I'm a bit late commenting on this, but we avoid having to keep up with sales tax and the like by paying it when we purchase products. Then we don't sell them, we charge for education (not taxable) and give the product away with the education.
John Hackbarth, DDS
1708 Amburn Road
Suite A
Texas City, Texas 77591
409-935-2111 office
409-502-0681 cell
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of David R. Boag DDS
Sent: Tuesday, January 29, 2013 12:06 PM
To: wmdomb@verizon.net
Cc: gmoor@windstream.net; 'PDG'; 'idff idf'; 'gnr'
Subject: Re: [ACEsthetics] 2.3% Obama tax plus.
I'm with Bill all the way on this. Part of the reason for the increase in perio success rate at my office vs. where I've been in the past is that I actively try to put Sonicares and other products INTO MY PATIENTS HANDS. I know that if they leave without it/them, that there is about a 20% likelihood that they will actually get what they need. If I think they NEED this, then I act like it: "If you want this to get better, you need this. Here." If it's just a want, that's different.
I make no secret that I'm about healing, about making disease go away or getting it under control. If you don't want to do that with your problem, I'm probably not the best dentist to see. When you context your recommendations with a statement like that, patients get it.
I was re-evaluating a pario patient that I saw who had very little damage as far as perio depths go, but had a bunch of inflammation on his first visit. He has little money, and choked even at the fees we charged to do one quad of S/RP D4342 plus ozone & prophy. He retuned today for his first 3 mo PM at just under 4 months. I asked him if he'd ben doing his homework. Nope. Has he been taking the Evora probiotics? Nope. Didn't even buy them. Only took our samples. That's it. So now, he's got 5mm probings in 3 quadrants and no improvement in his tissue presentation. Barely better in the pocket we DID treat.
I looked at him and said, "It looks worse that it did last time. You may be wondering why. I'm gonna hit you where you live: If you saw someone whose spiritual life wasn't where it was supposed to be, but they said that they wanted it to be better, I'll just bet that you would probably tell them something along the lines that there are certain things that one needs to do if you really want that. Daily things. If you don't do them, what kind of spiritual life should you expect to have? Same thing goes here. I'm all about success. I'm here to make sick people well, but I can't do it by myself. Impossible! You've gotta help me. In order for you to do that, you've got to do some things EVERY day. Flossing is just one of them. Evora is another one. If I can't even get you to do those things, how can you expect us to get this under control?"
I coach them. I equip them. As much as they will let me. That's my job. I get paid to be successful at it!
--
On Jan 27, 2013, at 11:07 AM, William Domb <wmdomb@verizon.net> wrote:
Wondering about this.
Yes, it sure might be a pain in the patoot to keep records and pay in the tax, but if you look at compliance rates of patients, maybe it would be better to put up with the convenience of stocking stuff and selling it out of the office.
' Course it's always easier to just complain about patients' lackadaisical proclivities. "Half of 'em never do what I tell 'em." Or, we can just suck it up and realize we're dealing with humans and git on with business.
regards
bill domb
From: Guy Moorman
Sent: Sunday, January 27, 2013 5:08 AM
To: wmdomb@verizon.net ; 'PDG' ; 'idff idf' ; 'gnr'
Subject: RE: [ACEsthetics] Fw: 2.3% Obama tax plus.
We were told we pay no tax on lab work and your labs should not be charging you…from the executive director of the GDA, the most potent, powerful lobbyist in the legislature of Georgia. Wish we could send her to Washington. Anything I sell out of my office I should be charging sales tax on and the new tax will apply. That's the reason I sell nothing out of my office. I script everything. Wal-Mart carries every electric toothbrush known to man.
Guy W. Moorman, Jr., D.D.S.
The Swamp
Douglas, GA 31533
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From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of William Domb
Sent: Saturday, January 26, 2013 10:34 PM
To: PDG; idff idf; gnr
Subject: [ACEsthetics] Fw: 2.3% Obama tax plus.
From a local oral surgeon.
www.ada.org/8054.aspx will lead to an explanation of the medical devise law and how it applies to the 130 dental devices we will pay an additional 2.3% for. There is a link in the paragraphs which will take you to the list of the devices. Suffice it to say, manual and powered toothbrushes are part of those nasty medical devices which warrant taxing.
What next? We have a 3.8% Obamacare tax if you make to much, 2.3% for dental devices, increased State and Federal income tax rates, increased Cal State sales taxes, increased federal capital gains taxes, increased federal income taxes on investment interest earned (bonds, savings etc).
bill domb
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Dr. Rick Coker, DDS, FACE
Director, Academy of Comprehensive Esthetics
www.tyler-smiles.com, www.tylersleep.com
http://www.google.com/profiles/riccoker.
903-581-1777
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