However wrong this may seem, in my mind it’s a better option than care simply being uncompensated and falling on the provider or the facility to take the hit. At least in this model, there is some revenue stream going for care, even if it is basically a servitude for service model.
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Kmareka.com 
There’s a great idea I learned at Occupy Providence. ‘Solidarity Economy’. Still, when we support a top-heavy military and give huge subsidies to the rich, asking those who have the least to pitch in is incomplete to say the least. But those who have the least are the bottom of the pyramid. They hold up everyone else. A lot of power there.
And, by the way, failing to provide dental care is not only cruel, it’s expensive in the long run.