You can have three things in every health care system: Those three things are affordability, universality, and quality. However, every health care system can only guarantee no more than two of the three at a time. Because of the current medical system, and their reimbursement rates, physicians have discovered a way to "upgrade" their services so they can maintain the quality of care they, and their patients, want to have. Dentistry is no different. Only thing is our upgrading comes in the form of products and procedures when done correctly with both insured and uninsured patients.