke are joined by Madison County GOP Chairman Brad Taylor to discuss the Trump era and its impact and Doug Jones’ chances at reelection.

Jackson closes the show with a “parting shot” at the “experts” who appear on television screens and continue to get every single issue wrong without any consequence of self-awareness.

Dale Jackson is a contributing writer to Yellowhammer News and hosts a talk show from 7-11 am weekdays on WVNN.

2 hours ago

State Rep. Easterbrook: No significant highway improvements from ALDOT in rural SW Alabama since 1983 — Calls for U.S. Hwy 45 widening

If you ever make a trip to Millry, Silas, Coffeeville, Grove Hill, or any of the other small towns that dot the map in rural southwestern Alabama, you’ll discover places that have gone largely unchanged for the past several decades.

While some may think that is a good thing, it is, in part, a product of being isolated from the rest of Alabama. That has come at the cost of a decline in various quality of life factors, including health care and education.

Those areas to the north of Mobile include Choctaw, Washington and Clarke Counties, which are cut off from the rest of the state except for three U.S. Highways, only one of which has seen a significant improvement in the last 50 years. U.S. Highways 43, 45 and 84 serve as the main thoroughfares for that region of the state and have all existed in some form or another since the 1930s.

However, State Rep. Brett Easterbrook (R-Fruitdale) contends if rural economic development is a priority for Alabama’s policymakers, improvements must be made. During an appearance on Alabama Public Television’s “Capitol Journal,” Easterbrook made that case and noted the last significant highway improvement for this region came in the 1980s under then-House Speaker Joe McCorquodale (D-Jackson) with the widening of U.S. Highway 43 from Mobile County to Thomasville in northern Clarke County.

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“My district, as you said, covers Choctaw, Clarke and Washington County,” Easterbrook said. “The only real state improvement — the last real state improvement in that district was when Joe McCorquodale was Speaker of the House in 1983. They four-laned Highway 43 — four-laned to Thomasville. It stopped there. So you really only have access headed south.”

Easterbrook explained the struggles of recruiting industry to his House district, which includes all of Washington County, most of Choctaw and Clarke Counties, and a portion of Marengo County, all adjacent to the Alabama-Mississippi state line.

“Industry follows infrastructure,” he added. “They like transportation. It’s a huge part of operating expenses. It’s killing rural Alabama — specifically Southwest Alabama. If you look at the map, there is no four-lane access from the Washington County — from I-65 in Mobile, all the way to I-20.”

According to Easterbrook, U.S. Highway 45 would be an ideal improvement for his district. U.S Highway 45 is four-laned from the Alabama-Mississippi state line north to Meridian, Miss., where it connects to Interstates 20 and 59, and then continues north as a major four-lane north-south thoroughfare in Mississippi.

“Highway 45 is one of those I’m highly interested in,” he said. “It’s the deadliest highway in the state. It’s four-laned from Chicago, Illinois all the way to the Washington County line. In 1992, when they passed the gas bill then, it was written into the law that Highway 45 would be four-laned. The next session, they opened it up and took it out. Highway 45, we had five deaths in December alone. Most of the accidents on Highway 45 were head-on collisions. It is a deadly highway … I think it is because of the highway conditions. If you bottleneck everything down from the four-lane coming all the way in, then the highway is hills and hollows and bad curves everywhere.”

Alabama Department of Transportation highway map, 2019
(ALDOT)

Easterbrook lamented the lack of encouragement he has received from the Ivey administration, noting that he had met with both Alabama Department of Transportation director John Cooper and Gov. Kay Ivey personally, but was informed that despite the public safety elements, those projects did not meet the criteria to be a priority.

“I have met with both,” he explained. “I have not seen the encouragement yet. I met with Mr. Cooper, they talk about a formula they use to choose which road comes first, and obviously, they rank congestion number one. Safety is not a high priority nor rural economic development. If it was, you’d see the money coming out to go to those sites. We don’t see it.”

Choctaw County is one of 12 counties in Alabama without four-lane highway access to the Interstate highway system. Clarke and the far eastern portion of Washington are served by U.S. Highway 43. Easterbrook noted that beyond U.S. Highway 43, West Alabama was grossly underserved.

“Just get a state map and look at it — there is not any four-lane access all the way from I-65 to I-20 in Tuscaloosa,” Easterbrook said. “It’s hard for me to imagine how one-fourth of the state does not have four-lane access. To me, it has to come down to votes. In that area, the population is not that high. So, it gets overlooked. And if we are really serious about rural economic development, then we have to have the four-lane access.”

@Jeff_Poor is a graduate of Auburn University, the editor of Breitbart TV and host of “The Jeff Poor Show” from 2-5 p.m. on WVNN in Huntsville.

4 hours ago

Jalen Hurts missed grandfather’s funeral for Senior Bowl practice — ‘Incredibly difficult’

Publicly this past week, it appeared that former University of Alabama quarterback Jalen Hurts was enjoying his return to the state as he prepared for Saturday’s Senior Bowl game.

However, under the surface, Hurts has also been hurting.

According to a report by NFL.com, Hurts’ maternal grandfather passed away on January 13. His funeral was Wednesday during a daily Senior Bowl Week practice.

Since Hurts had committed to play in the Senior Bowl before the funeral was scheduled and the week’s practices are integral to NFL scouts evaluating Hurts ahead of April’s NFL Draft, he missed the funeral to stay in Mobile this week.

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“He’s a team player,” Hurts’ mother told NFL.com on Friday. “Even though that was family, he’s worked all his life to get here and this is a critical time. He’s very, very family-oriented.”

Nicole Lynn, Hurts’ agent, reportedly described the two as very close.

“Jalen had an incredibly difficult decision to make after finding out his grandpa’s funeral would be during the Wednesday practice of the Senior Bowl,” Lynn said in a statement to NFL.com. “With a heavy heart, Jalen ultimately felt his grandpa would want him to keep his commitment and play in the game — so Jalen decided to play. I would be lying if I said this week has not been extremely difficult for Jalen considering the circumstance, but I admire his strength through it all.”

Incredibly, playing through the pain, Hurts shown bright during the Senior Bowl Week practices.

Teammates voted Hurts as the South Team Offensive Practice Player of the Week among the quarterbacks over the likes of Oregon’s Justin Herbert.

Hurts’ mother, citing his maturity and compassion, said “it’s hard for me to put into words” how proud she is of the former Tide star. Her comments came after the Senior Bowl Experience’s Meet the Players event, in which Hurts drew a huge crowd of fans trying to get his autograph and visit with the player.

“I’m in awe of the lives that he impacts, but just his character alone,” Hurts’ mother added. “It almost doesn’t feel real to me. Even today, all these people in line to see him with their Alabama gear on.”

In Saturday’s Senior Bowl game, Hurts went 6/13 passing for 58 yards and one touchdown. He also threw an interception.

The 2020 NFL Draft will be held April 23-25 in Las Vegas, NV.

RELATED: Hurts on Saban: ‘He’s been nothing but supportive’ — ‘It was great to see him’

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn

4 hours ago

Auburn basketball to host ESPN’s College GameDay for first time

The basketball version of ESPN’s College GameDay is coming to Auburn for the first time ever on Saturday, February 1.

The national show is set to broadcast prior to Auburn’s upcoming top-20 matchup with Kentucky.

Host Rece Davis (an alumnus of the University of Alabama) and analysts Jay Bilas, LaPhonso Ellis and Seth Greenberg will be live from Auburn Arena, beginning at 10:00 a.m. CT on ESPN.

According to the university, this marks the first time Auburn has been featured on the show as a host or visiting team. Head coach Bruce Pearl has made four previous appearances on the show when he was coaching at Tennessee.

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The Tigers have split the last six meetings with the Wildcats, including winning two of the last three inside Auburn Arena.

Additionally, Countdown to GameDay Live will serve as the pregame show to the pregame show. Each week, ESPN’s Rece Davis, Jason Fitz and Christine Williamson will join a wide array of ESPN college basketball analysts and reporters. The show will premiere this Saturday across Twitter, YouTube, Facebook and the ESPN App.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn

6 hours ago

Interview Day brings Alabama high schoolers together with employers

More than 250 high school seniors met with representatives from almost 30 companies at the Bessemer Civic Center for an Interview Day event designed to link those entering the workforce with those looking to hire.

The students were from 14 high schools across a six-county area (Blount, Chilton, Jefferson, Shelby, St. Clair and Walker).

Interview Day was the culmination of preparations the students made during the first semester of their senior year of school. From developing soft skills to working on resumes, the students came into the event prepared to put their best foot forward.

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Interview Day pairs Alabama high school seniors with companies from Alabama NewsCenter on Vimeo.

The event was presented by Central Six AlabamaWorks and the Onin Group in cooperation with the Shelby County Chamber of Commerce58 Inc. and Central Alabama Partnership for Training and Employment.

Companies were from a wide range of industries, including automotive, distribution, construction and skills trades, health care and hospitality.

“The reason why this program is so successful is that we’re addressing a gap,” said Tiffany Bishop, regional workforce development manager with Onin Group. “We have students who are going into unemployment and then we have employers that are looking for good talent, and all we’re doing is trying to bridge the gap to help them find each other.”

The effort comes as Alabama announces it ended 2019 with record low unemployment of 2.7% in December.

“I’m so proud to be able to close out this decade with record-breaking economic measures,” said Gov. Kay Ivey. “All year long, we’ve had good news to share, and to be able to end the year, and the decade, on such a positive note is wonderful. Earlier this year, Alabama had never reported an unemployment rate lower than 3%, and now we’ve had one for the last three months! Nearly 84,000 more people have jobs now than last year. I’m excited about the path that Alabama is on, and the positive impacts this news has on our people.”

(Courtesy of Alabama News Center)